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21. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. | PSNet
    psnet.ahrq.gov/issue/controversies-diagnosis-contemporary-debates-diagnostic-safety-literature
    December 21, 2018 - review identifies themes associated with diagnostic error definitions , clinical reasoning teaching methods … treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … November 11, 2020 Using the NAM diagnostic process framework to teach clinical reasoning

22. Team Training: Classroom Training vs. High-Fidelity Simulation | PSNet
    psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
    January 12, 2011 - Gaba argues that high-fidelity simulation is superior to other educational methods, contending that … Procedure-based units such as the operating room or the GI suite are easily compared to aviation. … They have planned procedures, with a scheduled time, expected course, and projected end point. … classroom-based training, followed by intensive coaching during implementation, is the most effective method … Public HealthChief of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center References Back

23. Real-world virtual patient simulation to improve diagnostic performance through deliberate practice: a prospective quasi-experimental study. | PSNet
    psnet.ahrq.gov/issue/real-world-virtual-patient-simulation-improve-diagnostic-performance-through-deliberate
    July 21, 2021 - specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods … treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach

24. The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy. | PSNet
    psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
    September 08, 2021 - This multi-center study found that a transitional pharmacy care program (including teach-back, pharmacy … Differences in medication reconciliation interventions between six hospitals: a mixed method

25. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
    psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
    August 21, 2005 - A highly effective strategy for ensuring patient understanding is use of the teach-back method, in which … When appropriately used, the teach-back method can simultaneously reveal misunderstanding as well as  … patients are consistently receiving pertinent information regarding their medication(s)  Using the teach-back … Effectiveness of the teach-back method in improving self-care activities in postmenopausal women.  … May 20, 2019 Incidence and root cause analysis of wrong-site pain management procedures

26. Discharge Planning and Transitions of Care | PSNet
    psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
    September 07, 2019 - There are tools available to help facilitate discharge education such as “teach-back” which assesses … Reducing readmissions using teach-back: enhancing patient and family education.  … Use the Teach-Back Method: Tool #5. … 2022 Implementation and sustainability of a medication reconciliation toolkit: a mixed methods

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46565/psn-pdf
    January 23, 2019 - , clear standards of accountability for patient follow-up, and use of evidence-based communication methods … like teach-back with patients and families. … identification-and-prioritization-health-it-patient-safety-measures https://psnet.ahrq.gov/primer/handoffs-and-signouts https://psnet.ahrq.gov/issue/teach-back-patients-perspective

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73106/psn-pdf
    April 01, 2021 - scatter plot that shows the relationship between the age of a patient and the frequency of use of “teach-back … Teach-back is a strategy that involves the health care provider asking patients or family members to … Thus, teach-back addresses a key issue in medication safety in the home environment. … This diagram clearly demonstrates that the frequency of “teach-back” in this clinical setting decreases … Figure 2: Scatter plot of use of teach-back vs patient age https://psnet.ahrq.gov//#1 https://psnet.ahrq.gov

29. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet
    psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
    December 07, 2022 - Study Using the NAM diagnostic process framework to teach clinical reasoning in computerized … Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations … Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations … treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back … September 2, 2020 A national mixed-methods evaluation of preparedness for general surgery

30. Teaching nurses to make clinical judgments that ensure patient safety. | PSNet
    psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
    August 17, 2022 - This commentary describes a method to develop decision-making behaviors in new nurses. … September 1, 2016 Improving patient safety by repeating (read-back) telephone reports

31. Creation of a Medical Procedure Service to Improve Patient Safety | PSNet
    psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
    March 01, 2008 - Residents were expected to independently perform and teach most medical procedures (central venous line … References Back to Top 1. Procedures Required for Internal Medicine. … Creation of an innovative inpatient medical procedure service and a method to evaluate house staff competency … [go to PubMed] Tables Back to Top Table 1. … translate that back to the bedside.

32. Personal Health Literacy | PSNet
    psnet.ahrq.gov/primer/personal-health-literacy
    October 31, 2023 - encounter—from the telephone , to the reception area, to the finance area, and finally to the examination, procedure … Confirming comprehension: Use a teach-back or show me method . … The Agency for Healthcare Research and Quality (AHRQ)  has an excellent resource for teach-back. … There are also programs that teach health knowledge – such as how a specific disease affects the body … Strictly speaking, these efforts only fit the definition of a health literacy improvement program if they teach

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33599/psn-pdf
    August 30, 2023 - encounter—from the telephone, to the reception area, to the finance area, and finally to the examination, procedure … Confirming comprehension: Use a teach-back or show me method. … The Agency for Healthcare Research and Quality (AHRQ)  has an excellent resource for teach-back. … There are also programs that teach health knowledge – such as how a specific disease affects the body … Strictly speaking, these efforts only fit the definition of a health literacy improvement program if they teach

34. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet
    psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
    March 01, 2008 - translate that back to the bedside. … Residents were expected to independently perform and teach most medical procedures (central venous line … References Back to Top 1. Procedures Required for Internal Medicine. … Creation of an innovative inpatient medical procedure service and a method to evaluate house staff competency … [go to PubMed] Tables Back to Top Table 1.

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33856/psn-pdf
    April 01, 2018 - literacy, using language appropriate to patient understanding, utilizing visuals, and practicing the teach-back … method.(13-15) Simple interventions like a leaflet to explain hospital diagnoses and new medication … patients, reaching out to patients in their home, and engaging primary care providers to "pull patients back … Is "teach-back" associated with knowledge retention and hospital readmission in hospitalized heart failure

36. The no-fall zone. | PSNet
    psnet.ahrq.gov/issue/no-fall-zone
    February 01, 2012 - article explores patient falls and describes strategies to prevent them, including transparency, teach-back … Copy Citation Related Resources Utilizing quality improvement methods to prevent

37. Improving patient safety by repeating (read-back) telephone reports of critical information. | PSNet
    psnet.ahrq.gov/issue/improving-patient-safety-repeating-read-back-telephone-reports-critical-information
    March 02, 2011 - Study Improving patient safety by repeating (read-back) telephone reports of critical … Improving patient safety by repeating (read-back) telephone reports of critical information. … Improving patient safety by repeating (read-back) telephone reports of critical information. … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … May 24, 2010 Waiting for urgent procedures on the weekend among emergently hospitalized

38. Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet
    psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
    March 09, 2022 - Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods … March 15, 2017 Bring back the autopsy.

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60225/psn-pdf
    April 15, 2020 - April 15, 2020 Anderson JE, Ross AJ, Back J, et al. … beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare- systems Using ethnographic methods

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - On postoperative day 15, she called back again with ongoing nausea. … One approach would have been to ask open-ended questions, utilize the teach-back method or ‘repeat what … consider assessing the patient’s learning style and incorporating understanding checks through the teach-back … questions, active listening, interpretation of body language, assessment of patient learning style, and teach-back … methods.