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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - The Case A 25-year-old woman presented to the hospital in labor and at full gestation after receiving … A third-year obstetrics and gynecology resident delivered the infant under attending supervision via … Although a comprehensive description of the mechanics of establishing a simulation-based program is … Change in medical education and training certainly fits this description. … The Case
The Commentary
References
VIDEO
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - https://psnet.ahrq.gov/web-mm/discharging-our-responsibility
The Case
A 75-year-old man with a history … 3.6
million hospitalizations attributed to HF as the primary or secondary discharge diagnosis each year … hospitals were required to submit data relating to their
performance on the core HF measures over a 2-year … Over the 2-year study period, the discharge instruction
HF performance measure improved significantly … Performance Measure
Name
Measure Description
Discharge instructions
Heart failure patients discharged
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psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
December 30, 2014 - Endnote tagged PubMedId RIS
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Related Resources From the Same Author … July 3, 2016
The Pursuing Excellence Collaborative: engaging first-year residents and
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psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
October 25, 2017 - Endnote tagged PubMedId RIS
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Related Resources From the Same Author … October 25, 2017
A 6-year thematic review of reported incidents associated with cardiopulmonary
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psnet.ahrq.gov/issue/attitudes-and-opinions-doctors-chiropractic-specializing-pediatric-care-toward-patient-safety
March 15, 2016 - Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
November 14, 2018 - Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
December 31, 2014 - Endnote tagged PubMedId RIS
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Related Resources From the Same Author … December 31, 2014
Two-year longitudinal assessment of physicians' perceptions after replacement
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psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-simulation-study
March 21, 2017 - Endnote tagged PubMedId RIS
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Related Resources From the Same Author … July 3, 2016
The Pursuing Excellence Collaborative: engaging first-year residents and
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Description of the Innovative Activity
The ED-SAFE study was designed to assess the effect of universal … Researchers wanted to determine the rate of suicide for these patients up to one year after discharge … The Coping Long Term with Active Suicide Program (CLASP): description and pilot data. … Health care contacts in the year before suicide death. … Twitter
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - The death of 18-year-old Libby Zion at The New York Hospital in 1984 led to the recommendation by the … but not to coordinate a complex discharge transition independently until their second year. … RW : So you see it as a fundamental part of the hospitalist mindset and job description as opposed to … But I think it's more the hospital creating a job description for the hospitalists that serves a set … Citation
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Perspective
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psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
May 20, 2020 - Copy Citation
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Medicare Part D Beneficiaries … Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year
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psnet.ahrq.gov/issue/better-safer-care-victoria
August 09, 2023 - Copy Citation
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Final Report on Prioritization … May 24, 2015
AHRQ Health Information Technology Research: 2018 Year in Review.
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psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
October 10, 2018 - Copy Citation
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People, processes … September 1, 2021
Patient safety in dermatology: a ten-year update.
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Copy Citation
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People, processes … April 20, 2022
Start the year off right by addressing these top 10 medication safety
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psnet.ahrq.gov/issue/patient-safety-research-summaries
December 24, 2008 -
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Preventable … December 24, 2008
AHRQ Health Information Technology Research: 2018 Year in Review.
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psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
September 29, 2017 - Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm
August 13, 2013 - Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Endnote tagged PubMedId RIS
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Related Resources From the Same Author … May 27, 2011
Harmful medication errors in children: a 5-year analysis of data from the
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psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
February 10, 2012 - Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - https://psnet.ahrq.gov/web-mm/slippery-slide-life
The Case
A 25-year-old woman presented to the hospital … A third-year obstetrics and gynecology resident delivered the infant under attending
supervision via … Although a
comprehensive description of the mechanics of establishing a simulation-based program is … Change in medical education and training certainly fits this description.