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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety2.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Nurses’ Roles in the Diagnostic Process
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Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nu…
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psnet.ahrq.gov/submit-your-training-landing
January 01, 2025 - Breadcrumb
Home
Training and Education
Training Catalog
Training Submissions
PSNet encourages organizations to help improve our training catalog by submitting related trainings to help our users expand their knowledge in the field of patient safety. We welcome contributions of both…
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psnet.ahrq.gov/node/73064/psn-pdf
March 24, 2021 - Outpatient insulin-related adverse events due to mix-up
errors: findings from two national surveillance systems,
United States, 2012-2017.
March 24, 2021
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors:
Findings from two national surveillance systems, United S…
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psnet.ahrq.gov/node/73219/psn-pdf
May 05, 2021 - Clinical supervision in general practice training: the
interweaving of supervisor, trainee and patient
entrustment with clinical oversight, patient safety and
trainee learning.
May 5, 2021
Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interweaving of
supervisor, trainee and p…
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psnet.ahrq.gov/node/44575/psn-pdf
January 22, 2016 - A narrative review of high-quality literature on the effects
of resident duty hours reforms.
January 22, 2016
Lin H, Lin E, Auditore S, et al. A Narrative Review of High-Quality Literature on the Effects of Resident Duty
Hours Reforms. Acad Med. 2016;91(1):140-50. doi:10.1097/ACM.0000000000000937.
https://psnet.ah…
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psnet.ahrq.gov/node/854626/psn-pdf
October 18, 2023 - Developing surgical and anesthesia resident patient
safety competencies through systems-based event
analysis. Guide to curricular development and evaluation
of longer-term resident perceptions.
October 18, 2023
Bagian JP, Paull DE, DeRosier JM. Developing surgical and anesthesia resident patient safety
competenci…
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psnet.ahrq.gov/node/41028/psn-pdf
May 14, 2018 - Health care worker fatigue and patient safety.
May 14, 2018
Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018).
https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety
The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide
guideli…
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psnet.ahrq.gov/node/46547/psn-pdf
April 16, 2018 - Hidden curricula, ethics, and professionalism: clinical
learning environments in becoming and being a
physician: a position paper of the American College of
Physicians.
April 16, 2018
Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing
Clinical Learning Environments i…
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Directions for Use
This toolkit can be used as a self-learning module or as an adjunct to existing educational … What features of educational interventions lead to
competence in aseptic insertion and maintenance of … Health Research & Educational Trust
Marcia Cooke, D.N.P., R.N.
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www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Directions for Use
This toolkit can be used as a self-learning module or as an adjunct to existing educational … What features of educational interventions lead to
competence in aseptic insertion and maintenance of … Health Research & Educational Trust
Marcia Cooke, D.N.P., R.N.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Directions for Use
This toolkit can be used as a self-learning module or as an adjunct to existing educational … What features of educational interventions lead to
competence in aseptic insertion and maintenance of … Health Research & Educational Trust
Marcia Cooke, D.N.P., R.N.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6
Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention.
· Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool.
Engagement is not a on…
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www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey
Search All Impact Case Studies
November 2012
Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapc.html
July 01, 2018 - Guide to Patient and Family Engagement
Appendix C: List of Web Sites Reviewed
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Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
App…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/4-es.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
What Are the 4Es?
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Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Surveillance
The Evi…
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psnet.ahrq.gov/issue/nursing-accreditation-system-and-patient-safety
September 23, 2009 - Study
Nursing accreditation system and patient safety.
Citation Text:
Teng C-I, Shyu Y-IL, Dai Y-T, et al. Nursing accreditation system and patient safety. J Nurs Manag. 2012;20(3):311-8. doi:10.1111/j.1365-2834.2011.01287.x.
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psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
August 28, 2019 - Commentary
Root cause analysis of cases involving diagnosis.
Citation Text:
Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102.
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psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
September 18, 2024 - Commentary
Checklists to reduce diagnostic errors.
Citation Text:
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
August 24, 2022 - Review
Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame.
Citation Text:
Brattebø G, Flaatten HK. Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame. Curr Opin Anaesthesiol. 2023;36(2):…
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psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
March 02, 2011 - Review
Effects of work hour reduction on residents' lives: a systematic review.
Citation Text:
Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088.
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