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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.230_slideshow.ppt
December 01, 2010 - Appreciate the importance of early skin assessment and the challenges of pressure ulcer identification … The nurse began his admission assessment but was interrupted multiple times because of acute issues with … *
*
Documentation of Pressure Ulcers
Appropriate documentation is not just part of the nursing assessment … physician documentation
*
*
Preventing Pressure Ulcers
Bundled interventions including:
Risk assessment … Skin assessment
Support surface assessment
Nutritional screening
Moisture management
Optimizing
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psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
December 21, 2018 - for Medicare & Medicaid Services (CMS) is attempting to rectify this situation through the Continuity Assessment … Instead, postacute care facilities use CARE as an initial assessment after transfer. … The Development and Testing of the Continuity Assessment Record and Evaluation (CARE) Item Set: Final … Items in the Continuity Assessment Record and Evaluation (CARE) Assessment Tool.( 9 ) … WebM&M Cases
Missed Opportunities for Suicide Risk Assessment
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psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - be conducted.(10) Systematic suicide risk
assessment allows the clinician to weigh risk and protective … It is vital to perform an adequate suicide risk assessment in all suicidal patients. … Suicide prevention contracts should not take the place of adequate suicide risk assessment. … The No Harm Contract in the emergency assessment of suicidal risk. … †Statistically
significant within 1 year of assessment (eg, panic attacks, anxiety, depressive turmoil
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psnet.ahrq.gov/node/39865/psn-pdf
May 28, 2014 - the Failure Mode and Effects Analysis in
response to Joint Commission standards for proactive risk assessment … practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
https://psnet.ahrq.gov/issue/risk-and-event-assessment
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psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health
August 02, 2016 - June 15, 2011
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation … May 21, 2014
Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation … January 6, 2015
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment
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psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
July 24, 2018 - June 24, 2020
Video-based communication assessment of physician error disclosure skills … by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment … How does routine disclosure of medical error affect patients' propensity to sue and their assessment
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psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
May 05, 2018 - March 6, 2018
2012 ISMP International Medication Safety Self Assessment for Oncology. … for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment … March 26, 2015
2012 ISMP International Medication Safety Self Assessment for Oncology
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psnet.ahrq.gov/node/40564/psn-pdf
September 25, 2011 - team performance in multidisciplinary
cancer teams: development and evaluation of an
observational assessment … team performance in multidisciplinary cancer
teams: development and evaluation of an observational assessment
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - These include communication breakdowns, lack
of assessment of patient pre- and post-intrahospital transfer … qualified personnel.(6) Checklists for the intrahospital transfer
process may include pretransport assessment … to determine the skill level required by the intrahospital transfer team; (ii) assessment
of the patient … Assessment of patient pre- and post-transfer might mitigate some patient risk. … SBAR Tool: Situation-Background-Assessment-Recommendation.
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - As more validated assessment tools (3,4), clinical protocols, and benchmark performance data
https:/ … We have seen increased interest in developing validated
assessment tools, which should lay a foundation … for objective assessment of technical skills beyond
quantity indicators (e.g., notarized case logs) … Reliable and valid
assessment of Lichtenstein hernia repair skills. Hernia. 2014;18:543-548. … Crowd-Sourced Assessment of Technical Skills: a novel method
to evaluate surgical performance.
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psnet.ahrq.gov/node/43119/psn-pdf
April 16, 2014 - ://psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment … ://psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
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psnet.ahrq.gov/node/39378/psn-pdf
March 17, 2010 - Exploring emergency physician–hospitalist handoff
interactions: development of the Handoff Communication
Assessment … Exploring emergency physician-hospitalist handoff interactions:
development of the Handoff Communication Assessment
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psnet.ahrq.gov/node/47142/psn-pdf
June 13, 2018 - To manage
problems associated with health IT systems, this commentary recommends applying risk assessment … /introducing-new-technology-safely
https://psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
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psnet.ahrq.gov/node/37965/psn-pdf
December 01, 2008 - resource management
course for emergency medicine, phase 1: results from an
interdisciplinary needs assessment … resource management course for
emergency medicine, phase 1: Results from an interdisciplinary needs assessment
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psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
September 12, 2016 - April 24, 2018
Video-based communication assessment of physician error disclosure skills … by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment … December 23, 2016
Quantitative assessment of workload and stressors in clinical radiation
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psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - quality-improvement-and-patient-safety-competencies-across-learning-
continuum
Curricula support the development and assessment … quality-improvement-and-patient-safety-competencies-across-learning-continuum
https://psnet.ahrq.gov/issue/national-assessment-patient-safety-curricula-undergraduate-medical-education-results
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psnet.ahrq.gov/node/43932/psn-pdf
March 04, 2015 - misconnections,
including recommendations regarding improvements for labeling, user testing, and risk assessment … operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
https://psnet.ahrq.gov/issue/risk-and-event-assessment
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psnet.ahrq.gov/node/34752/psn-pdf
November 18, 2015 - He
covers a broad range of topics in a somewhat journalistic tone, from quality assessment to evidence-based … Although the book includes sections on patient safety, its strengths are those on quality
assessment
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psnet.ahrq.gov/node/46933/psn-pdf
April 04, 2018 - The authors suggest radiologists actively participate in
developing pain assessment and management methods … efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic
https://psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
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psnet.ahrq.gov/node/45341/psn-pdf
July 27, 2016 - outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized … https://psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized