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psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
July 22, 2020 - Study
A machine learning approach to reclassifying miscellaneous patient safety event reports.
Citation Text:
Fong A, Behzad S, Pruitt Z, et al. A machine learning approach to reclassifying miscellaneous patient safety event reports. J Patient Saf. 2021;17(8):e829-e833. doi:10.1097/pts.0…
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psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric-chiropractic
October 19, 2016 - Study
Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective.
Citation Text:
Pohlman KA, Carroll L, Hartling L, et al. Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective. J Evid …
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psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
June 12, 2024 - Study
Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events.
Citation Text:
Øyri SF, Søreide K, Søreide E, et al. Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with s…
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
December 29, 2014 - Study
Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness.
Citation Text:
Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…
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psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
January 12, 2022 - Study
Diagnostic error in the emergency department: learning from national patient safety incident report analysis.
Citation Text:
Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…
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digital.ahrq.gov/funding-mechanism/health-information-technology-it-improve-health-care-quality-and-outcomes-r21
January 01, 2023 - Health Information Technology (IT) to Improve Health Care Quality and Outcomes (R21)
Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Description
This research will develop and validate machine learning enhanced pred…
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psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - Study
Experience of learning from everyday work in daily safety huddles: a multi-method study.
Citation Text:
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-…
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psnet.ahrq.gov/issue/learning-overcome-hierarchical-pressures-achieve-safer-patient-care-interprofessional
November 18, 2016 - Commentary
Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students.
Citation Text:
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve …
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psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Commentary
The Child Health PSO at 10 years: an emerging learning network.
Citation Text:
Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449.
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psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
August 04, 2021 - Commentary
Fifteen years after To Err Is Human: a success story to learn from.
Citation Text:
Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720.
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F…
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psnet.ahrq.gov/issue/medication-errors-how-reliable-are-severity-ratings-reported-national-reporting-and-learning
September 09, 2015 - Study
Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?
Citation Text:
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual He…
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - • Based on lessons learned through intervention implementation, develop and disseminate toolkits that … It builds upon lessons learned in
Module I.
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/index.html
March 01, 2023 - Results
From infographics to published papers, the findings from EvidenceNOW will be shared here. Check back frequently to stay current with what we’re learning about putting evidence into practice, the experiences of small primary care practices, and the best ways to offer external support to improve primary c…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Intr…
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digital.ahrq.gov/principal-investigator/edmunds-margaret
January 01, 2023 - Edmunds, Margaret
Enabling open science for health research: collaborative informatics environment for learning on health outcomes (CIELO).
Citation
Payne P, Lele O, Johnson B, et al. Enabling open science for health research: collaborative informatics environment for learning…
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digital.ahrq.gov/funding-mechanism/electronic-data-methods-edm-forum-second-phase-u18
January 01, 2023 - Electronic Data Methods (EDM) Forum: Second Phase (U18)
Enabling open science for health research: collaborative informatics environment for learning on health outcomes (CIELO).
Citation
Payne P, Lele O, Johnson B, et al. Enabling open science for health research: collaborativ…
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www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/southwest.html
March 01, 2021 - Disseminate the findings to key local, regional, and national stakeholders, including sharing ongoing lessons learned
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www.ahrq.gov/talkingquality/distribute/timing/index.html
March 01, 2016 - Timing the Distribution of a Healthcare Quality Report
Information is more likely to be useful if consumers have it during the period in which they are making a decision. While this sounds simple and obvious, it is not that easy to do:
You may not know when people need the information.
It may be difficult…
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digital.ahrq.gov/ahrq-funded-projects/advancing-population-and-public-health-reporting-and-outcomes-vaccination-data-exchange-approve/citation/model
January 01, 2024 - A model of academic-practice collaboration for facilitating informatics capacity and building a learning health system framework in public health.
Citation
Rajamani S, Solarz S, Muscoplat MH, Schmit AD, Gonderinger A, Brueske C, Fritz J, Emerson E, Melton GB. A model of academic-practice collaboration…
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digital.ahrq.gov/ahrq-funded-projects/optimal-methods-notifying-clinicians-about-epilepsy-surgery-patients/citation/early
January 01, 2023 - Early identification of epilepsy surgery candidates: A multicenter, machine learning study.
Citation
Wissel BD, Greiner HM, Glauser TA, Pestian JP, Kemme AJ, Santel D, Ficker DM, Mangano FT, Szczesniak RD, Dexheimer JW. Early identification of epilepsy surgery candidates: A multicenter, machine learni…