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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74157/psn-pdf
    December 08, 2021 - An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. December 8, 2021 Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe serious reportable patient safety inci…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867038/psn-pdf
    October 30, 2024 - From reporting to improving: how root cause analysis in teams shape patient safety culture. October 30, 2024 Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852. h…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865664/psn-pdf
    April 24, 2024 - The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. April 24, 2024 Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. BMC Health Serv Res. 2024;24(1):438. doi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851200/psn-pdf
    July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023 Washington DC:  Department of Veterans Affairs, Office of Inspector General; May 10, 2023.  Report no. 22-01116-110. https://psnet.ahrq.gov/issue/defi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36902/psn-pdf
    June 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61066/psn-pdf
    October 28, 2020 - Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. October 28, 2020 Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(4)…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73446/psn-pdf
    June 30, 2021 - A comprehensive departmental care review model: requirements, structure, and flow. June 30, 2021 Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. doi:10.1016/j.jcjq.2021.04.009. https:/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841144/psn-pdf
    December 07, 2022 - Using community detection techniques to identify themes in COVID-19-related patient safety event reports. December 7, 2022 Boxley C, Krevat SA, Sengupta S, et al. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. J Patient Saf. 2022;18(8):e1196-e1202. doi:10.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848361/psn-pdf
    May 03, 2023 - More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. May 3, 2023 Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform Assoc. 2023;30(7):1227-1236. doi:1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73540/psn-pdf
    January 01, 2022 - Getting the whole story: integrating patient complaints and staff reports of unsafe care. July 28, 2021 van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. doi:10.1177/13558196211029323. htt…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. August 1, 2016 Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867044/psn-pdf
    October 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. October 30, 2024 Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196. https://psnet.ahr…
  13. www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
    January 01, 2025 - Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home Principal Investigator: Kathleen Elizabeth Walsh, M.D., M.S., Boston Children’s Hospital, Boston, MA  Co-PI: Eric Kirkendall, M.B.I., M.D., Wake Forest School of Medicine, Winston-Salem, NC  AHRQ Grant No.: HS26644 Project Per…
  14. www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/reach-grantee-profile.pdf
    January 01, 2023 - Long COVID Care Resources and Education to Advance Community Health (REACH) Geographic Service Area Santa Clara, San Mateo, San Francisco, Alameda, Contra Costa, Solano counties in California Collaborating FQHC network partners for this Long COVID Care REACH model are the Community Health Center Network and San Mate…
  15. digital.ahrq.gov/ahrq-funded-projects/ehr-based-screening-tool-support-safe-discharges-covid-19-patients-emergency-department
    September 29, 2023 - An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department Project Final Report ( PDF , 692.06 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsibl…
  16. digital.ahrq.gov/principal-investigator/grannis-shaun
    January 01, 2023 - Grannis, Shaun Enhancing Patient Matching in Support of Operational Health Information Exchange - Final Report Citation Grannis S. Enhancing Patient Matching in Support of Operational Health Information Exchange - Final Report. (Prepared by Indiana University-Purdue University…
  17. digital.ahrq.gov/document-type/conference-proceeding
    January 01, 2024 - Conference Proceeding 2023 Society for Academic Emergency Medicine consensus conference on precision emergency medicine: Development of a policy-relevant, patient-centered research agenda. Citation Strehlow M, Gisondi MA, Caretta-Weyer H, Ankel F, Brackett A, Brar P, Chan TM, …
  18. digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2011
    January 01, 2011 - Promoting Use of an Integrated Personal Health Record for Prevention - 2011 Project Name Promoting Use of an Integrated Personal Health Record for Prevention Principal Investigator Krist, Alexander H. Organization Virginia Commonwealth University Funding Mechanism P…
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
    October 01, 2014 - Your coworkers may have learned things you need to know from other care providers or from family members
  20. www.ahrq.gov/policymakers/chipra/demoeval/state-reports/index.html
    March 01, 2019 - Florida Pediatric Medical Home Demonstration Project This Web site highlights the successes, lessons learned