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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - the Media Influencing Patient Safety
Despite studies raising questions about avoidable harm that began … In response, professional organizations such as the American Medical Association began to acknowledge
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - fully understand them.( 8-11 ) Similarly, work on the analysis phase of projects to reduce staff injury began … Alcoa, I was involved and interested in what was going on in the health and medical care community and began
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - Barker began his career in the Air Force and proceeded to get his doctorate in cognitive psychology. … RW: In terms of culture, what did you expect to see when you began meeting doctors, nurses, and hospital
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - Alcoa, I was involved and interested in what was going on in the health and medical care community and began … fully understand them.( 8-11 ) Similarly, work on the analysis phase of projects to reduce staff injury began
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story began … With a number of other PSOs wanting to take the same course, vendors providing PSO "backend" services began
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - RW : When you first began investigating this, did you have a theory as to what the problem was, and did … back in the late 1960s, when I was a student nurse and then a new nurse—it's when hospital monitoring began
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - the events to safety leaders during the daily safety huddle, critical care staff and administrators began
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psnet.ahrq.gov/node/49871/psn-pdf
August 10, 2019 - Ten weeks after the initial visit at the urologist's office, the patient began to feel progressively
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - interventions that are not
working and should be suspended.1
Context of the Innovation
Penn Medicine began
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - RW: When you saw how stunned she was by your question and began to learn how little use health care
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - The emergency physician arrived promptly and began preparations to intubate, but the patient went into
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - The physicians caring for the patient assumed the PICC was safe to use, and the patient began receiving
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psnet.ahrq.gov/node/867475/psn-pdf
February 26, 2025 - First responders began cardiopulmonary resuscitation and administered
naloxone and two doses of epinephrine
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - occurs in up to 11% of patients undergoing aneurysm clipping. 14 To mitigate this risk, neurosurgeons began
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - Two weeks into her admission at the SNF, the patient’s physician began warfarin therapy at 5 mg daily
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psnet.ahrq.gov/web-mm/nosy-business
March 01, 2007 - He reported no previous history of epistaxis and stated that the symptoms began spontaneously a few hours
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - Soon after stopping the toxoplasmosis medications he began to experience headaches, then seizures and
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - Soon authorities began highlighting the importance of various forms of support to assist with healthy
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psnet.ahrq.gov/node/33618/psn-pdf
September 01, 2005 - In the late 1970s
and early 1980s, commercial aviation began to require interdisciplinary teamwork training
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - The patient immediately began complaining of pain at
the infusion site.