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psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
May 18, 2022 - Study
The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment.
Citation Text:
Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…
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psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
May 20, 2020 - Study
A quality improvement initiative to improve pediatric discharge medication safety and efficiency.
Citation Text:
Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. do…
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psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
August 04, 2021 - Study
"To err is human" but disclosure must be taught: a simulation-based assessment study.
Citation Text:
Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…
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psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event
October 07, 2020 - Commentary
The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.
Citation Text:
Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. …
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psnet.ahrq.gov/issue/experiential-learning-through-local-implementation-national-chief-resident-quality-and
November 16, 2022 - Commentary
Experiential learning through local implementation of a national chief resident in quality and patient safety curriculum.
Citation Text:
Ronan MV, Menon A, Swamy L, et al. Experiential Learning Through Local Implementation of a National Chief Resident in Quality and Patient Sa…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Slide 44: Lessons Learned
Briefings and debriefings–
Reshape safety culture with time and commitment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
March 01, 2009 - The Science of Improving Patient Safety
1
2
Describe the historical and contemporary context of the Science of Safety
Explain how system design affects system results
List the principles of safe design and identify how they apply to technical work and teamwork
Indicate how teams make wise decisions when the…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - CUSP: A Framework for Success (Slide Presentation)
On the CUSP: Stop BSI
This PowerPoint slide presentation was shown on March 7, 2012
Contents
Slide 1. CUSP: A Framework for Success
Slide 2. Today's Speakers
Slide 3. Working Together – The Players
Slide 4. Learning Objectives
Slide 5. The Mic…
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - One of the things that has been so valuable that I learned from Dr. … looked at how often interpreters were used during inpatient encounters and at postpartum discharge and learned
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - One of the things that has been so valuable that I learned from Dr. … looked at how often interpreters were used during inpatient encounters and at postpartum discharge and learned
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - I've been fortunate to have been a member of the LCME as well and to have learned that accreditation … Tension
February 1, 2012
Perspective
What Have We Learned
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - One thing I learned is that everything takes pi plus 2x
longer than you think it's going to take. … One is posting a teaching case: "I saw this
really interesting case that I learned a lot from, and I'm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave-references.html
July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
References
Previous Page
Table of Contents
Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Understanding the AI Wave—What Is AI?
Understanding AI’s Potential…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
References
Previous Page Next Page
Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
I…
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www.ahrq.gov/patients-consumers/patient-involvement/how-to-complain.html
June 01, 2023 - How to Complain and Get Heard
Medical care is a service, and as the consumer of that service, you have the right to make your voice heard if you have a complaint. AHRQ has compiled some useful resources to help you better communicate with your health provider, and to learn how to file a complaint should it be…
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digital.ahrq.gov/ahrq-funded-projects/optimal-methods-notifying-clinicians-about-epilepsy-surgery-patients/citation/prospective
January 01, 2023 - Prospective validation of a machine learning model that uses provider notes to identify candidates for resective epilepsy surgery.
Citation
Wissel BD, Greiner HM, Glauser TA, Holland-Bouley KD, Mangano FT, Santel D, Faist R, Zhang N, Pestian JP, Szczesniak RD, Dexheimer JW. Prospective validation of a…
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psnet.ahrq.gov/node/862607/psn-pdf
February 14, 2024 - Assessing diagnostic performance.
February 14, 2024
Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid.
2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232.
https://psnet.ahrq.gov/issue/assessing-diagnostic-performance
Assessing diagnostic performance to reduce diagnostic errors requires a sh…
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digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr/citation/qualitative
January 01, 2023 - A qualitative study of interprofessional learning related to electronic health record (EHR) medication reconciliation within a social knowledge networking (SKN) system.
Citation
Rangachari P, Dellsperger KC, Rethemeyer RK. A qualitative study of interprofessional learning related to electronic health…
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/learning-health-systems-applying-data-and-evidence-improve-patient-care
January 01, 2018 - Learning Health Systems—Applying Data and Evidence to Improve Patient Care
Health systems that effectively apply data and evidence to improve patient outcomes and care are called learning health systems (LHSs). Gathering evidence on how best to utilize health IT to generate, integrate, an…
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psnet.ahrq.gov/node/45401/psn-pdf
August 17, 2016 - A better safety net for young doctors.
August 17, 2016
Landro L. Wall Street Journal. August. 8, 2016.
https://psnet.ahrq.gov/issue/better-safety-net-young-doctors
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to
demonstrate competency. This newspaper article repo…