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Showing results for "skill".

  1. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet

    psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
    December 23, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication Citation Text: Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cit…

  2. A Tale of Two Falls | PSNet

    psnet.ahrq.gov/web-mm/tale-two-falls
    March 27, 2024 - A Tale of Two Falls Citation Text: Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  3. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet

    psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
    September 01, 2003 - to understand how to encourage safety-enhancing collaborative behaviors among nurses with different skill

  4. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients FINAL REPORT Agency for Healthcare Research and Quality Title of Project: Enhancing The Disclosure Of Medical Errors To Patients Principal Investigator and Team Members: Thomas H. Gallagher, MD Carolyn Prouty, DVM Mary Lucas Organizati…

  5. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
    July 01, 2023 - Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Hospital AIM Team Leads SPPC‐II Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension Module 1 of 8 SPPC‐II Toolkit SCRIPT Thank you for participating in the Safety Program for Perinatal Care II (also known as SPPC‐ II) …

  6. Presentation: Science of Improving Patient Safety and Identifying Defects

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
    December 01, 2017 - background, experience, and training that exists in any health care team provides a wealth of knowledge and skill

  7. 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…

  8. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

    psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
    June 24, 2020 - Study Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Citation Text: Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…

  9. Tying up loose ends: discharging patients with unresolved medical issues. | PSNet

    psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
    February 24, 2011 - Study Tying up loose ends: discharging patients with unresolved medical issues. Citation Text: Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11. Copy Citation Format: Google Scholar …

  10. What we can do about maternal mortality—and how to do it quickly. | PSNet

    psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly
    September 01, 2016 - Commentary Emerging Classic What we can do about maternal mortality—and how to do it quickly. Citation Text: Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…

  11. Improving Management of Test Results that Return After Hospital Discharge - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2011
    January 01, 2011 - Improving Management of Test Results that Return After Hospital Discharge - 2011 Project Name Improving Management of Test Results that Return After Hospital Discharge Principal Investigator Were, Martin Organization Indiana University Funding Mechanism PAR: HS09-08…

  12. Improving Management of Test Results That Return After Hospital Discharge - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-management-test-results-return-after-hospital-discharge/annual-summary/2012
    January 01, 2012 - Improving Management of Test Results That Return After Hospital Discharge - 2012 Project Name Improving Management of Test Results that Return After Hospital Discharge Principal Investigator Were, Martin Organization Indiana University Funding Mechanism PAR: HS09-08…

  13. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. | PSNet

    psnet.ahrq.gov/issue/near-miss-mixed-methods-analysis-medical-student-assignments-patient-safety
    May 25, 2016 - Study "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Citation Text: Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…

  14. Nursing home patient safety culture perceptions among licensed practical nurses. | PSNet

    psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-licensed-practical-nurses
    February 17, 2021 - Study Nursing home patient safety culture perceptions among licensed practical nurses. Citation Text: Weaver SH, de Cordova PB, Ravichandran A, et al. Nursing home patient safety culture perceptions among licensed practical nurses. J Nurs Care Qual. 2023;38(3):203-210. doi:10.1097/ncq.00…

  15. Strategies to prevent healthcare-associated infections through hand hygiene. | PSNet

    psnet.ahrq.gov/issue/strategies-prevent-healthcare-associated-infections-through-hand-hygiene
    July 03, 2014 - Commentary Strategies to prevent healthcare-associated infections through hand hygiene. Citation Text: Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/67714…

  16. Transformational improvement in quality care and health systems: the next decade. | PSNet

    psnet.ahrq.gov/issue/transformational-improvement-quality-care-and-health-systems-next-decade
    October 14, 2020 - Commentary Transformational improvement in quality care and health systems: the next decade. Citation Text: Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-02…

  17. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. | PSNet

    psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
    December 23, 2008 - Study Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Citation Text: Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…

  18. Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. | PSNet

    psnet.ahrq.gov/issue/reliability-verbal-handoff-assessment-and-handoff-quality-and-after-implementation-resident
    November 16, 2022 - Study Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. Citation Text: Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resi…

  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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