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psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
July 21, 2025 - Medical Mistakes and What Doctors Can Learn From Pilots
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Organization:
Organization
American Academy of Ophthalmology
Even…
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/machine
January 01, 2023 - A machine learning approach to reclassifying miscellaneous patient safety event reports.
Citation
Fong A, Behzad S, Pruitt Z, Ratwani RM. A machine learning approach to reclassifying miscellaneous patient safety event reports. J Patient Saf. 2021 Dec 1;17(8):e829-e833. doi: 10.1097/PTS.000000000000073…
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digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-based-health-it-tools-optimize-critical-care/citation/unsupervised
January 01, 2023 - Unsupervised machine learning analysis to identify patterns of ICU medication use for fluid overload prediction.
Citation
Keats K, Deng S, Chen X, Zhang T, Devlin JW, Murphy DJ, Smith SE, Murray B, Kamaleswaran R, Sikora A. Unsupervised machine learning analysis to identify patterns of ICU medication …
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digital.ahrq.gov/ahrq-funded-projects/hopscore-electronic-outcomes-based-emergency-triage-system/citation/machine-learning
January 01, 2023 - Machine-learning-based electronic triage more accurately differentiates patients with respect to clinical outcomes compared with the emergency severity index.
Citation
Levin S, Toerper M, Hamrock E, et al. Machine-learning-based electronic triage more accurately differentiates patients with respect to…
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digital.ahrq.gov/location/usa-ga-athens
January 01, 2023 - USA, GA, Athens
Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Description
This research will develop and validate machine learning enhanced predictive models improving the allocation of critical care pharmacists t…
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digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast/citation/use
January 01, 2023 - Use of machine learning to develop and evaluate models using preoperative and intraoperative data to identify risks of postoperative complications.
Citation
Xue B, Li D, Lu C, King CR, Wildes T, Avidan MS, Kannampallil T, Abraham J. Use of machine learning to develop and evaluate models using preopera…
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digital.ahrq.gov/organization/university-georgia
January 01, 2023 - University of Georgia
Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Description
This research will develop and validate machine learning enhanced predictive models improving the allocation of critical care pharmac…
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digital.ahrq.gov/ahrq-funded-projects/improving-missing-data-analysis-distributed-research-networks/citation/applying
January 01, 2023 - Applying machine learning in distributed data networks for pharmacoepidemiologic and pharmacovigilance studies: Opportunities, challenges, and considerations.
Citation
Wong J, Prieto-Alhambra D, Rijnbeek PR, Desai RJ, Reps JM, Toh S. Applying machine learning in distributed data networks for pharmacoe…
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digital.ahrq.gov/ahrq-funded-projects/national-center-pediatric-practice-based-research-and-learning/final-report
January 01, 2023 - National Center for Pediatric Practice Based Research and Learning - Final Report
Citation
Fiks A. National Center for Pediatric Practice Based Research and Learning - Final Report. (Prepared by the American Academy of Pediatrics under Grant No. P30 HS021645). Rockville, MD: Agency for Healthcare Rese…
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psnet.ahrq.gov/node/45462/psn-pdf
August 31, 2016 - Learning From Mistakes.
August 31, 2016
London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
https://psnet.ahrq.gov/issue/learning-mistakes
The National Health Service (NHS) has a history of sharing analyses of problems in its system.
Summarizing an NHS investigation into the…
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psnet.ahrq.gov/node/36117/psn-pdf
July 19, 2006 - A Safer Place for Patients: Learning to Improve Patient
Safety.
July 19, 2006
House of Commons Committee on Public Accounts. London: The Stationery Office Limited; June 2006.
https://psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
Using data from approximately 974,000 patient safety inc…
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psnet.ahrq.gov/node/842435/psn-pdf
January 26, 2023 - Driving Learning and Improvement After RCA2 Event
Reviews.
January 11, 2023
Collaborative for Accountability and Improvement. January 26, 2023.
https://psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
Root cause analysis (RCA) is a recognized approach to examining failures by identify…
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psnet.ahrq.gov/node/46117/psn-pdf
May 10, 2017 - Deep learning is a black box, but health care won't mind.
May 10, 2017
Brouillette M. MIT Technol Rev. April 27, 2017.
https://psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind
Artificial intelligence can support diagnostic decision-making. This magazine article reports on the use of
algorithms to…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.html
February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Overview of the Comprehensive Unit-based Safety Program…
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www.ahrq.gov/hai/cusp/modules/nursing/sl-nursing.html
December 01, 2012 - CUSP Toolkit: The Role of the Nurse Manager
CUSP Toolkit
The Role of the Nurse Manager module of the CUSP Toolkit addresses the role of nursing leaders for your quality improvement initiative.
Contents
Slide 1. Cover Slide.
Slide 2. Learning Objectives
Slide 3. What is a Nurse Manager?
Slide 4. Wh…
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digital.ahrq.gov/ahrq-funded-projects/harnessing-health-information-technology-promote-equitable-care-patients-limited-english
October 31, 2024 - Harnessing Health Information Technology to Promote Equitable Care for Patients with Limited English Proficiency and Complex Care Needs
Project Description
Publications
Research Story
A machine learning predictive analytic intervention has the potential to improve h…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Introduction
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introduct…
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psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system
January 12, 2022 - Study
High-risk medication errors: insight from the UK National Reporting and Learning System.
Citation Text:
Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…
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digital.ahrq.gov/population/payer
September 01, 2024 - Payer
Clinical Decision Support Innovation Collaborative 2023-2024 (Year 3) Period of Performance Report
Citation
Dullabh PM, Shah AS, Dhopeshwarkar RV, Desai PJ, Peterson CE, Jiménez F, Gauthreaux N, Leaphart DM, Zott C, Byrne M, Adams L. Clinical Decision Support Innovation …
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…