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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - This use of ad hoc interpreters is not an adequate approach for clinical communication and is prone to
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - What got you interested in that in the first place, and then how did you approach it?
Mr.
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - A multifaceted approach is needed to address each of these factors and ensure that systems issues do
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - When a root-cause-analysis approach is applied to the cases cited above, errors in obtaining accurate
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - Approach to Improving Safety
Both the cases described above present opportunities for system improvements
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Hypoxemia after Emergency Intubation
December 18, 2024
Bohringer C, Liu H. Hypoxemia after Emergency Intubation. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
The Case
A 19-month-old child was brought to the emergency department (ED) via ambulance after drowning in a
p…
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - SPOTLIGHT CASE
Consequences of Medical Overuse
Citation Text:
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - What got you interested in that in the first place, and then how did you approach it?
Mr.
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psnet.ahrq.gov/web-mm/time-death
January 03, 2017 - s)
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - the hospital’s transplant program survival
statistics.10
Systems Change Needed/Quality Improvement Approach
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - Flexor tendons are more difficult to visualize during wound exploration.3
Approach to Patient Safety
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - The best approach to both understanding and resolving them is sociotechnical, which includes not just … A socio-technical approach to preventing, mitigating, and recovering from ransomware attacks.
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - International comparability of patient safety indicators in 15 OECD member countries: a methodological approach
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - The core curriculum has shifted to a less hospital-centric approach than previous iterations of TeamSTEPPS … Another benefit is the new version really encourages trainers to take a nondidactic approach to TeamSTEPPS
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Calling it syndrome seemed to gather more attention for this predicament than the more typical academic approach … HK : Our general approach to measurement is that we see it as a form of social engineering in medicine
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - Another benefit is the new version really encourages trainers to take a nondidactic approach to TeamSTEPPS … The core curriculum has shifted to a less hospital-centric approach than previous iterations of TeamSTEPPS
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - So a one-size-fits-all approach may not work at all times. … In Post-Anesthesia Care Units (PACU), this approach proved highly effective in improving handover quality
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - Calling it syndrome seemed to gather more attention for this predicament than the more typical academic approach … HK : Our general approach to measurement is that we see it as a form of social engineering in medicine
-
psnet.ahrq.gov/node/33870/psn-pdf
November 01, 2018 - model is that it is not a wholesale rejection of the hospitalist model, but rather involves a
holistic approach
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - subverted the old paradigm, and prompted the current
effort to develop a systems oriented patient safety approach