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psnet.ahrq.gov/node/35007/psn-pdf
May 22, 2009 - Peripheral vision: expertise in real world contexts.
May 22, 2009
Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5).
doi:10.1177/0170840605053102.
https://psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
The authors describe a five-stage model of acquiring expertise an…
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psnet.ahrq.gov/node/34579/psn-pdf
August 20, 2012 - Edgeware: Insights from Complexity Science for Health
Care Leaders. Second ed.
August 20, 2012
Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
https://psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
A workbook that presents a series of self-le…
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psnet.ahrq.gov/node/38250/psn-pdf
June 10, 2018 - Using external errors to signal a clear and present
danger.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2.
https://psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger
This article addresses the biases inherent when hearing reports of errors at other …
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psnet.ahrq.gov/node/40378/psn-pdf
June 01, 2024 - Organisation Patient Safety Incident Reports.
May 18, 2018
National Patient Safety Agency
https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports
This Web site provides data on safety incidents from the United Kingdom in the form of workbooks sorted
by either organization or region. In June 2024,…
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digital.ahrq.gov/principal-investigator/chiu-chung-yi
January 01, 2023 - Chiu, Chung-Yi
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service …
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digital.ahrq.gov/population/military-service-member
January 01, 2023 - Military Service Member
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-4
January 01, 2023 - Types and origins of diagnostic errors in primary care settings.
Citation
Singh H, Giardina TD, Meyer AN, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med 2013 Mar 25;173(6):418-25.
Link
http://www.ncbi.nlm.nih.gov/pubmed/23440149
Principal Investig…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
January 01, 2004 - The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis
121
The AAFP Patient Safety Reporting System:
Development and Legal Issues Pertinent to
Medical Error Tracking and Analysis
Robert L. Phillips, Susan M. Dovey, John S. Hickner,
Deborah Graha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-3-public-reporting.pdf
June 01, 2010 - Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies
Best Practices in Public Reporting No. 3: How to
Maximize Public Awareness and Use of Comparative
Quality Reports Through Effective Promotion an…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
April 09, 2013 - Paul Tedrick
American Hospital Association - Chicago
April 9, 2013
11:00AM Central Time
Operator:
The following recording is for Paul Tedrick with the American Hospital Association - Chicago for the April National Content Call on Tuesday, April 9, 2013 at 11:00AM Central Time. Excuse me, ladies and gentlemen. We n…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-transcript.html
December 01, 2017 - Patient and Family-Centered Care (April 9, 2013)
Webinar Transcript
Paul Tedrick
American Hospital Association - Chicago
April 9, 2013
11:00AM Central Time
Operator: The following recording is for Paul Tedrick with the American Hospital Association - Chicago for the April National Content Call on Tue…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
May 01, 2025 - provider peer safety coaches for error prevention
techniques; routine sharing of good catches and lessons learned … leadership; supporting a culture of
safety (e.g., safety huddles, routine sharing of good
catches/lessons learned … Handoffs (MATCH)41: tool
for improving medication reconciliation processes that incorporates
lessons learned
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-creating-efficiencies-extraction-data.pdf
August 01, 2021 - Methods Research Report: Creating Efficiencies in the Extraction of Data From Randomized Trials
Methods Research Report
Creating Efficiencies in the Extraction of Data From
Randomized Trials: A Prospective Evaluation of a
Machine Learning and Text Mining Tool
Methods Research Report
Creating Efficie…
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psnet.ahrq.gov/node/37110/psn-pdf
October 06, 2011 - Seeing systems in health care organizations.
October 6, 2011
Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec.
2007;33(4):20-9.
https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
Using a hypothetical scenario, the authors illustrate how to use the system…
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www.ahrq.gov/nursing-home/resources/module-2-infection-preventionist.html
May 01, 2022 - Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course
Resource: Module 2—The Infection Preventionist—The Nursing Home Infection Preventionist Training Course
This module describes the role of an infection preventionist, who serves as the lead of a infection prevention…
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www.ahrq.gov/nursing-home/resources/toolkit-emotional-coping.html
June 01, 2022 - Responding to the Coronavirus/COVID-19 Pandemic: Toolkit for Emotional Coping for Healthcare Staff
Resource: Responding to the Coronavirus/COVID-19 Pandemic: Toolkit for Emotional Coping for Healthcare Staff
This resource can be used by individual staff or healthcare teams to learn coping and resilience-bu…
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psnet.ahrq.gov/node/33906/psn-pdf
October 18, 2017 - Your Medicine, Be Smart, Be Safe.
October 18, 2017
Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A.
https://psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
This Web site assists consumers in learning how to take medications safely. The materials answer
common que…
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psnet.ahrq.gov/node/36073/psn-pdf
September 28, 2010 - Patient safety: through the eyes of your peers.
September 28, 2010
Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24.
https://psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
The authors present a peer review model for analyzing nursing behavior and…
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psnet.ahrq.gov/node/39410/psn-pdf
March 31, 2010 - Doctors fear work caps for residents may be bad
medicine.
March 31, 2010
Shapira I.
https://psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine
This news piece examines the work week of resident physicians and discusses how further limiting
trainees' work hours might reduce their experientia…
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psnet.ahrq.gov/node/72539/psn-pdf
December 02, 2020 - Diagnostic Excellence Video Series
December 2, 2020
Oakland, CA: Kaiser Permanente; 2020.
https://psnet.ahrq.gov/issue/diagnostic-excellence-video-series
Diagnostic reliability is a primary focus of patient safety improvement. This training program targets 17
topics that require attention to address diagnostic err…