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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Skill degradation may also occur as technology takes over tasks once
completed by clinicians.
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - have left the healthcare workforce, resulting in changes to established teams, team dynamics, and skill
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - sometimes referred to
as "failure-to-rescue—nursing," was shown to be associated with nurse staffing and skill
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digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - Implementation of Health IT in Long-Term Care Settings: Findings from the Health IT Portfolio
Implementation of Health
Information Technology in
Long-Term Care Settings:
Findings from the AHRQ
Health IT Portfolio
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Health I…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/developing-consistent-useful-quality-improvement.pdf
September 01, 2020 - For each member identified in the team delivering the
intervention, what level of skill or training
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Spotlight Case July 2008
Spotlight Case
The Safety and Quality of Long Term Care
*
*
Source and Credits
This presentation is based on the September 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - PowerPoint Presentation
Spotlight
Signout Fallout
1
Source and Credits
This presentation is based on the February 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…
-
www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim5.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Conclusions
Previous Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
The national project team …
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Schiff
Background and importance of diagnostic safety:
Culture of diagnostic safety in medical offices
Gordon (Gordy) Schiff, MD
Associate Director Center for Patient Safety Research and Practice
Brigham and Women's Hospital Div. General Medi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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www.ahrq.gov/news/newsletters/e-newsletter/941.html
December 01, 2024 - New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm
Issue Number
941
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
December 10, 2024
AHRQ Stats: Trends in Severe Maternal Morbidity Complications Between 2016 and 2021, the…
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/how-well-do-you-know-ahrq-quizzes.pdf
September 01, 2024 - How Well Do You Know AHRQ? Quizzes
Are you an AHRQ-o-phile?
1. Which of the following groups does not use AHRQ’s knowledge, tools
and data to make informed health decisions?
a. Health systems
b. Healthcare professionals
c. Chefs
d. Policymakers
…
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psnet.ahrq.gov/issue/influence-stress-responses-surgical-performance-and-outcomes-literature-review-and
December 21, 2014 - Association between surgical trainee daytime sleepiness and intraoperative technical skill
-
psnet.ahrq.gov/issue/global-patient-outcomes-after-elective-surgery-prospective-cohort-study-27-low-middle-and
January 23, 2019 - October 3, 2011
Surgical skill is predicted by the ability to detect errors.
-
psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew
May 04, 2012 - March 29, 2023
Association of a surgical task during training with team skill acquisition
-
psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health
September 06, 2017 - October 21, 2020
Nursing skill mix in European hospitals: cross-sectional study of the
-
psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-medication-prescription-errors-intensive-care-unit
May 15, 2013 - March 21, 2012
How would final-year medical students perform if their skill-based prescription
-
psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
June 24, 2009 - December 11, 2024
The impact of nursing skill-mix on adverse events in intensive care
-
psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
October 14, 2009 - Association between surgical trainee daytime sleepiness and intraoperative technical skill
-
psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - November 11, 2009
Surgical skill is predicted by the ability to detect errors.