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Showing results for "learned".

4861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60347/psn-pdf
      January 01, 2021 - Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. J Patient Saf. 2021;17(…

4862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850161/psn-pdf
      June 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…

4863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72774/psn-pdf
      February 24, 2021 - Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross- sectional observational study. February 24, 2021 de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug events causing hospitalisation…

4864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36006/psn-pdf
      November 15, 2011 - Disclosure of medical errors: what factors influence how patients respond? November 15, 2011 Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10. https://psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influenc…

4865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867233/psn-pdf
      December 04, 2024 - Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. December 4, 2024 Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify diagnostic errors and analys…

4866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50775/psn-pdf
      January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? January 8, 2020 Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult patient transfers, handovers, an…

4867. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - So, by eliminating that step of having to remember to take the card out, the banking industry learned … mistakes that it had made in the design of the ATM machine, and we, the customers of the banking system, learned … involve frontline staff because it gives them the opportunity to share what they know, and what they've learned

4868. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
      June 03, 2014 - So, by eliminating that step of having to remember to take the card out, the banking industry learned … mistakes that it had made in the design of the ATM machine, and we, the customers of the banking system, learned … involve frontline staff because it gives them the opportunity to share what they know, and what they’ve learned

4869. Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cms-patient-safety-measure-hospitals-webcast.pdf
      July 08, 2025 - Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals Webcast July 8, 2025 12:00-12:45 PM ET Technical Info • Audio issues • Poor connection • Use Q&A to submit questions 2 Today’s Speakers Jo…

4870. Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
      August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024 Patient Safety Previous Page Next Page Table of Contents AHRQ’s Investments in Primary Care Research for 2023 and 2024 Acknowledgements and Authors Message from the Director of AHRQ’s National Center for Excellence in Primary Care R…

4871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49603/psn-pdf
      June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…

4872. Implementing Automatic Referral | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/training/implementing-automatic-referral/index.html
      April 01, 2023 - Implementing Automatic Referral This focus area will walk you through the necessary steps for implementing an automatic referral system in your hospital. Automatic referral is a proven, evidence-based strategy to increase participation in cardiac rehabilitation (CR). Automatic referral is the systematic, au…

4873. Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/baker_crc_screening.pdf
      January 01, 2014 - Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers Research Centers for Excellence in Clinical Preventive Services Working to get the right services, to the right people, at the right time Improving Rates of Repeat Colorectal Cancer Screeni…

4874. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
      June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Long Description Principal Investigator: Adam Sapirstein, M.D., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS23553 Project Period: 09/30/14–03/29/19 Description: The goal of the Johns Hopkins Armstrong Institute L…

4875. Open Wide Learning Lab (OWLL): Improving Patient Safety in Dentistry | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/owll-long-desc.html
      August 01, 2025 - Open Wide Learning Lab (OWLL): Improving Patient Safety in Dentistry Principal Investigator: Muhammad Walji, Ph.D., University of Texas Health Science Center at Houston, Houston, TX  AHRQ Grant No.: HS027268  Project Period: 09/09/19-08/31/24  Description: OWLL aimed to improve patient safety in dental sett…

4876. Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/developing-passive-digital-marker-prediction-childhood-asthma-treatment
      July 31, 2025 - Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response Project Description Publications Applying novel machine learning methodologies in real time to readily available risk and prognostic data in electronic health records could contr…

4877. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. | PSNet
      psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
      December 18, 2017 - Study Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. Citation Text: Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed-methods analysis of incid…

4878. Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation. | PSNet
      psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-unit-providers-over
      September 29, 2021 - Study Changes in perceptions of antibiotic stewardship among neonatal intensive care unit providers over the course of a learning collaborative: a prospective, multisite, mixed-methods evaluation. Citation Text: Qureshi N, Kroger J, Zangwill KM, et al. Changes in perceptions of antibioti…

4879. Detecting patient deterioration using artificial intelligence in a rapid response system. | PSNet
      psnet.ahrq.gov/issue/detecting-patient-deterioration-using-artificial-intelligence-rapid-response-system
      October 21, 2020 - Study Emerging Classic Detecting patient deterioration using artificial intelligence in a rapid response system. Citation Text: Cho K-J, Kwon O, Kwon J-myoung, et al. Detecting patient deterioration using artificial intelligence in a rapid response system. Crit …

4880. Implementer | Digital Healthcare Research
      digital.ahrq.gov/population/implementer
      August 01, 2024 - Implementer Clinical Decision Support for Chronic Pain Management - Final Report Citation Clinical Decision Support for Chronic Pain Management. Prepared under Contract No. 75P00119F37003. AHRQ Publication No.24-0074. Rockville, MD: Agency for Healthcare Research and Quality; …