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psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
October 19, 2022 - Commentary
Linking Joint Commission inpatient core measures and National Patient … Linking joint commission inpatient core measures and national patient safety goals with evidence. … Linking joint commission inpatient core measures and national patient safety goals with evidence.
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - Description of the Innovative Activity
At the core of Project Nurture is the integration of maternity … Core members of the team include a maternity clinician (which could be a family physician, obstetrician … Creating an interdisciplinary team with clear role definitions of how each member’s skill set contributes … of the data metrics that you would like to track and the data required so that expectations can be set … Education within the organization can ensure that core elements are being reproduced across the board
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psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
October 28, 2020 - This report contributes to a long-standing initiative to define an evolving set of measures to respond … to changes in core areas of focus in the field which include hospital-acquired infections and antibiotic
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psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
January 12, 2011 - December 6, 2023
From HRO to HERO: making health equity a core system capability. … July 23, 2023
TeamSTEPPS Core Curriculum.
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psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
July 03, 2014 - restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core … restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core … restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core … Related Resources From the Same Author(s)
Effects of duty hour restrictions on core … March 6, 2019
Effects of duty hour restrictions on core competencies, education, quality
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psnet.ahrq.gov/issue/national-patient-safety-syllabus-10-training-all-nhs-staff
September 26, 2018 - A foundational understanding of safety is core to building reliable care processes and teams. … July 17, 2019
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human
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psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification
August 04, 2021 - Study
The effectiveness of inking needle core prostate biopsies for preventing patient … The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification … The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification
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psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3
January 13, 2016 - communicating throughout the disclosure process, this report provides an introductory look at the basic skill set … January 4, 2009
2015 Patient Safety Core Topics and Tips.
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
January 01, 2019 - Tools in the set include test follow-up vignettes for process evaluation, a communication practices, … January 1, 2019
Core Entrustable Professional Activities for Entering Residency.
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psnet.ahrq.gov/issue/effects-duty-hour-restrictions-core-competencies-education-quality-life-and-burnout-among
December 21, 2014 - Study
Effects of duty hour restrictions on core competencies, education, quality … Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among … Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among … restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core
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psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna
March 12, 2025 - Study
Patient identification error among prostate needle core biopsy specimens—are … Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out … Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - Review
Missed breast cancers at US-guided core needle biopsy: how to reduce them. … Missed breast cancers at US-guided core needle biopsy: how to reduce them. … Missed breast cancers at US-guided core needle biopsy: how to reduce them.
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Informatics and simulation are core contributors to the reduction of medical system failures. … October 5, 2022
WebM&M Cases
Critical Order Set Change
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psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
September 11, 2009 - preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core … preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core … preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core
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psnet.ahrq.gov/issue/flight-deck-bedside-core-aviation-concepts-applied-acute-care-physical-therapist-practice-and
December 14, 2022 - Commentary
From the flight deck to the bedside: core aviation concepts applied to … From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist … From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist
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psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
September 09, 2020 - the development of a quality and safety clinical fellowship curriculum which focused on identifying core … December 17, 2014
Core Entrustable Professional Activities for Entering Residency.
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psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
March 16, 2022 - November 23, 2016
Effects of duty hour restrictions on core competencies, education, … restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core
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psnet.ahrq.gov/issue/development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk
April 13, 2022 - Study
Development of a core drug list towards improving prescribing education and … Development of a core drug list towards improving prescribing education and reducing errors in the UK … Development of a core drug list towards improving prescribing education and reducing errors in the UK
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
August 18, 2021 - To Err Is Human provided an initial set of definitions for patient safety, human error , and quality … January 23, 2017
Core principles of quality improvement and patient safety.
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psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
October 06, 2021 - The authors present the five core concepts of Safety-II (definition of safety, safety management principles … Performance variability in perioperative sentinel events: report on a nationwide data set