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psnet.ahrq.gov/node/41444/psn-pdf
June 13, 2012 - Evaluation of Registered Nurse Competency Processes in
Veterans Health Administration Facilities.
June 13, 2012
Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159.
https://psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-
administration-faci…
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psnet.ahrq.gov/node/41334/psn-pdf
April 25, 2012 - Understanding the role of non-technical skills in patient
safety.
April 25, 2012
White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8.
https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
Examining a case study in which a patient die…
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psnet.ahrq.gov/node/42279/psn-pdf
May 15, 2013 - Interdisciplinary collaboration to maintain a culture of
safety in a labor and delivery setting.
May 15, 2013
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and
delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5.
doi:10.1097/JPN.0b013…
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psnet.ahrq.gov/node/43941/psn-pdf
February 25, 2015 - How to make surgery safer.
February 25, 2015
https://psnet.ahrq.gov/issue/how-make-surgery-safer
This newspaper article reports on various ways hospitals are working to make surgical care safer and
reduce readmissions due to surgical complications, including checklists, teamwork training courses for
surgeons, preo…
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psnet.ahrq.gov/node/36450/psn-pdf
December 22, 2010 - Unintended Exposure of Patient Lisa Norris During
Radiotherapy Treatment at the Beatson Oncology Centre,
Glasgow in January 2006.
December 22, 2010
Johnson AM. Edinburgh, Scotland: Health Department; 2006. ISBN 0755962974.
https://psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-tre…
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psnet.ahrq.gov/node/73451/psn-pdf
June 30, 2021 - National Patient Safety Syllabus.
June 30, 2021
Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021.
https://psnet.ahrq.gov/issue/national-patient-safety-syllabus
Amending curricula to incorporate the increasing scholarship related to patient safety improvement is a
challenge. This st…
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psnet.ahrq.gov/node/40580/psn-pdf
July 06, 2011 - Teaching medical error apologies: development of a
multi-component intervention.
July 6, 2011
Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-
component intervention. Fam Med. 2011;43(6):400-6.
https://psnet.ahrq.gov/issue/teaching-medical-error-apologies-developmen…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-6.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 6: Screenshot 2: Nursing—Medication Reconciliation
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduc…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-7.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 7: Screenshot 3: Pharmacy—Medication Reconciliation
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introdu…
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-5.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 5: Screenshot 1: Medication Management Essentials
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduct…
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psnet.ahrq.gov/node/40204/psn-pdf
April 14, 2011 - Residents' intentions and actions after patient safety
education.
April 14, 2011
Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC
Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350.
https://psnet.ahrq.gov/issue/residents-intentions-and-actions-after-pati…
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psnet.ahrq.gov/node/853626/psn-pdf
September 20, 2023 - Uncovering the shocking dangers of misdiagnosis.
September 20, 2023
Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
https://psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
Misdiagnosis continues to impact the safety of health care. This podcast with David Newman-Toker
discusses foun…
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www.ahrq.gov/teamstepps-program/resources/app/index.html
April 01, 2024 - TeamSTEPPS Pocket Guide App
The Pocket Guide App (released March 2024) is a quick-reference tool for the TeamSTEPPS® communication framework and it mirrors the TeamSTEPPS Pocket Guide .
Download AHRQ’s TeamSTEPPS app to put the structured communication tools and checklists from the TeamSTEPPS Pocket Guide at…
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digital.ahrq.gov/program/division-research-education-office-extramural-research-education-and-priority-populations
January 01, 2023 - Division of Research Education, Office of Extramural Research, Education, and Priority Populations (OEREP)
Program Link: https://www.ahrq.gov/funding/training-grants/index.html
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using La…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-interventions-maltreatment-child_executive.pdf
April 01, 2013 - Trained reviewer pairs independently evaluated each of
the titles and abstracts. … evaluated in an
effectiveness trial: a brief foster parent training program
called Keeping Foster Parents Trained … relationship 1,43 64 Low, G1>G2; small to medium
(d=0.40 or 0.59)
Keeping Foster
and Kinship
Parents Trained … Intervention Project Usual carea
L
G1>G2
L
G1>G2
L
G1>G2
- - -
Keeping Foster and Kinship Parents
Trained
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effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
June 01, 2013 - In the program, pharmacists or
pharmacy students are trained to engage patients in brief interviews … EMS staff are minimally trained professionals and could provide only marginal
primary care services … In the program, student or professional pharmacists are trained on how to
engage with patients for … the center includes (in addition to physicians) a geriatric nurse
practitioner, registered nurses trained
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - noted that when these organizations are engaged by telephone, individuals speak with staff who
are trained … And I think the same thing happens with us - Area Agency on Aging Leadership KI
Having trained personnel … Trained personnel also know when a home visit is needed to fully
assess an individual’s needs. … And oh, they're doing it, and I
trained there, so I should be doing it."
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-fullreport.pdf
February 01, 2020 - The authors hypothesized that pediatricians are trained to look more carefully
for abnormal blood pressure … Trained nurse or pharmacist medical record abstractors collected and entered information from
paper … To help ensure
consistency of data collection, the medical record abstractors were trained on the study … Data abstraction was completed by experienced medical record abstractors who were trained on
the study
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
June 01, 2010 - Ideal measure that should be developed and evaluated: HCBS providers are trained to recognize pain in
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - Addressing system level challenges such as sufficient numbers of trained nurses to provide adequate staffing