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Showing results for "knowledge".

  1. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
    January 01, 2010 - It also triangulates a growing body of knowledge on the prevalence and significance of diagnostic errors … Hindsight not equal to foresight: the effect of outcome knowledge on judgment under uncertainty 1975

  2. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet

    psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
    January 12, 2022 - and their recent consensus statement that the COVID-19 research was incredibly helpful in advancing knowledge … there will be some changes in time over how sepsis is treated, identified, and managed, because of knowledge

  3. Final Progress Report: Developing Peer-to-Peer Learning Tools for Critical Care Physicians (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
    January 01, 2024 - modeling desired behaviors Teaching and feedback Providing opportunities to foster the development of knowledge … Teaching and Feedback: Providing opportunities to foster the development of knowledge and skills for

  4. Imbedding Research in Practice to Improve Medication Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
    May 07, 2008 - Using knowledge gained from the epidemiologic studies, we designed, implemented, and evaluated a series … Pharmacists stated that they appreciated the opportunity to use their clinical knowledge and that they

  5. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
    January 01, 2024 - state, “action research is a form of research that generates knowledge … services, and human resource representatives, to work closely with outside experts who have extensive knowledge

  6. Assemble-Team-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
    May 01, 2017 - Listening and learning from each other, Being accessible, and Acknowledging the limits of their current knowledge … This permits L&D unit teams to engage each other in projects and tasks based on the knowledge gained

  7. Module-7-Implementation-Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
    June 02, 2025 - Step Three: Developing a data and feedback monitoring plan Module 4 focused on data and gave you the knowledge … particularly those who are Medical Directors of Cardiac Rehabilitation Programs, with the didactic knowledge

  8. Code Status vs. Care Status | PSNet

    psnet.ahrq.gov/web-mm/code-status-vs-care-status
    September 30, 2020 - Cognitive underspecification is defined by James Reason as a knowledge gap that we fill with our own … alignment with those goals—a sort of advanced read-back—instead of filling in “DNR/home with hospice” knowledge

  9. In Conversation with David W. Bates about Are We Safer Today? | PSNet

    psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
    February 26, 2025 - risk. 3 Second, research from the National Institutes of Health (NIH) and the CDC advanced scientific knowledge … This bedrock of knowledge informed the checklists and interventions that safety scientists advanced in

  10. Are We Safer Today? | PSNet

    psnet.ahrq.gov/perspective/are-we-safer-today
    February 26, 2025 - risk. 3 Second, research from the National Institutes of Health (NIH) and the CDC advanced scientific knowledge … This bedrock of knowledge informed the checklists and interventions that safety scientists advanced in

  11. Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
    April 01, 2025 - evaluating healthcare facility design tools, toolkits, programs, and other interventions; generating new knowledge … ■ A greater knowledge base (e.g., publications, presentations) regarding the design of various healthcare

  12. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - if the outcomes were not relevant to this review (e.g., focused only on clinician outcomes such as knowledge … safety and likely on preventing wrong- site surgery, but the authors noted that no systematic research knowledge

  13. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet

    psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - and their recent consensus statement that the COVID-19 research was incredibly helpful in advancing knowledge … there will be some changes in time over how sepsis is treated, identified, and managed, because of knowledge

  14. Meeting Minutes, November 2020 | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
    March 01, 2021 - Ensuring that staffs have knowledge, skills, and confidence to implement best-practice safety measures … How is the program sharing the knowledge? Ms.

  15. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-5-protocol-update-2023.pdf
    January 01, 2023 - Probably Yes/No Information to previous question) Could assessment of the outcome have been influenced by knowledge … No Information to previous question) Is it likely that assessment of the outcome was influenced by knowledge

  16. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
    September 01, 2005 - data to develop specific interventions to prevent patient injury in primary care.4–7 To address the knowledge … multiple users have access to lab tracking data, and by further ensuring that they have a working knowledge

  17. Topic-Brief1-Care-Coordination (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief1-care-coordination.pdf
    April 01, 2021 - with pain, and people with both pain and either active or historic substance use disorders, including knowledge … Effectively utilizes existing research and knowledge by considering: - Newly available evidence -

  18. Institutional Review Board Approval of Practice-based Research Network Patient Safety Studies (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
    April 14, 2004 - requirements, consent forms, level of review, revision of protocols, documentation required, and IRB knowledge … For the General Errors study, these could be any type of events, including office process or knowledge

  19. The Use of Surgical Simulators to Reduce Errors (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
    January 01, 2003 - These include a cognitive knowledge base, problem formulation and decisionmaking abilities, appropriate … Effectiveness of a CD-ROM multimedia tutorial in transferring cognitive knowledge essential for laparoscopic

  20. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
    March 31, 2004 - The technical level refers to knowledge and skill development in both interprofessional work and patient … However, they also rated their own knowledge as being about half of that found in the domain of patient
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