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effectivehealthcare.ahrq.gov/sites/default/files/eaagleston.pdf
October 08, 2025 - the voting as to, you know, someone who had
-- didn't -- maybe didn't have the great, same artistic skills
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psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
December 18, 2019 - Decisional capacity can be fluid and is situation-specific, so clinicians should have the knowledge and skills
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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
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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.
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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
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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/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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www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
February 01, 2024 - It reinforced that teamwork skills produce good outcomes.
How would you describe the tone Dr.
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psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - Ongoing
practice and additional training is important because ultrasound skills can decay if not used
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/sexually-transmitted-infections-behavioral-counseling
August 18, 2020 - many factors, including their sexual practices; relationship dynamics (eg, power and communication); skills … Establishing new sexual habits and skills may have lasting effects or may require reinforcement to have … Intervention 1: one 15-min individual counseling session + 4-h intensive motivational, behavioral, skills … workshop
Intervention 5: one 15-min informational video + 4 h intensive motivational, behavioral, skills … one 200-min group counseling session, information-based; one 20-min individual counseling session, skills-based
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
July 01, 2011 - Westwood-Mansfield
Pediatric Associates decided to undertake a pilot
program to give parents the skills
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/mental-health-and-emotional-wellbeing.pdf
March 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff
Best Practices for Promoting Mental Health and
Emotional Well-Being Among Nursing Home Staff
Nursing home staff routinely face stressful and emotionally draining working co…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program
Toolkit 1. Start an Antimicrobial Stewardship Program
Tool 1. Gather a Team
Choose members to serve on the antimicrobial stewardship program team. Depending on the size of the nursing home, the team may be very small (two or three me…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-rice.pdf
June 02, 2025 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - East Alabama Health
Workplace
Safety
ACUTE CARE
East Alabama Medical Center
East Alabama Medical Center- Lanier
LONG TERM CARE
E A M C S k i l l e d N u rs i n g Fa c i l i t y
E A M C - L a n i e r N u rs i n g H o m e
18
System
Ov…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
July 01, 2025 - Grantee Profile
Eliminating Preventable Harms During Pediatric Intubation
Akira Nishisaki, M.D., M.S.C.E. Attending Physician, Critical Care Medicine, Children’s Hospital of Philadelphia Co-Medical Director for Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia Cha…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/gastateataglance.pdf
March 01, 2012 - Georgia State at a Glance
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-berry.pdf
April 01, 2015 - Health Care Transformation Among Small Urban Practices Serving the Underserved
Health Care Transformation Among Small Urban Practices Serving the
Underserved
Principal Investigator: Carolyn Berry, PhD
Institution: New York University School of Medicine and New York City Department of
Health and Mental Hygien…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/implementation-tracking-sw.pdf
June 02, 2025 - Healthy Hearts NYC Recruitment Memo
ENSW IMPLEMENTATION TRACKING NOTE
1. *Your role: [Check all that app…
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www.ahrq.gov/news/newsroom/case-studies/202503.html
March 01, 2025 - Virginia Health System Uses AHRQ Surveys on Patient Safety Culture® To Improve Quality of Care
Search All Impact Case Studies
March 2025
Riverside Health System, based in Newport News, VA, has been using the AHRQ Surveys on Patient Safety Culture ® (SOPS) for nearly a decade, administering surveys annually…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/conflict_resolution-slides/Conflict-Resolution-Oct-12-2010-508.ppt
January 01, 2010 - Conflict Resolution
Conflict Resolution
David Thompson, DNSc, MS, RN
Jill Marsteller, PhD, MPP
*
What is Conflict?
Perception of mutual interference
A process that begins when goals of one party are frustrated by another
Requires interdependence/interaction
Views of Conflict
Conflict Good (interactioni…
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www.ahrq.gov/nursing-home/materials/vaccination/index.html
September 01, 2023 - COVID-19 Vaccination
Vaccines are the best tool we have to prevent people from getting seriously ill and being hospitalized from COVID-19. Following are resources to help nursing homes effectively communicate about vaccines, implement a vaccination program, and track vaccinations of residents and staff.
…