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psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine
July 13, 2010 - Commentary
Simulation in graduate medical education 2008: a review for emergency medicine.
Citation Text:
McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-271…
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psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
September 28, 2016 - Commentary
Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems.
Citation Text:
McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex syst…
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psnet.ahrq.gov/issue/implementation-and-spread-simple-and-effective-way-improve-accuracy-medicines-reconciliation
March 04, 2009 - Study
Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story.
Citation Text:
Botros S, Dunn J. Implementation and spread of a simple and effective way to impr…
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psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
October 27, 2010 - Study
Extraneous tissue a potential source for diagnostic error in surgical pathology.
Citation Text:
Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…
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psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
October 20, 2021 - Study
Nursing student errors and near misses: three years of data.
Citation Text:
Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05.
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psnet.ahrq.gov/issue/systematic-review-teamwork-training-interventions-medical-student-and-resident-education
November 18, 2016 - Review
A systematic review of teamwork training interventions in medical student and resident education.
Citation Text:
Chakraborti C, Boonyasai R, Wright SM, et al. A systematic review of teamwork training interventions in medical student and resident education. J Gen Intern Med. 2008…
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psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making
November 17, 2021 - Study
Evidence for anchoring bias during physician decision-making.
Citation Text:
Ly DP, Shekelle PG, Song Z. Evidence for anchoring bias during physician decision-making. JAMA Intern Med. 2023;183(8):818-823. doi:10.1001/jamainternmed.2023.2366.
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psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience-affect
February 06, 2014 - Study
Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians?
Citation Text:
Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/QH2JxjAo7FmcfCBy8c_65Y
November 18, 2024 - Summary of USPSTF Draft Recommendation: Behavioral Counseling Interventions to Support Breastfeeding
1
The Task Force is an independent, volunteer panel of national experts in prevention
and evidence-based medicine that works to improve the health of people nationwide
by m…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 3-A. Suggested Slides for Module 3
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Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/culture-checkup-tool.html
July 01, 2023 - Culture Checkup Tool
AHRQ Safety Program for Perinatal Care
Problem statement: Improving safety culture in a patient care area takes time.
What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/023-optimizing-evc-one-pager.docx
October 01, 2024 - In the patient care environment, quality of cleaning is measured by which and what percentage of high-touch surfaces (HTSs) are adequately cleaned and disinfected. Below, the four most common methods of monitoring are discussed, including their pros and cons.
Observation1-3
· A supervisor or trained staff conducts visu…
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www.ahrq.gov/news/newsroom/case-studies/201901.html
March 01, 2019 - Georgetown University Family Nurse Practitioner Program Trains Hundreds of Students Using AHRQ App to Improve Primary Care
Search All Impact Case Studies
March 2019
Approximately 600 students who have completed a Georgetown University masters’ level course for family nurse practitioners use an electronic ap…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators
Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
May 01, 2017 - About the Toolkit Development
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
The toolkit was developed based on the experiences of approximately 500 nursing homes across the country that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI, a 3-year implementation projec…
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www.ahrq.gov/es/programs/index.html?page=0
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
May 19, 2021 - Commentary
'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently.
Citation Text:
Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Improving service systems for youth with serious emotional disorders and their families
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Table 2. Key features of ideal consumer reporting systems from stakeholder interviews
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Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
…
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www.ahrq.gov/es/programs/index.html
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …