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psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind
October 31, 2018 - Newspaper/Magazine Article
Deep learning is a black box, but health care won't mind.
Citation Text:
Deep learning is a black box, but health care won't mind. Brouillette M. MIT Technol Rev. April 27, 2017.
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psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
August 14, 2013 - Newspaper/Magazine Article
Learning safe prescribing during post-take ward rounds.
Citation Text:
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
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psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
June 17, 2009 - Commentary
Safety cultural preconditions for organizational learning in high-risk organizations.
Citation Text:
Naevestad T-O. Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. J Contingencies Crisis Manage. 2008;16(3):154-163. doi:10.1111/j.1468-5973.…
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psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
July 02, 2014 - Commentary
Assessing teamwork and communication in the authentic patient care learning environment.
Citation Text:
Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
Understand the Science of Safety for Perinatal Safety
SAY:
The Understand the Science of Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of understanding system design, safe design principl…
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digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create
January 01, 2024 - Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach
Project Final Report ( PDF , 336.02 KB) Disclaimer
Disclaimer
The findings and conclusions in thi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Staff Empowerment module will discuss the importance of staff empowerment and strategies for implementing staff empowerment in your facility.
SLIDE 1
SAY:
The objectives are to—
· Cite staff empowerment concepts
· Discuss how staff empowerment contributes to a culture of resident safe…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Learning From Defects Through Sensemaking: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Learning From Defects Through Sensemaking
Say:
This module focuses on the process of Learning From Defects Through Sensemaking.
Slide 2: Learning Objectives
Say:
At the end of this module, you w…
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www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
January 01, 2025 - meetings, at which PIs and research staff met to discuss
accomplishments to date, challenges, lesson learned … meetings, at which PIs and research staff meet to discuss accomplishments to date,
challenges, lesson learned
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - SPOTLIGHT CASE
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
Citation Text:
Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - Reassess how the team is working together
7
Hospital AIM Team
Leads
SPPC-II
SCRIPT
As we’ve already learned … What were our major lessons learned from this case? … Summarize your major takeaways by asking what the team’s lessons learned were from this case. … Make sure to spend some time talking about how to apply any lessons learned into practice for future
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/machine-learning-tools-white-paper.pdf
December 01, 2024 - White Paper_Machine Learning Tools To (Semi-)Automate Evidence Synthesis: A Rapid Review and Evidence Map
Research White Paper
Machine Learning Tools To (Semi-)Automate Evidence
Synthesis: A Rapid Review and Evidence Map
Research White Paper
Machine Learning Tools To (Semi-)Automate Evidence
Synthesis: A Ra…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Assess and Adapt: Understanding the Science of Safety and Reliability
Slide Presentation
Slide 1
Assess and Adapt: Understanding the Science of Safety and Reliability
Lisa H. Lubomski, PhD
Assistant Professor, Johns Hopkins Medicine
Armstrong Institute for Patient Safety & Quality
Department of Anest…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - CAUTI Prevention Implementation in a Community Hospital
Assess and Adapt: Understanding the Science of Safety and Reliability
Lisa H. Lubomski, PhD
Assistant Professor, Johns Hopkins Medicine
Armstrong Institute for Patient Safety & Quality
Department of Anesthesiology & Critical Care Medicine
1
1
Learning Ob…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - CMV_27_M3_CUSP_SSA_Premortem
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-27-EF
January 2017
Overview of CUSP for MVP ‹#›
AHRQ Safety Program for Mechanically Ventilat…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety3.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Recognizing and Supporting Nurses in Diagnostic Safety
Previous Page Next Page
Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recomme…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - training content.
4.5 0.60 4.5 0.59 4.6 0.65
I am confident that
I can use the
knowledge that I
learned … Navy, produced a number of useful tools and lessons
learned that are applicable to health care.35 Based … A successful
transfer of lessons learned in aviation psychology and
flight safety to health care: the … Developing and
evaluating an interdisciplinary clinical team training
program: lessons learned and
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
January 01, 2007 - conference calls took place over the
course of both collaboratives to share “best practices” and “lessons learned … of how your institution uses the survey results.
8) Tell me anything you want about what you have learned … sessions also provided an opportunity for similar facilities to discuss
best practices and lessons learned … Using the AHRQ Hospital Survey on Patient Safety Culture – Lessons Learned.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016146-nocella-final-report-2009.pdf
January 01, 2009 - There were many valuable lessons learned through the process of
adoption and utilization of Health IT … This was an important lesson learned in the
project and may have implications for future HIE projects … A summary of the various lessons learned during the EKCITA HIE project is below:
• Initial fears include … A summary of lessons learned from the rural tele-ophthalmology demonstration is provided
below.