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psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
January 13, 2010 - March 5, 2010
The impact of nontechnical skills on technical performance in surgery: … April 14, 2011
Defining the technical skills of teamwork in surgery.
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - Safety (TeamSTEPPS) program, an "evidence-based teamwork system to improve communication and teamwork skills
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Resources Used and Skills Needed
Staffing:?
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psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
April 14, 2011 - Review
Emerging Classic
Hierarchy and medical error: speaking up when witnessing an error.
Citation Text:
Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…
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psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
June 15, 2011 - Study
Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system.
Citation Text:
Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error…
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Study
Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.
Citation Text:
Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
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psnet.ahrq.gov/issue/transforming-medication-regimen-review-process-using-telemedicine-prevent-adverse-events
November 11, 2015 - Study
Transforming the medication regimen review process using telemedicine to prevent adverse events.
Citation Text:
Kane‐Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-…
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psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
September 09, 2015 - Commentary
Moving beyond the weekend effect: how can we best target interventions to improve patient care?
Citation Text:
Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. …
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psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
August 04, 2021 - Study
A randomized trial of a multifactorial strategy to prevent serious fall injuries.
Citation Text:
Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183.
C…
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psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
August 10, 2022 - Study
Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.
Citation Text:
Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-reported adverse ev…
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psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
July 20, 2022 - Study
Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care.
Citation Text:
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…
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psnet.ahrq.gov/issue/diagnostic-discordance-health-information-exchange-and-inter-hospital-transfer-outcomes
May 19, 2021 - Study
Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.
Citation Text:
Usher M, Sahni N, Herrigel D, et al. Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study. J Gen In…
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psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements
February 28, 2024 - Study
Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study.
Citation Text:
Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to…
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psnet.ahrq.gov/issue/home-health-staff-perspectives-infection-prevention-and-control-implications-coronavirus
October 28, 2020 - Study
Home health staff perspectives on infection prevention and control: implications for Coronavirus Disease 2019.
Citation Text:
Pogorzelska-Maziarz M, Chastain AM, Mangal S, et al. Home health staff perspectives on infection prevention and control: implications for Coronavirus Diseas…
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - on these schools to shift from the traditional curricular focus on
medical knowledge and technical skills … for
trainees based on the achievement of developmental milestones in patient safety—specific safety skills … identify system failures and
contribute to a culture of safety and improvement" as one of the 13 core skills … board certification, providing additional justification for
the need to inculcate trainees with these skills
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - RH: Physical exam deterioration, and I recently wrote about deterioration in physical exam skills and … I'm more optimistic about physical exam skills than I am about note-writing
skills. … Demonstrating physical exam skills at the bedside is inspiring, fun stuff. … and physicians' assistants will free up
physicians to focus on sicker people who really need their skills … become more efficient in allowing physicians to spend more time on those
things where physicians' skills
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - finished training, are not degree granting, and
focus on relatively quick acquisition of practical skills … purpose of the
CS&E course is to provide physicians, other key clinicians, and administrators the skills … To facilitate career
development for faculty
by giving them the skills
to be quality
improvement … Enrich VHA clinical
workforce with experts in
research & application of
QI skills
Duration: 2 years … Select physicians with
leadership skills and
compensate them for
their time
4.
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psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
October 30, 2013 - Related Resources
Effects of a brief team training program on surgical teams' nontechnical skills … March 3, 2011
A human factors analysis of technical and team skills among surgical trainees
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psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true
February 25, 2009 - February 13, 2014
Surgical team training: promoting high reliability with nontechnical skills … June 8, 2011
A human factors analysis of technical and team skills among surgical trainees
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psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers
February 19, 2010 - January 7, 2015
A human factors analysis of technical and team skills among surgical … May 26, 2010
Acquisition of critical intraoperative event management skills in novice