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psnet.ahrq.gov/node/41850/psn-pdf
November 21, 2012 - TeamSTEPPS: the patient safety tool that needs to be
implemented.
November 21, 2012
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul
Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
https://psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
De…
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psnet.ahrq.gov/node/45735/psn-pdf
July 17, 2017 - CMPA Good Practices Guide.
July 17, 2017
Ottawa, Ontario: Canadian Medical Protective Association; 2016.
https://psnet.ahrq.gov/issue/cmpa-good-practices-guide
Key patient safety topics include human factors, teamwork, adverse events, communication,
professionalism, and risk management. This website provides resou…
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psnet.ahrq.gov/node/36860/psn-pdf
January 20, 2016 - IHI Global Trigger Tool for Measuring Adverse Events.
2nd Edition.
January 20, 2016
Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare
Improvement; 2009.
https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
This white paper describ…
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digital.ahrq.gov/ahrq-funded-projects/real-time-assessment-dialogue-motivational-interviewing-training-readmi/citation/motivational
January 01, 2024 - Motivational interviewing skills practice enhanced with artificial intelligence: ReadMI.
Citation
Hershberger PJ, Pei Y, Bricker DA, Crawford TN, Shivakumar A, Castle A, Conway K, Medaramitta R, Rechtin M, Wilson JF. Motivational interviewing skills practice enhanced with artificial intelligence: Read…
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psnet.ahrq.gov/node/37064/psn-pdf
October 03, 2011 - Crisis resource management: evaluating outcomes of a
multidisciplinary team.
October 3, 2011
Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a
multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d.
https://psnet.ahrq.gov/issue/crisis-re…
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psnet.ahrq.gov/node/44137/psn-pdf
May 13, 2015 - AHRQ Patient Safety YouTube Channel.
May 13, 2015
Rockville, MD: Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
This Web site hosts a collection of training videos to highlight two improvement strategies: the
Comprehensive Unit-based Safety Program and …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vxPM4Bo9RXZGUDH6MWnDht
May 01, 2013 - The reference standard had to be a more in-depth
assessment of suicide risk by a trained mental health … pro-
fessional or a trained interviewer using a standardized in-
strument to determine whether suicide … sensitivity, specificity, or
related statistics relative to an interview with a clinician or
other trained … Detecting suicidality among adolescent outpatients: evaluation of trained
clinicians’ suicidality assessment … against a structured diagnostic assessment made
by trained raters.
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-agitation-aggression_executive.pdf
March 01, 2016 - Findings may be used for research purposes, but should not be considered current.
11
were delivered by trained … Trials
did not always document how the staff was trained to
implement the intervention or how fidelity … Several interventions required that staff be trained to
behave differently, but the training was sparsely … Some studies used a combination of outside experts and
trained staff to implement interventions. … As mentioned, staff must
then be trained and supervised.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2)
Contents
On Page 1 of 2:
5.A. Analyze CAHPS Survey Results
5.B. Analyze Other Sources of Information for Related Information
Page 2 of 2:
5.C. Evaluate the Process of Care Delivery
5.D. Gather Input From Stakeh…
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psnet.ahrq.gov/node/50763/psn-pdf
December 18, 2019 - Their kids died on the psych ward. They were far from
alone, a Times investigation found.
December 18, 2019
Karlamangla S. Los Angeles Times. December 1, 2019.
https://psnet.ahrq.gov/issue/their-kids-died-psych-ward-they-were-far-alone-times-investigation-found
Patient suicide is considered a sentinel event. This …
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www.ahrq.gov/teamstepps-program/resources/videos/module-4-seg-3.html
February 01, 2024 - TeamSTEPPS Module 4 Segment 3: Video and Materials
YouTube embedded video: https://www.youtube-nocookie.com/embed/HwQusQn-TRo
TeamSTEPPS Module 4 Segment 3 Mutual Support: Narrator Part 2 (2:15)
Additional Materials for this Module 4 Mutual Support training simulation video:
Video-Based Simulation: Fa…
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www.ahrq.gov/funding/training-grants/announcements.html
December 01, 2022 - Announcements
AHRQ National Research Service Award (NRSA) Institutional Research Training Grant (T32) Notice of Funding Opportunity is now available .
Patient-Centered Outcomes Research Mentored Career Development Awards .
Supporting the Next Generation of Learning Health Systems Researchers: Grants Awar…
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www.ahrq.gov/nursing-home/resources/front-line-clinicians.html
May 01, 2022 - Nursing Home Series for Front Line Clinicians and Staff
Resource: Nursing Home Series for Front Line Clinicians and Staff
This podcast is the first in a series of Centers for Medicare & Medicaid Services-sponsored podcasts for frontline nursing home staff. Dr. Shari Ling, Deputy Chief Medical Office for th…
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psnet.ahrq.gov/node/40952/psn-pdf
December 07, 2011 - Hospital quality and patient safety competencies:
development, description, and recommendations for use.
December 7, 2011
O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies:
Development, description, and recommendations for use. J Hosp Med. 2011;6(9). doi:10.1002/jhm.937.…
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psnet.ahrq.gov/node/47280/psn-pdf
October 15, 2018 - Master of Healthcare Quality and Safety.
October 15, 2018
Harvard Medical School.
https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
This one-year degree program will train clinicians and health care executives to lead safety and quality
improvement initiatives. Participants will learn how to develo…
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psnet.ahrq.gov/node/43422/psn-pdf
August 06, 2014 - Core Entrustable Professional Activities for Entering
Residency.
August 6, 2014
Washington, DC: Association of American Medical Colleges; 2014.
https://psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
Studies have revealed a gap between what residents are expected to know and how pr…
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psnet.ahrq.gov/node/42521/psn-pdf
August 21, 2013 - Why your TeamSTEPPS program may not be working.
August 21, 2013
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs.
2012;9(8). doi:10.1016/j.ecns.2012.03.007.
https://psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
This commentary explores barriers to implementi…
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psnet.ahrq.gov/node/34696/psn-pdf
June 23, 2015 - A piece of my mind. Coping with fallibility.
June 23, 2015
Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252.
https://psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
The authors relate personal experiences with physician error, including the professional and emotional
…
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psnet.ahrq.gov/node/39927/psn-pdf
February 17, 2011 - The ACGME’s final duty-hour standards—special PGY-1
limits and strategic napping.
February 17, 2011
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J
Med. 2010;363(17):1589-1591.
https://psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…