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psnet.ahrq.gov/issue/quality-minute-new-brief-and-structured-technique-quality-improvement-education-during
January 09, 2019 - Commentary
The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference.
Citation Text:
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…
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psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
October 26, 2022 - Study
A method to identify pediatric high-risk diagnoses missed in the emergency department.
Citation Text:
Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018…
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psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
July 23, 2008 - Commentary
Mandatory pharmacy residencies: one way to reduce medication errors.
Citation Text:
Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138.
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psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
February 17, 2010 - Commentary
Patient safety and collaboration of the intensive care unit team.
Citation Text:
Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281.
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psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
March 23, 2011 - Study
The impact of organisational and individual factors on team communication in surgery: a qualitative study.
Citation Text:
Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int …
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psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
May 04, 2010 - Study
Why isn't 'time out' being implemented? An exploratory study.
Citation Text:
Gillespie BM, Chaboyer W, Wallis M, et al. Why isn't 'time out' being implemented? An exploratory study. Qual Saf Health Care. 2010;19(2):103-6. doi:10.1136/qshc.2008.030593.
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psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
July 21, 2009 - Commentary
Building and sustaining a systemwide culture of safety.
Citation Text:
Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689.
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - patients on
PN and adheres to the recognized national guidelines.(10) Their staff members should be well-trained … The pharmacist (who
was specifically trained to enter TPN orders) inadvertently entered 55 mEq/kg/day … A
second pharmacist (also trained in TPN) reviewed the order by standard protocol and did not catch … dedicate pharmacist time to review and clarify these
orders.(5) The pharmacist should not only be trained
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - SI: Some locations have delirium units where they have staff trained to work with delirium patients, … These specially trained staff, volunteers, and aides are there to help deal with that kind of situation … The next level would be, are there nursing staff who are trained in
recognizing delirium? … If we had a delirium prevention program in every hospital and staff that were
trained to recognize delirium
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - bargain many years ago when medicine first
started turfing these complex issues to a profession that is trained … As a lawyer, I'm not trained to
know right or wrong. … I'm really trained to win the case, and the concept behind the American judicial system
https://psnet.ahrq.gov … Secondly, how do you handle this with physicians who may not have been trained to have these difficult … Every one of our risk managers is a professional trained mediator.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - study residency and academic medical center safety cultures with respect to how young doctors were trained … Trained as a social psychologist, he has become one of the world's foremost authorities on the role of … They're trained to do similar things. First officers are in training to become captains. … Physicians in general are trained to communicate in bullet points, just the headlines. … And nurses are trained to communicate in terms of the story or the narrative of the patients that they're
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/diet-behavioral-counseling-primary-care-adults-2003
June 15, 2003 - nutrition education with behavioral dietary counseling provided by a nutritionist, dietitian, or specially trained … two to three group or individual sessions) delivered by a dietitian or nutritionist or by a specially trained … interventions include individual or group counseling delivered by nutritionists, dietitians, or specially trained … place in primary care settings, 16 , 17 , 24 , 26 , 32 where counseling was provided by specially trained … from medium-intensity, routine face-to-face counseling from nutritionists, dietitians, or specially trained
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psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
October 18, 2017 - September 1, 2021
Surgical errors happen, but are learners trained to recover from them
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psnet.ahrq.gov/issue/variations-surgical-safety-according-affiliation-status-top-ranked-cancer-hospital
April 24, 2019 - April 19, 2011
The impact of trained assistance on error rates in anaesthesia: a simulation-based
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - 16, 2022
Comparison of adverse events during procedural sedation between specially trained
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psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
March 04, 2011 - 2003
Comparison of adverse events during procedural sedation between specially trained
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - October 27, 2021
Surgical errors happen, but are learners trained to recover from them
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psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation-patient
November 30, 2016 - April 29, 2018
Surgical errors happen, but are learners trained to recover from them?
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psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and
June 15, 2012 - 27, 2011
Comparison of adverse events during procedural sedation between specially trained
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Connect%20Pilot%20Site%20Training%20Plan_Final_0.docx
July 23, 2024 - .
· Clinical Champions will be identified in advance of the training but trained with the rest of the