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psnet.ahrq.gov/node/34778/psn-pdf
December 23, 2008 - Anesthetic mishaps: breaking the chain of accident
evolution.
December 23, 2008
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution.
Anesthesiology. 1987;66(5):670-6.
https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
A review of anesthesia saf…
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digital.ahrq.gov/location/usa-mi-east-lansing
January 01, 2023 - USA, MI, East Lansing
Telehealth Post-Pandemic: A Roadmap for the Coming Decade
Description
This conference grant will support a multidisciplinary Think Tank to develop and disseminate telehealth best practices, training curriculum recommendations, and policy recommendations t…
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digital.ahrq.gov/organization/michigan-state-university
January 01, 2023 - Michigan State University
Telehealth Post-Pandemic: A Roadmap for the Coming Decade
Description
This conference grant will support a multidisciplinary Think Tank to develop and disseminate telehealth best practices, training curriculum recommendations, and policy recommendatio…
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psnet.ahrq.gov/node/72751/psn-pdf
February 17, 2021 - The critical need for nursing education to address the
diagnostic process.
February 17, 2021
Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic
process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005.
https://psnet.ahrq.gov/issue/critica…
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psnet.ahrq.gov/node/43198/psn-pdf
July 19, 2023 - TeamSTEPPS Core Curriculum.
July 19, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/teamstepps-core-curriculum
The TeamSTEPPS® program was developed to support effective communication and teamwork in health
care. The curriculum offers training for participan…
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
February 01, 2017 - Ask:
How much of the staff has been trained in the Science of Safety?
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Insight cannot be trained or taught but could be cultivated through both individual education and
intentional
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Insight cannot be trained or taught but could be cultivated through both individual education and intentional
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - Patient Safety Concerns and the LGBTQ+ Population
Connor Wesley, RN, BSN,Cindy Manaoat Van, MHSA,Sarah E. Mossburg, RN, PhD
| February 1, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Wesley C, Van CM, Mossburg S. Pa…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017233-fox-final-report-2011.pdf
January 01, 2011 - Better Lives Utilizing Electronic Systems
(BLUES): A Final Report and Lessons Learned
Karen C. Fox, PhD;
Anna Lyn Whitt, LMSW, MPH; Lisa Morton, PhD, RHIA; Beth McCullers, MHA;
Anthony LoSasso, PhD; Surrey Walton, PhD; Kimberly Massey, MSW
Delta Health Alliance, Inc.
Stoneville, MS 38776
Funde…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
September 08, 2015 - that
facilitators who worked with numerous
practices were spread too thin and were
not sufficiently trained
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - Process Analysis of Communication Events
We defined process analysis as focused observations that utilize trained … clinical, research, and
administrative backgrounds, worked closely with an industrial engineer who was trained
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021236-franklin-final-report-2017.pdf
January 01, 2017 - observations, we
shadowed physicians, nurses, and advanced practice providers as well as clinically trained … Following the finalization of the initial displays, two trained evaluators performed a heuristic
evaluation
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - Gap Analysis for Antibiotic Stewardship Programs in Long-Term Care
Instructions: Complete this document to evaluate your antibiotic stewardship program (ASP) on an annual basis and to define areas for further improvement. The ASP areas addressed in this document are addressed throughout the AHRQ Safety Program Toolkit.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
March 01, 2017 - AHRQ Safety Program For Long-Term Care: CAUTI
Module 4: Teamwork and Communication
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
AHRQ Pub. No. 16(17)-0003-03-EF
March 2017
Teamwork and Communication | ‹#›
1
Objectives
Describe effective communication and teamwork
Describe w…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Module 4: Event Reporting, Event Investigation and Analysis
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
Slide 1
Say:
Obje…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery
Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple
Health System Vulnerabilities
May 26, 2021
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health
System Vulnerabilities. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - A Mistaken Dose of Naloxone?
December 18, 2019
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
The Case
A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up
appointment. He h…
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hcup-us.ahrq.gov/team/StateDUA.jsp
May 01, 2022 - State Databases Data Use Agreement
An official website of the Department of Health & Human Services
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