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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdfAugust 03, 2020 - and lungs, in essence, every other element of the examination can be performed successfully with a trained
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Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdfAugust 03, 2020 - and lungs, in essence, every other element of the examination can be performed successfully with a trained -
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdfMarch 01, 2017 - training: RNs, NPs, PAs, and physicians involved in advice lines and virtual care services must be trained
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Puh-Implementation-Handouts (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdfJuly 01, 2016 - Manager A: We don’t have specific guidance on pressure ulcer debridement but Curtis [Rehab Director] is trained … Nurses were trained in measuring pressure ulcers in March of this year. … At the same time, they were trained in triggers that indicate a pressure ulcer may need to be reevaluated -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43422/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836791/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39742/psn-pdfAugust 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. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40952/psn-pdfDecember 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.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50763/psn-pdfDecember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44289/psn-pdfNovember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39927/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41073/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72770/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47966/psn-pdfMay 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46225/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42521/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72536/psn-pdfDecember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43233/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34696/psn-pdfJune 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36712/psn-pdfJanuary 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…
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