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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - In fact, I began thinking about it when you and I
were RWJ Fellows in San Francisco and I did a study … Over the years, we gradually began to realize that most things are at least partly the responsibility … The patient began to bleed, and bled out in the operating room.
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psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - She sees you, her primary care
physician, 3.5 weeks after symptoms began. … Now, almost 5 weeks after
symptoms began, the patient is not improved and probably is worse. … Within several weeks, he became profoundly tired, had spiking fevers
during the day, and began to lose
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - promote concepts (such as 24-hour family visiting hours and patient and family advisory councils) which began … patients with information to help engage more closely in their own medical care.( 15 )
These streams began … in Rosemary Gibson and Janardan Prasad Singh's 2003 book, Wall of Silence .( 20 ) The patient voice began … Healthcare Improvement's forum in 2002, a notable early example.( 21 ) More patient-sponsored state laws began … half the states.( 26 )
Online research and connectivity became the norm as the power of the Internet began
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psnet.ahrq.gov/node/33715/psn-pdf
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/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - He began to transition to intermittent, rather than continuous, nebulizer treatments.
*
*
Case: … Nurse Staffing Ratios (4)
While the nurse was tending to orders for the new admission, the COPD patient began
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Although the idea of medical mistakes has been long known, the modern literature began with a famous … Research in the
field of patient safety began with studies of hospitalized patients.
-
psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - I went to pharmacy school at TempleUniversity, and after I graduated, I began to work at TempleUniversityHospital … And they would come into the pharmacy to look at our books or have a cup of coffee, and they began to … Soon, they began to trust me more and more and knew that I would never report them if something went … wrong, so they began telling me stories about problems.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - I went to pharmacy school at TempleUniversity, and after I graduated, I began to work at TempleUniversityHospital … And they would come into the pharmacy to look at our books or have a cup of coffee, and they began to … Soon, they began to trust me more and more and knew that I would never report them if something went … wrong, so they began telling me stories about problems.
-
psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - scene as quickly and safely as possible; that the highest level
of personnel assessed the patient and began … We began by thinking EMS
was a very important part of the emergency system. … In the early days, we began to use basic interventions
like IV [intravenous] fluid and cardiac monitoring
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Hospital Quality Alliance (HQA)
Began in 2003 with 10 quality measures spread across 3 clinical conditions … =pubmed&cmd=Retrieve&dopt=Abstract&list_uids=16012155 Speaker notes:
New York:
After New York State began
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - promote concepts (such as 24-hour family visiting hours and patient and family advisory councils) which began … patients with information to help engage more closely in their own medical care.( 15 )
These streams began … in Rosemary Gibson and Janardan Prasad Singh's 2003 book, Wall of Silence .( 20 ) The patient voice began … Healthcare Improvement's forum in 2002, a notable early example.( 21 ) More patient-sponsored state laws began … half the states.( 26 )
Online research and connectivity became the norm as the power of the Internet began
-
psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - She sees you, her primary care physician, 3.5 weeks after symptoms began. … Now, almost 5 weeks after symptoms began, the patient is not improved and probably is worse. … Within several weeks, he became profoundly tired, had spiking fevers during the day, and began to lose
-
psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - As the patient began to take the medicine, his daughter (who
happened to be a nurse) stated that she … Next, the nurse failed to correctly identify the patient
when she began the medication administration
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
August 10, 2025 - Leary, PhD | June 30, 2021
Beginning in her teenage years, a woman began … Twitter
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Beginning in her teenage years, a woman began
-
psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Although the idea of medical mistakes has been long known, the modern literature began with a famous … Research in the field of patient safety began with studies of hospitalized patients.
-
psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
Perspective
My journey into patient safety began … Dupont began as a company that
made gunpowder.
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psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - But
we began to decode those data and discuss how many human beings are affected, who were the attending … argued that these areas
set academia behind some community organizations when the patient safety field began
-
psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - As we began to make some progress in that area, our mission has expanded from safety in health care to … Leaders began to recognize that they had a role to play. … Board members began to seek out IHI and say, "Are we alone in seeing quality problems in our organization
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - As the patient began to take the medicine, his daughter (who happened to be a nurse) stated that she … Next, the nurse failed to correctly identify the patient when she began the medication administration
-
psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - RW: We began in patient safety with this no blame concept. … And then over the first few years we began to
recognize that it left out this critical notion of accountability