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Showing results for "skills".

  1. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet

    psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    April 01, 2005 - Resources Used and Skills Needed The intervention requires both physician and non-physician resources … Resources Used and Skills Needed The intervention requires both physician and non-physician resources

  2. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/838351
    July 01, 2024 - provides a grounded assessment of this potential by examining clinician knowledge, physician examination skills … provides a grounded assessment of this potential by examining clinician knowledge, physician examination skills

  3. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet

    psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
    February 01, 2023 - appropriately using an insulin pump on an outpatient basis may in fact be unable to demonstrate critical pump skills … cultural barriers that contribute to suboptimal glycemic control in minority populations (such as language skills

  4. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet

    psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
    May 31, 2023 - Resources Used and Skills Needed Staffing:  Four hospital employees worked full-time over a 20-month … Resources Used and Skills Needed Staffing:  Four hospital employees worked full-time over a 20-month

  5. Multifactorial Medication Mishap | PSNet

    psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
    September 01, 2016 - an intended positive outcome Education and information • Activities to impart knowledge and skills … about medications and their safe use • Verification of knowledge and skills Suggestions to

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865610/psn-pdf
    April 24, 2024 - Resources Used and Skills Needed When implementing this innovation, organizations should consider the … Staff to measure and report results: at least one person with data related skills who can use the EHR

  7. Final Progress Report: Risk Assessment of Pediatric Emergency Transfers (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/holl-report.pdf
    January 01, 2025 - Lack of adequate pediatric medical knowledge and skills is another contributing factor to patient safety … have a pediatric emergency medicine physician on staff, and may lack basic pediatric equipment and skills … is misinterpretation or late arrival of proper information. • Corrected by improving the receiving skills … A key goal of the project was for the study participants to gain knowledge and skills in the actual … topics for which they intend to conduct an FMECA at their hospital, as a result of the knowledge and skills

  8. PowerPoint Presentation: Learn From Defects Through Sensemaking

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - harmed or protected the patient This process is instrumental in building second-order problem-solving skills … In the renal transplant case, contributing factors fell into the knowledge, skills, and competency areas … situations failed in an emergent one. 28 Case Study: Renal Transplant System Failures Knowledge, Skills … When evaluating the defect as a system issue, we find many systems failures in the knowledge, skills, … Case Study: Renal Transplant System Failures Knowledge, Skills & Competence Anesthesiology attending

  9. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
    January 10, 2022 - It focuses on knowledge and practice skills development. … Imagine that you are receiving feedback from a peer who tells you that your patient relationship skills … Encourage the use of mutual support tools and reflect alone or with colleagues on how to continue building skills

  10. Module 6: Mutual Support

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
    January 10, 2022 - It focuses on knowledge and practice skills development. … Imagine that you are receiving feedback from a peer who tells you that your patient relationship skills … Encourage the use of mutual support tools and reflect alone or with colleagues on how to continue building skills

  11. Use Simulation To Adopt and Adapt Best Practices | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/simulation-issue-brief4.html
    July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Use Simulation To Adopt and Adapt Best Practices Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Prac…

  12. Tool 3: Hospital Inventory (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
    June 02, 2025 - Tool 3: Hospital Inventory Tool 3: Hospital Inventory Tool Purpose Readmission reduction efforts at your hospital have likely proliferated over the past several years, and many of these efforts may have developed in isolation from each other. The purpose of this tool is to prompt a comprehensive inventory of all r…

  13. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. | PSNet

    psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
    June 07, 2023 - Newspaper/Magazine Article NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Citation Text: Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. December 25, 2019; Copy Citation Format: Goo…

  14. Safe prescribing: an educational intervention for medical students. | PSNet

    psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-students
    September 24, 2010 - Study Safe prescribing: an educational intervention for medical students. Citation Text: Garbutt J, DeFer TM, Highstein G, et al. Safe prescribing: an educational intervention for medical students. Teach Learn Med. 2006;18(3):244-50. Copy Citation Format: Google Scholar P…

  15. Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. | PSNet

    psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
    September 05, 2012 - Book/Report Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Citation Text: Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…

  16. Antimicrobial stewardship and patient safety. | PSNet

    psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
    May 15, 2024 - Commentary Antimicrobial stewardship and patient safety. Citation Text: Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  17. Embedding quality and safety in otolaryngology–head and neck surgery education. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
    August 11, 2010 - Commentary Embedding quality and safety in otolaryngology–head and neck surgery education. Citation Text: McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…

  18. Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. | PSNet

    psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
    March 13, 2019 - Newspaper/Magazine Article Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Citation Text: Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017. Copy Citation S…

  19. Otolaryngologists' responses to errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
    October 27, 2010 - Study Otolaryngologists' responses to errors and adverse events. Citation Text: Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  20. Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet

    psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
    March 18, 2020 - Commentary Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 Copy Citation …
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