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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847731/psn-pdf
    April 19, 2023 - Lessons from health care leaders: rethinking and reinvesting in patient safety. April 19, 2023 doi:10.1056/CAT.23.0090. https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety Progress in patient safety has been disappointingly slow. This commentary shares thoughts from a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47387/psn-pdf
    September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…

  3. TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/reflective-practice-tool.pdf
    February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry AHRQ Publication No. 22-0015 TeamSTEPPS® for Diagnosis Improvement February 2022 TeamSTEPPS® for Diagnosis Improvement Reflective Practice Tool: The Spirit of Inquiry ASK Questions are the path to discovery and questions convey …

  4. Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/module-1-infection-prevention.html
    April 01, 2022 - Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course Resource: Module 1 Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course This module provides an overview of infection prevention and control programs and how to imp…

  5. Module 11A—Reprocessing Reusable Resident Care Equipment—Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/module-11a-reprocessing-equipment.html
    May 01, 2022 - Module 11A—Reprocessing Reusable Resident Care Equipment—Nursing Home Infection Preventionist Training Course Resource: Module 11A—Reprocessing Reusable Resident Care Equipment—Nursing Home Infection Preventionist Training Course This module discusses recommended practices for reprocessing reusable resident…

  6. Implementing CMS’ Patient Safety Structural Measure | Agency for Healthcare Research and Quality

    www.ahrq.gov/action-alliance/webinars/implementing-cms-measure.html
    June 01, 2025 - Implementing CMS’ Patient Safety Structural Measure On May 13, 2025, leaders in patient safety structural measure (PSSM) implementation discussed some of the tools and resources that support implementation of the five domains of the PSSM: Leadership Commitment; Strategic Planning and Organizational Policy; Cult…

  7. Narrator V/O: (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/PSA-Audio-Script-Sample.doc
    June 02, 2025 - Narrator V/O: AUDIO PSA :30 AHRQ (8/13/07) TIPS WHEN GETTING MEDICAL TESTS  Asking Questions Consumer Campaign Talent: Kaye Lake SFX NARRATION 1. “Medical” or “Hospital” SFX in background w/ music 2. light health care background sounds throughout NARRATOR: YOU’VE JUST SEEN YOUR DOCTOR AND HE’S ORDE…

  8. EvidenceNOW: Building State Capacity to Advance Equity in Heart Health (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-overall-structure.pdf
    June 02, 2025 - EvidenceNOW: Building State Capacity to Advance Equity in Heart Health EvidenceNOW: Building State Capacity to Advance Equity in Heart Health State-Level Cooperative MEDICAID & OTHER PAYERS RESEARCH INSTITUTIONS COMMUNITY ORGANIZATIONS PRIMARY CARE ORGANIZATIONS OTHER KEY STAKEHOLDERS QUALITY IMPROVEMENT O…

  9. Guide Promotional Postcard (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
    April 01, 2018 - Guide Promotional Postcard Did you know...Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event An estimated …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38036/psn-pdf
    January 02, 2017 - Debriefing medical teams: 12 evidence-based best practices and tips. January 2, 2017 Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. https://psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-pr…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43552/psn-pdf
    December 16, 2014 - Robotic-assisted surgery: focus on training and credentialing. December 16, 2014 Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101. https://psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing Research has documented a substantial learning curve for surgeons as they develop sk…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47244/psn-pdf
    August 01, 2018 - The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. August 1, 2018 Simul Healthc. 2018;13(3S suppl 1):S1-S55. https://psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries Simulation strategies can help examine team interaction and care …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837982/psn-pdf
    August 31, 2022 - Patient Safety Incident Response Framework. August 31, 2022 London, England: NHS England; August 2022. https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework Effective response to medical error requires a comprehensive systemic and process-focused incident examination approach to ensure organizati…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44551/psn-pdf
    September 30, 2015 - Safety culture includes "good catches." September 30, 2015 Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065. https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches Near misses can provide opportunities for learning if there is a pro…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836762/psn-pdf
    March 16, 2022 - Physician liability in the age of data reliance and errors. March 16, 2022 Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. https://psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors Health information technologies (HIT) and advanced learning systems, if poorly designed, used, ma…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74019/psn-pdf
    July 11, 2023 - PACT Collaborative: Pathway to Accountability, Compassion and Transparency. July 11, 2023 Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health. https://psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency Communication and Resolution Programs (CR…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859351/psn-pdf
    January 01, 2024 - Changing the patient safety mindset: can safety cases help? December 20, 2023 Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help Examinatio…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38226/psn-pdf
    February 18, 2011 - Critical events in the lives of interns. February 18, 2011 Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. https://psnet.ahrq.gov/issue/critical-events-lives-interns Resident physicians remain at high risk for burno…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44332/psn-pdf
    July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37847/psn-pdf
    June 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…
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