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psnet.ahrq.gov/node/40452/psn-pdf
May 11, 2011 - The novice nurse and clinical decision-making: how to
avoid errors.
May 11, 2011
Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid
errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x.
https://psnet.ahrq.gov/issue/novice-nurse-and-clinical-de…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - executive or central department and then dispersed
Safety-Net Systems Redesign 16
those highly trained … Hospital A trained hospitalist staff in improvement methods to build a group of enthusiastic early
adopters … In
Hospital H, process improvement staff trained in Lean Six Sigma methods have become the “go
to”
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www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
January 01, 2024 - When an illness accelerates death's approach, it can be hard for anyone to accept the help of trained
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - Trained data abstractors across member hospitals used a standardized template to extract information
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/medofficevaluepilotreport.pdf
November 01, 2017 - which…
Experience With Activities To Improve
Efficiency
Individual survey respondents have been trained
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/wheelchair-service_disposition-comments.pdf
January 01, 2012 - world-wide
agreement that the optimal service delivery team should
consist of a physiatrist or similarly trained … Perhaps the focus should be on the lack of trained
physicians being a barrier to this process. … Attaining a critical mass of trained medical professionals
and RTPs to serve the growing need of consumers
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psnet.ahrq.gov/node/36984/psn-pdf
September 14, 2011 - TeamSTEPPS: assuring optimal teamwork in clinical
settings.
September 14, 2011
Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual.
2007;22(3):214-7.
https://psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
The authors discuss the TeamSTEPPS…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide30.html
October 01, 2014 - 30. Ten Key Guideline Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Brief tobacco dependence treatment is effective. Clinicians should offer every patient who uses tobacco at least the brief treatments shown to be effective in this Guide…
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psnet.ahrq.gov/node/38134/psn-pdf
December 30, 2008 - Developing expert medical teams: toward an evidence-
based approach.
December 30, 2008
Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-
based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x.
https://psnet.ahrq.gov/issue/developin…
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www.ahrq.gov/teamstepps-program/evidence-base/reproductive.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: Reproductive Health
Dodge LE, Nippita S, Hacker MR, Intondi EM, Ozcelik G, Paul ME. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;38(4):44-54. Epub 2018/09/14. doi: 10.1002/jhrm.…
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psnet.ahrq.gov/node/39179/psn-pdf
December 16, 2009 - Improving operating room safety.
December 16, 2009
Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-
9493-3-25.
https://psnet.ahrq.gov/issue/improving-operating-room-safety
A training program focused on preoperative briefings resulted in an improvement in op…
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psnet.ahrq.gov/node/50726/psn-pdf
December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
December 11, 2019
Agency for Healthcare Research and Quality. 2019.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
Structured processes are important strategies for embedding safe care practices. This tool kit shares
traini…
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psnet.ahrq.gov/node/35062/psn-pdf
June 22, 2009 - Blurring the boundaries: scenario-based simulation in a
clinical setting.
June 22, 2009
Kneebone RL, Kidd J, Nestel D, et al. Blurring the boundaries: scenario-based simulation in a clinical
setting. Med Educ. 2005;39(6). doi:10.1111/j.1365-2929.2005.02110.x.
https://psnet.ahrq.gov/issue/blurring-boundaries-scen…
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psnet.ahrq.gov/node/41991/psn-pdf
January 23, 2013 - Handovers from the OR to the ICU.
January 23, 2013
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin.
2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
https://psnet.ahrq.gov/issue/handovers-or-icu
This commentary discusses concerns associated with patient transfer…
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psnet.ahrq.gov/node/39202/psn-pdf
February 25, 2015 - Strengthening the core. Middle managers play a vital role
in improving safety.
February 25, 2015
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety.
Healthcare executive. 2010;25(1):68-70.
https://psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-r…
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psnet.ahrq.gov/node/36988/psn-pdf
February 17, 2011 - An elusive balance — residents' work hours and the
continuity of care.
February 17, 2011
Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med.
2007;356(26):2665-2667.
https://psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
The author discusses wo…
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psnet.ahrq.gov/node/37278/psn-pdf
September 27, 2017 - The impact of team processes on psychiatric case
management.
September 27, 2017
Simpson A. The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-
18.
https://psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
This qualitative study used observation, semi-struc…
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psnet.ahrq.gov/node/37355/psn-pdf
January 05, 2012 - Getting to havarti: moving toward patient safety in
obstetrics.
January 5, 2012
Veltman LL. Getting to havarti: moving toward patient safety in obstetrics. Obstet Gynecol.
2007;110(5):1146-1150.
https://psnet.ahrq.gov/issue/getting-havarti-moving-toward-patient-safety-obstetrics
Using the Swiss cheese model to fr…
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psnet.ahrq.gov/node/39430/psn-pdf
April 07, 2010 - Mandatory pharmacy residencies: one way to reduce
medication errors.
April 7, 2010
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.
https://psnet.ahrq.gov/issue/mandatory-pharmacy-residenc…
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psnet.ahrq.gov/node/34961/psn-pdf
June 22, 2009 - Improving hospital performance: culture change is not
the answer.
June 22, 2009
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q.
2005;8(2):60-6.
https://psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
The authors suggest that people man…