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8501. Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. | PSNet
      psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
      December 14, 2022 - Study Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. Citation Text: Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTE…

8502. "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet
      psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study
      March 24, 2019 - Study "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. …

8503. Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. | PSNet
      psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
      November 16, 2022 - Commentary Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. Citation Text: Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Pu…

8504. Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. | PSNet
      psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council
      July 03, 2014 - Study Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. Citation Text: Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training…

8505. Graded autonomy in medical education—managing things that go bump in the night. | PSNet
      psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
      July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

8506. Improving medication safety with accurate preadmission medication lists and postdischarge education. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
      June 26, 2019 - Study Improving medication safety with accurate preadmission medication lists and postdischarge education. Citation Text: Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …

8507. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. | PSNet
      psnet.ahrq.gov/issue/factors-associated-potentially-missed-acute-deterioration-primary-care-cohort-study-uk
      February 02, 2022 - Study Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. Citation Text: Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practi…

8508. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet
      psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017
      March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…

8509. Job Aid: Practice Assessments and Surveys (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
      June 02, 2025 - Job Aid: Practice Assessments and Surveys Primary Care Practice Facilitator Training Series 1 Job Aid: Practice Assessments and Surveys Overview Practice assessments and surveys are simple and non-threatening ways for a practice to gather information, generate ideas for improvements, and test and…

8510. Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet
      psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes
      April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…

8511. How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. | PSNet
      psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents
      May 06, 2015 - Study How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. Citation Text: Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …

8512. A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet
      psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
      February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …

8513. Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? | PSNet
      psnet.ahrq.gov/issue/current-teaching-and-evaluation-methods-critical-care-medicine-has-accreditation-council
      February 23, 2022 - Study Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? Citation Text: Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods…

8514. Part 2: Assessing State Readiness to Design and Implement CMEs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt2.html
      September 01, 2014 - Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 2: Assessing State Readiness to Design and Implement CMEs Previous Page Next Page Table of Contents Designing Care Management Entities for Youth with Complex Behavioral Health Needs Part 1: An Introduction to Ca…

8515. About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. | PSNet
      psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
      June 03, 2020 - Study Emerging Classic About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. Citation Text: Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback:…

8516. Applying the Lessons of Social Marketing to a Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/distribute/promote/social-marketing.html
      June 01, 2019 - Applying the Lessons of Social Marketing to a Quality Report Social marketing is the application of the principles and techniques of commercial marketing to promote socially desirable goals. It has been applied extensively, and with considerable success, in efforts to encourage/discourage specific health beha…

8517. On the CUSP: Stop BSI (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/assertion-slides/Assertion-Dec-14-2010-508.ppt
      January 01, 2010 - On the CUSP: Stop BSI On the CUSP: Stop BSI Appropriate Assertion David Thompson, DNSc, MS, RN Jill Marsteller, PhD, MPP Department of Anesthesiology and Critical Care Medicine The Johns Hopkins Quality and Safety Research Group * Communication Styles Assertive Aggressive Passive or Passive Aggressive ? © 2004…

8518. Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. | PSNet
      psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
      December 02, 2014 - Study Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. Citation Text: Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…

8519. Conclusions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp4.html
      August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Conclusions Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Key …

8520. Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. | PSNet
      psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback
      January 16, 2019 - Study Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing …