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  1. Nursing Home Series for Front Line Clinicians and Staff | Agency for Healthcare Research and Quality

    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…

  2. Psn-Pdf (pdf file)

    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.…

  3. Psn-Pdf (pdf file)

    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…

  4. Psn-Pdf (pdf file)

    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…

  5. Psn-Pdf (pdf file)

    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…

  6. Psn-Pdf (pdf file)

    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 …

  7. Psn-Pdf (pdf file)

    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…

  8. Psn-Pdf (pdf file)

    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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41073/psn-pdf
    January 18, 2012 - Quality improvement in medical education: current state and future directions. January 18, 2012 Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x. https://psnet.ahrq.gov/issue/quality-im…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60189/psn-pdf
    April 01, 2020 - Eliminating Medication Overload: A National Action Plan. April 1, 2020 Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020. https://psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan Polypharmacy and medication overuse are known contributors to patient harm. This report …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36712/psn-pdf
    January 05, 2017 - New technology, new errors: how to prime an upgrade of an insulin infusion pump. January 5, 2017 Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. https://psnet.ahrq.gov/issue/new-technology-new-errors-how-pri…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40947/psn-pdf
    January 29, 2019 - WHO Patient Safety Curriculum Guide: Multi-Professional Edition. January 29, 2019 WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958. https://psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition This multi-professional patient safet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46225/psn-pdf
    June 25, 2018 - Do trainees feel that they belong to a team? June 25, 2018 Price S, Lusznat R. Do trainees feel that they belong to a team? The Clin Teach. 2018;15(3):240-244. doi:10.1111/tct.12664. https://psnet.ahrq.gov/issue/do-trainees-feel-they-belong-team Teamwork is an important component of safety culture. This qualitativ…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73099/psn-pdf
    March 31, 2021 - Supporting nurses as essential partners in diagnosis. March 31, 2021 Carr S. ImproveDx. March 2021:8(2)  https://psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis Effective diagnosis is enhanced through multidisciplinary team-based efforts. This newsletter article outlines opportunities inhe…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72536/psn-pdf
    December 02, 2020 - Technology, Education and Safety. December 2, 2020 Ruskin KJ, ed. Curr Opin Anaesthesiol.  2020;33(6):774-822. https://psnet.ahrq.gov/issue/technology-education-and-safety The complexity of care delivery requires complementary approaches to prevent mistakes. This special section shares clinical and organ…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44289/psn-pdf
    November 23, 2024 - Reducing adverse obstetrical outcomes through safety sciences. November 23, 2024 Ennen CS, Satin AJ. UpToDate. October 16, 2024. https://psnet.ahrq.gov/issue/reducing-adverse-obstetrical-outcomes-through-safety-sciences This review explores the evidence on integrating teamwork, simulation, and unit-based programs …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39742/psn-pdf
    August 09, 2013 - Patient Safety, 2nd edition. August 9, 2013 doi:10.1002/9781444323856. https://psnet.ahrq.gov/issue/patient-safety-2nd-edition Dr. Charles Vincent, a psychologist by training, is unquestionably one of the founders of the modern patient safety movement and continues to publish groundbreaking research in the field. …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836791/psn-pdf
    August 21, 2024 - TeamSTEPPS for Diagnosis Improvement. August 21, 2024 TeamSTEPPS for Diagnosis Improvement. https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on the established TeamSTEPPS® principles, this new Te…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47966/psn-pdf
    May 29, 2019 - Patient Safety Essentials Toolkit. May 29, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit This toolkit provides access to nine key tools to help organizations improve teamwork, incident analysis, and communication as well as templates to …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72770/psn-pdf
    February 24, 2021 - Communication about medical errors. February 24, 2021 Kaldjian LC. Communication about medical errors. Patient Educ Couns. 2021;104(5):989-993. doi:10.1016/j.pec.2020.11.035. https://psnet.ahrq.gov/issue/communication-about-medical-errors Disclosure of and communication about errors and adverse events is increasin…
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