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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
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
January 01, 2025 - another with respect, support one another, and feel
like they are part of a team.
4
Training and Skills … and Actions Promoting
Resident Safety
80%
Organizational Learning 65%
Handoffs 64%
Training and Skills … Training and Skills
Staff get the training they need in this nursing home. … Training and Skills 63% 13.61% 31% 44% 53% 64% 75% 80% 96%
7. … Training and Skills % Strongly Agree/Agree
Staff get the training they need in this nursing
home
-
digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/annual-summary/2010
January 01, 2010 - part, participants in The Collaborative came to meetings with far greater clinical and administrative skills
-
psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - The bundles aim to ensure organizations have the knowledge, skills, supplies, and
appropriate care linkages
-
psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - Pharmacists may
pursue community-based residencies or fellowships to enhance their clinical and leadership skills
-
psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - enhancing patient and caregiver engagement, tracking
and sharing safety data, increasing healthcare staff skills
-
psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - barriers to health IT–mediated engagement including lack of health literacy,
low technology access or skills
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
June 01, 2011 - cited “convenience” as the major reason for their care, as well as confidence in their own diagnostic skills
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
February 01, 2017 - Individual provider factors, such as knowledge, skills, and motivations.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 02, 2025 - Staff in this pharmacy have the skills they need
to do their jobs well ............................
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
June 02, 2025 - Staff in this pharmacy have the skills they need to do their jobs well
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Rapid responders should—
Possess specialized maternity care clinical skills, knowledge, and equipment
-
integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/prevent-and-respond-to-recurrence
April 28, 2025 - Supporting patients in developing these skills can empower them to respond effectively and avoid a full
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - tools to improve the patient safety culture of L&D units by improving their communication and teamwork skills
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cognitive-impairment-in-older-adults-screening
October 19, 2017 - at the patient, including cognitive training, rehabilitation, or stimulation, with or without motor skills
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/drug-use-illicit-primary-care-interventions-for-children-and-adolescents
August 30, 2018 - management/vouchers
Vocational rehabilitation/customized employment supports
Outward Bound/life skills
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
March 03, 2021 - &
PX Maturity PX Culture Outcomes
Phase 4: (FY20) Build
Standardize Across
VHA
Strengthen
Skills
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1O-Comprehensive_Antibiogram_Toolkit_Phase1_Assessment_and_Planning_final.doc
June 02, 2025 - This activity, while not labor intensive, will require one nursing home employee with skills in data
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zheng-k-et-al-2005
January 01, 2005 - as 'Easy to use, time efficient' suggest that use of the system required very minimal training and skills
-
integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20Colorado.pdf
January 01, 2020 - collecting data, developing an intervention plan,
conducting quality improvement activities, and developing skills