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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - This study found that skill and knowledge deficiencies contribute to the higher risk and severity associated
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www.ahrq.gov/sites/default/files/2024-05/schoenfeld-report.pdf
January 01, 2024 - Summary): Multiple themes were noted to have negative implications for residents’ acquisition of
this skill … complex relationships between patients, residents, and attendings, 2)
challenges related to residents’ skill … Regarding physicians’ skills, two different skill sets emerged as relevant in relationship to SDM: clinical … lack of recognition is a barrier in itself, as these physicians are unlikely to seek training in this skill … or recognize their own ability to improve at this skill.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
May 05, 2008 - It is widely recognized that high-quality
CPR skill retention is poor. … Each provider practiced CPR with corrective feedback until he/she had attained skill
success, defined … completing less than
two refreshers per month in terms of time to achieve prospectively defined CPR skill … The time to achieve CPR skill success was significantly lower in
those refreshed more than twice per … An evaluation of knowledge and
skill retention following an in-house advanced life
support course.
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - improvement in non-technical skills like teamwork, communication and safety culture. 15 The first teachable skill … The second skill is team leadership, focusing on maximizing every team member's potential, which is particularly … The third skill is situational monitoring, which is the responsibility of all team members. … The last skill is mutual support where all team members help one another, provide feedback, and speak
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psnet.ahrq.gov/issue/wrong-site-surgery-1
September 02, 2020 - November 27, 2012
Surgical skill is predicted by the ability to detect errors.
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psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short
October 19, 2022 - January 7, 2011
Matching nurse skill with patient acuity in the intensive care units:
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psnet.ahrq.gov/node/33847/psn-pdf
August 01, 2017 - The skill set for that is pretty complex. … Birkmeyer set us up well to think about how do we
get surgeons to study their own skill when they are … //psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - of diagnostic errors; understanding their underlying causes; measuring whether interventions work; skill
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - treated errors as failings on the part of individual providers, reflecting inadequate knowledge or skill
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - November 6, 2019
Surgical skill and complication rates after bariatric surgery.
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psnet.ahrq.gov/issue/patient-safety-numerical-skills-and-drug-calculation-abilities-nursing-students-and
July 08, 2020 - October 24, 2018
Nursing skill mix in European hospitals: cross-sectional study of the
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - better determine when
a trainee is competent by assessing both clinical knowledge and psychomotor skill … However, as a result, MPS faculty had to assess the level of
knowledge and skill and provide education …
Deficient: unable to complete
procedure without assistance.
2
3
Adequate skill
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - procedure in the setting of
failure to use standardized methods as well as variability in operator skill … involved urgent and complex procedures in hemodynamically
unstable patients. distraction and operator skill … re-certification
courses for those who perform central venous catheter placement procedures will increase skill
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psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
December 21, 2017 - this review describes the way workload , process timing, patient complexity, service set-up, and team skill
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psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical
September 27, 2017 - Perioperative complication risk assessment is a critical skill for physician trainees as it shapes
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - Self-assessment of skill or confidence does not correlate with the ability to perform a competent procedure … Moreover, the use of SBML reduces skill variation among trainees so poor performers are not applying … Studies show small standard deviations (variation) in the posttest skill performance of trainees who … used to achieve this aim because it improves procedures skills, ensures trainee competency, reduces skill
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - Self-
assessment of skill or confidence does not correlate with the ability to perform a competent procedure … Moreover, the use of SBML reduces skill variation among trainees so
poor performers are not applying … Studies show small standard deviations (variation) in the posttest skill
performance of trainees who … used to achieve this aim because it improves procedures
skills, ensures trainee competency, reduces skill
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psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and
June 24, 2020 - August 26, 2020
Association of a surgical task during training with team skill acquisition
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psnet.ahrq.gov/issue/simulation-based-assessment-identifies-longitudinal-changes-cognitive-skills-anesthesiology
August 11, 2021 - April 16, 2018
Management of anesthesia equipment failure: a simulation-based resident skill
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/patient-assessment-chg-showering.pdf
March 01, 2022 - Patient Self-Showering Skills Assessment: Showering With Chlorhexidine
Patient Name_______________________ Unit_________ Date________________
AHRQ Pub. No. 20(22)-0036
March 2022
Decolonization of
Non-ICU Patients With Devices
Section 12-1 – Patient Self-Showering Skills Assessment:
Showering With C…