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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - When the patient is receiving monitored anesthesia care with light sedation, these language
skills will
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - First, few health care organizations have personnel with the time or
requisite skills (e.g., human factors
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psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - understand this and think of their practice as a partnership,
where part of the art is to develop the skills
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Learning through experience: influence of formal and informal training on medical error disclosure skills
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Healthcare delivery necessitates strong communication and collaboration skills for a productive work
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Effective communication: The team prioritizes and continuously refines its communication skills.
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - – Effective communication: The team prioritizes and continuously refines it’s communication
skills
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - Elsevier Clinical Skills. 2020.[ Free full text ]
Schulmeister L.
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - April 19, 2017
Observer-based tools for non-technical skills assessment in simulated
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96:551-559.
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Professionals' Speaking-up Skills
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - simulation to build the teams’
confidence in implementing the A-F bundle together
Resources Used and Skills
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - Resources Used and Skills Needed
Institutional support: Leadership support for the intervention
Buy-in
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - fully accountable as individuals, but tasked to work as members of a team, without training in teamwork skills
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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - Finding Fault With the Default Alert
October 1, 2013
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/finding-fault-default-alert
The Case
A 33-year-old man with known refractory epilepsy and developmental delay was admitted to the hospital
after experiencing …
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - Getting Into Patient Safety: A Personal Story
August 1, 2006
Cooper JB. Getting Into Patient Safety: A Personal Story. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
Perspective
My journey into patient safety began in 1972. It was born of serendipity enabled by the…
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
Despite an observable decrease in adverse events in health care over time, rat…
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
Perspective
…
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psnet.ahrq.gov/node/49413/psn-pdf
September 01, 2003 - Did We Forget Something?
September 1, 2003
Gibbs VC. Did We Forget Something? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/did-we-forget-something
The Case
A 76-year-old-man underwent right aorto-iliac aneurysm repair. He developed postoperative fever, initially
attributed to ventilator-associated pneumo…
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Secured But Not Always Safe
Citation Text:
Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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