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Showing results for "learned".

4421. Quality Improvement | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/quality-improvement
      January 01, 2023 - Quality Improvement Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation …

4422. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
      January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide Title Slide Learning From Defects in Care of Mechanically Ventilated Patients SAY: In this module, we will discuss the Learning From Defects tool. It is a very useful process that enables frontline staff to ident…

4423. Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
      October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…

4424. Operational measurement of diagnostic safety: state of the science. | PSNet
      psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science-0
      September 28, 2022 - Commentary Emerging Classic Operational measurement of diagnostic safety: state of the science. Citation Text: Singh H, Bradford A, Goeschel CA. Operational measurement of diagnostic safety: state of the science. Diagnosis (Berl). 2021;8(1):51-66. doi:10.1515/dx…

4425. Pharmacist work stress and learning from quality related events. | PSNet
      psnet.ahrq.gov/issue/pharmacist-work-stress-and-learning-quality-related-events
      January 07, 2016 - Study Pharmacist work stress and learning from quality related events. Citation Text: Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003. Copy Citation Fo…

4426. Burnout in pediatric residents: three years of national survey | PSNet
      psnet.ahrq.gov/issue/burnout-pediatric-residents-three-years-national-survey
      November 16, 2022 - Study Emerging Classic Burnout in pediatric residents: three years of national survey Citation Text: Kemper KJ, Schwartz A, Wilson PM, et al. Burnout in Pediatric Residents: Three Years of National Survey Data. Pediatrics. 2020;145(1):e20191030. doi:10.1542/peds…

4427. Allowing failure for educational purposes in postgraduate clinical training: a narrative review. | PSNet
      psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
      February 08, 2023 - Review Allowing failure for educational purposes in postgraduate clinical training: a narrative review. Citation Text: Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…

4428. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
      December 16, 2020 - Commentary Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. Citation Text: Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…

4429. Patient safety in nursing education: contexts, tensions and feeling safe to learn. | PSNet
      psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn
      September 19, 2013 - Study Patient safety in nursing education: contexts, tensions and feeling safe to learn. Citation Text: Steven A, Magnusson C, Smith P, et al. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today. 2014;34(2):277-84. doi:10.1016/j.nedt.2013…

4430. Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet
      psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
      April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

4431. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet
      psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
      March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

4432. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. | PSNet
      psnet.ahrq.gov/issue/e-learning-risk-management-opportunity-sharing-knowledge-and-experiences-patient-safety
      November 18, 2020 - Commentary E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Citation Text: Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Int J He…

4433. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. | PSNet
      psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
      June 21, 2023 - Commentary Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Citation Text: Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. do…

4434. Using machine learning techniques to develop forecasting algorithms for postoperative complications: protocol for a retrospective study. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast/citation/machine
      January 01, 2023 - Using machine learning techniques to develop forecasting algorithms for postoperative complications: protocol for a retrospective study. Citation Fritz BA, Chen Y, Murray-Torres TM, et al. Using machine learning techniques to develop forecasting algorithms for postoperative complications: protocol fo…

4435. Comparison of supervised machine learning and probabilistic approaches for record linkage. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/comparison
      January 01, 2023 - Comparison of supervised machine learning and probabilistic approaches for record linkage. Citation McNutt, A.T., Grannis, S.J., Bo, N., Xu, H., Kasthurirathne, S. N.(2020, March). Comparison of supervised machine learning and probabilistic approaches for record linkage. AMIA Informatics summit 2020 C…

4436. AHRQ’s Healthcare Extension Service, State-based Solutions to Healthcare Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/logic-model-healthcare-extension-service.pdf
      June 02, 2025 - AHRQ’s Healthcare Extension Service, State-based Solutions to Healthcare Improvement AHRQ’s Healthcare Extension Service, State-based Solu ons to Healthcare Improvement National Coordinating Center (NCC)  Expertise in providing a wide range of technical assistance (TA) services Expertise in convening learning…

4437. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
      January 08, 2025 - Review Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. Citation Text: Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care prof…

4438. Patient Safety Incident Response Framework. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incident-response-framework
      October 20, 2021 - Toolkit Patient Safety Incident Response Framework. Citation Text: Patient Safety Incident Response Framework. London, England: NHS England; August 2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

4439. Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. | PSNet
      psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
      November 03, 2015 - Book/Report Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. Citation Text: Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. Syed M. New York, NY: Portfolio; 2015. ISBN: 9781591848226. Copy Citation Save …

4440. Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders. | PSNet
      psnet.ahrq.gov/issue/influencing-quality-risk-and-safety-movement-healthcare-conversation-international-leaders
      July 22, 2019 - Book/Report Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders. Citation Text: Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders. Sears K, Stockley D, Broderick B, eds. Alde…