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psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled
August 31, 2016 - Study
The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial.
Citation Text:
McDerby N, Kosari S, Bail K, et al. The effect of a residential care pharmacist on medication administration practices in aged care: A controlled tria…
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psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
March 24, 2019 - Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Citation Text:
Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…
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psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
October 19, 2022 - Study
ED handoffs: observed practices and communication errors.
Citation Text:
Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004.
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psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
June 05, 2019 - Study
Medical error: using storytelling and reflection to impact error response factors in family medicine residents.
Citation Text:
Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …
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psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - Study
Building a framework for trust: critical event analysis of deaths in surgical care.
Citation Text:
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42.
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psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
November 03, 2021 - Study
Discrepancies between home medications listed at hospital admission and reported medical conditions.
Citation Text:
Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…
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psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
February 12, 2020 - Study
Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs.
Citation Text:
Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …
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psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom
November 02, 2011 - Study
Exploring error in team-based acute care scenarios: an observational study from the United Kingdom.
Citation Text:
Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):79…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-5-working-with-safety-net-practices.pdf
September 01, 2015 - addressed in this module:
• Foundational knowledge of primary care environments
• Basic coaching skills … need to be aware of this and
not assume that an individual’s title implies management or leadership skills … In some cases, you
may need to provide executive coaching support for leadership to build their skills … systems are often inexperienced working with health IT
products and limited in their knowledge and skills … you continue your training, you will need to look for opportunities to increase your
knowledge and skills
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - ref13
https://psnet.ahrq.gov//#ref11
https://psnet.ahrq.gov//#ref14
https://psnet.ahrq.gov//#ref15
skills
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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
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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
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - Additional
knowledge, skills, and abilities can be categorized as “competencies.”
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - substantial training, even novices with POCUS outperform experienced providers who are using the classic skills … Ongoing practice and additional training is important because ultrasound skills can decay if not used
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Academy of Medicine conceptualization of the diagnostic process, 2015.
4
Slide
TeamSTEPPS® Core Teamwork Skills … The TeamSTEPPS program has been built on a framework composed of four teachable, learnable skills
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - Individual provider
Providers should understand the relationship between their own knowledge, skills … explicit in setting daily patient goals, and to provide a method to continually build communication skills
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - a pediatric emergency medicine physician on staff, and
they may lack basic pediatric equipment and skills … Work environment (staffing levels and skills mix; workload and shift patterns; design, availability,
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cerebral-palsy-feeding_executive.pdf
March 01, 2013 - Patients with feeding difficulties range
from those with self-feeding skills to populations with
severe … been
developed to address difficulties with sucking, chewing,
swallowing, and improve oral-motor skills … Oral appliances were associated with enhanced oral
sensorimotor skills, but with only 2 RCTs, one of … Oral appliances Enhanced oral
sensorimotor skills
1b (moderate) Moderate
One good RCT, one fair RCT … Oral-motor skills
following sensorimotor therapy in two groups of moderately
dysphagic children with
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/suicide-prevention_research-protocol.pdf
December 23, 2015 - Development/Zuni
Life Skills Development
Suicide is the second leading cause of death among American … CAST delivers life-skills training and social support in
a small-group format (6-8 students per group … Reconnecting Youth: A Peer Group Approach to Building Life Skills (RY) is a school-
based prevention … program for students ages 14-19 years that teaches skills to build
resiliency against risk factors … These problems include discomfort and anxiety, irrational/negative
thoughts, poor social skills, and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
June 02, 2025 - CUSP and TeamSTEPPS rely on the interest and skills of team members, from project inception, through … Effective group processes provide opportunities for unit teams to hone their skills in the areas of leadership