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Showing results for "skill".

  1. Reflection on adverse event disclosure in the postsurgical hospital context. | PSNet

    psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
    August 20, 2018 - Commentary Reflection on adverse event disclosure in the postsurgical hospital context. Citation Text: Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. …

  2. Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
    July 16, 2015 - Review Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. Citation Text: Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…

  3. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. | PSNet

    psnet.ahrq.gov/issue/toward-understanding-errors-inpatient-psychiatry-qualitative-inquiry
    December 21, 2018 - Study Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Citation Text: Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. Copy Citation …

  4. Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. | PSNet

    psnet.ahrq.gov/issue/interhospital-transfer-handoff-practices-among-us-tertiary-care-centers-descriptive-survey
    November 02, 2016 - Study Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. Citation Text: Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:1…

  5. Factors underlying suboptimal diagnostic performance in physicians under time pressure. | PSNet

    psnet.ahrq.gov/issue/factors-underlying-suboptimal-diagnostic-performance-physicians-under-time-pressure
    June 01, 2016 - Study Factors underlying suboptimal diagnostic performance in physicians under time pressure. Citation Text: ALQahtani DA, Rotgans JI, Mamede S, et al. Factors underlying suboptimal diagnostic performance in physicians under time pressure. Med Educ. 2018;52(12):1288-1298. doi:10.1111/med…

  6. Using simulation-based training to improve patient safety: what does it take? | PSNet

    psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take
    August 30, 2006 - Commentary Using simulation-based training to improve patient safety: what does it take? Citation Text: Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. Copy Citation Form…

  7. How to monitor patient safety in primary care? Healthcare professionals' views. | PSNet

    psnet.ahrq.gov/issue/how-monitor-patient-safety-primary-care-healthcare-professionals-views
    December 14, 2016 - Study How to monitor patient safety in primary care? Healthcare professionals' views. Citation Text: Samra R, Car J, Majeed A, et al. How to monitor patient safety in primary care? Healthcare professionals' views. JRSM Open. 2016;7(8):2054270416648045. doi:10.1177/2054270416648045. Cop…

  8. 113-Cleaning-Monitoring-Methods-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/113-cleaning-monitoring-methods-one-pager.docx
    April 01, 2025 - In the patient care environment, quality of cleaning can be measured by which and what percentage of high-touch surfaces (HTS) 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 …

  9. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. | PSNet

    psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward
    February 16, 2011 - Study Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. Citation Text: Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training …

  10. 128-What-Are-4Es-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
    April 01, 2025 - The 4 Es framework identifies four important elements when implementing patient safety interventions: Engage, Educate, Execute, and Evaluate. This framework integrates well with the Comprehensive Unit-based Safety Program (CUSP) and addresses both the technical objectives of improving practices and the adaptive objecti…

  11. Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. | PSNet

    psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
    November 15, 2023 - Commentary Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. Citation Text: Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …

  12. Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. | PSNet

    psnet.ahrq.gov/issue/acute-hepatitis-c-virus-infections-attributed-unsafe-injection-practices-endoscopy-clinic
    February 27, 2019 - Government Resource Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. Citation Text: Prevention C for DC and. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic--Nevada, 2007.…

  13. Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet

    psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
    April 26, 2006 - Book/Report Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Citation Text: Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Washington, DC: VA Office of Inspector General; April 20, 201…

  14. JAMA professionalism: disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
    December 19, 2018 - Commentary JAMA professionalism: disclosure of medical error. Citation Text: Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  15. Violations of behavioral practices revealed in closed claims reviews. | PSNet

    psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
    August 26, 2011 - Study Violations of behavioral practices revealed in closed claims reviews. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. Copy Citatio…

  16. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-taking-action-after-classroom-based-crew-resource-management
    July 10, 2013 - Study Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. Citation Text: Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…

  17. Safe injection, infusion, and medication vial practices in health care (2016). | PSNet

    psnet.ahrq.gov/issue/safe-injection-infusion-and-medication-vial-practices-health-care-2016
    October 19, 2022 - Organizational Policy/Guidelines Safe injection, infusion, and medication vial practices in health care (2016). Citation Text: Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American journal of infectio…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72551/psn-pdf
    December 09, 2020 - Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. December 9, 2020 Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. Int J Qual Health Care. 202…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60020/psn-pdf
    March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills performance improvement. March 4, 2020 Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. https://psnet.ahrq.gov/issue/enotss-platform-s…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73864/psn-pdf
    September 22, 2021 - Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. September 22, 2021 Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training p…
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