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461. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
     May 01, 2012 - Practice written and verbal sign-out Receive feedback from trained ‘receiver’ Practice-based audit tools … listen, comprehend, process, and prioritize information * * Assessing Competence (1) Numerous tools … direct observation, peer evaluation or multi-source feedback, chart audit Limited validation of these tools … Patient handoffs: standardized and reliable measurement tools remain elusive. … differentiate exceptional and below average learners Should focus on both senders and receivers Audit tools

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33721/psn-pdf
     November 01, 2011 - Examples of briefing tools (checklists) were posted on the NCPS Web site, and teams were encouraged to … adapt and modify these tools (see Figure 2 in Neily [2]). … Sites could also customize the process and tools for different surgical specialties, for example eye … While allowing this flexibility in implementation of tools, certain parts of the program were inviolable … Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability

463. Safer Together Survey: Advancing Patient and Workforce Safety | PSNet
     psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
     July 12, 2017 - September 6, 2017 Leadership Guide to Patient Safety: Resources and Tools for Establishing … March 12, 2025 Challenge Competition: Impact of Patient Safety Tools.

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33834/psn-pdf
     May 22, 2017 - Such efforts must be accompanied by increased use of alternative pharmacologic and nonpharmacologic tools … Risk mitigation measures, such as urine toxicology screening, patient contracts, and risk assessment tools … Despite such programs, many barriers prevent clinicians' access to and use of these tools.(13) Mandating … and providing integrated query systems that minimize provider burden will help to leverage PDMPs as tools … perfect risk assessment instruments, universal screening and triaging of chronic opioid users with tools

465. Diagnostic error and clinical reasoning. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning
     February 06, 2013 - July 10, 2024 Electronic medication reconciliation tools aimed at healthcare professionals … April 26, 2023 Effect on diagnostic accuracy of cognitive reasoning tools for the workplace

466. Helping patients simplify and safely use complex prescription regimens. | PSNet
     psnet.ahrq.gov/issue/helping-patients-simplify-and-safely-use-complex-prescription-regimens
     December 19, 2017 - February 14, 2011 Pictograms, units and dosing tools, and parent medication errors: a … December 21, 2017 Liquid medication errors and dosing tools: a randomized controlled

467. Variability in pharmacy interpretations of physician prescriptions. | PSNet
     psnet.ahrq.gov/issue/variability-pharmacy-interpretations-physician-prescriptions
     September 25, 2008 - May 31, 2017 Liquid medication errors and dosing tools: a randomized controlled experiment … December 14, 2016 Pictograms, units and dosing tools, and parent medication errors: a

468. TeamSTEPPS: assuring optimal teamwork in clinical settings. | PSNet
     psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
     January 12, 2011 - health-related social needs: how Joint Commission standards accelerated integration and expansion of tools … , 2010 View More Related Resources TeamSTEPPS: Strategies and Tools

469. Doctors' handovers in hospitals: a literature review. | PSNet
     psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
     February 29, 2012 - Related Resources A systematic review of the literature on the evaluation of handoff tools … January 19, 2014 Review of computerized physician handoff tools for improving the quality

470. Effective surgical safety checklist implementation. | PSNet
     psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
     July 30, 2014 - Resources From the Same Author(s) The surgical safety checklist and teamwork coaching tools … November 18, 2016 The surgical safety checklist and teamwork coaching tools: a study

471. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. | PSNet
     psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
     September 17, 2008 - August 21, 2016 A systematic review of the literature on the evaluation of handoff tools … July 1, 2016 A prospective study of suicide screening tools and their association with

472. Medication reconciliation and hypertension control. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
     December 19, 2017 - January 22, 2014 Pictograms, units and dosing tools, and parent medication errors: a … Literacy in Patient Safety March 1, 2009 Liquid medication errors and dosing tools

473. A 2-year study of patient safety competency assessment in 29 clinical laboratories. | PSNet
     psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories
     December 14, 2016 - Related Resources From the Same Author(s) Liquid medication errors and dosing tools … May 31, 2017 Pictograms, units and dosing tools, and parent medication errors: a randomized

474. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. | PSNet
     psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
     March 07, 2012 - October 18, 2016 A systematic review of the literature on the evaluation of handoff tools … July 2, 2014 Review of computerized physician handoff tools for improving the quality

475. Patient safety in geriatrics: a call for action. | PSNet
     psnet.ahrq.gov/issue/patient-safety-geriatrics-call-action
     June 29, 2009 - November 10, 2015 Development of trigger tools for surveillance of adverse events in … November 10, 2010 Applying trigger tools to detect adverse events associated with outpatient

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49789/psn-pdf
     April 01, 2017 - clear patients may benefit from more support with decision making, and there is evidence that ACP tools … severity of the problem and highlight opportunities for improvement; (ii) embedding decision support tools … Examples of such tools can be found on the resource page of the CARENET website (www.thecarenet.ca). … .(1) Take-Home Points Patients need more support in end-of-life decision-making, and a variety of tools … Tools to promote shared decision making in serious illness: a systematic review.

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33682/psn-pdf
     April 01, 2009 - I'm talking about the tools that have been used in business with great success, such as Lean Six Sigma … We have imperfect tools to assess exactly what happened in the course of an adverse event. … Then, once we understand where the weak defenses are, we have imperfect analytic tools to tell us which … Our current tools do not encourage us to do that. … We need to develop the next generation of those tools to achieve the goal of high reliability.

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49819/psn-pdf
     February 01, 2018 - , offers an opportunity to provide feedback to support this learning.(14) Such tools could be used to … The tools may also be used to provide evidence that faculty and training programs are monitoring and … been shown to improve the quality of handoff communication including mnemonics, computerized handoff tools … A systematic review of the literature on the evaluation of handoff tools: implications for research … I-PASS Handoff Curriculum: Faculty Observation Tools.

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49853/psn-pdf
     February 01, 2019 - safety hazards during intrahospital transfers related to the transport team, transport-related tasks, tools … organization in which intrahospital transfers were performed.(4) One-third of all hazards were related to the tools … of a locally adapted intrahospital transfer checklist; and (iv) use of standardized communication tools … The use of transport checklists and communication tools for information transfer may enhance the quality … www.ncbi.nlm.nih.gov/pubmed/29112033 https://www.ncbi.nlm.nih.gov/pubmed/23896072 http://www.ihi.org/resources/Pages/Tools

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33825/psn-pdf
     January 01, 2017 - Tools also tend to focus on a linear or temporal view of an event, rather than a systems view of events … Focusing more specifically on problems with RCA tools and techniques, Card described "the problem with … Use appropriate tools and identify viable corrective actions RCA2 tools (e.g., interviewing techniques … Several studies have suggested opportunities for improvement, including redesigning the process and tools