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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - =321), an internal control group consisting of patients who declined to participate or were lost to follow-up … Safety Innovations
Project BOOST Increases Patient Understanding of Treatment and Follow-up
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - Or it's still expensive and complicated
enough that simulation won't rise up as one of the things you … I think other boards, where appropriate, will follow suit. … working; failure to use available resources effectively including calling for help; failure to
speak up … team members when those other people's actions are required for
successful management; and failure to follow
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psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
February 28, 2018 - clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - attorneys are out there trolling around searching and
searching to find anyone who could be scraped up … RW: Does that actually come up in court where in the old days, it would have been logical for everyone … MM: There are a number of ways you could set this up, but probably the most feasible way for the US … that we'd
like to see is that more who are entitled to compensation under the rules that we've set up … There is more of an evidentiary trail for the plaintiff to obtain and follow.
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psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
August 04, 2021 - Following this study period, all ORs received real-time feedback, resulting in pass rates up to 91% for
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psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family
June 11, 2008 - process, implying that ambulatory clinics require comprehensive systems for ordering and following up
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psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
May 12, 2021 - emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage
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psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
February 15, 2012 - clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up
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psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
January 11, 2023 - Download Citation
Related Resources From the Same Author(s)
Scaling-up
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psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
February 15, 2012 - clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up
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psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
May 19, 2018 - clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up
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psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre
July 21, 2017 - February 26, 2020
We want to know: patient comfort speaking up about breakdowns in care
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psnet.ahrq.gov/issue/drug-drug-interactions-and-actual-harm-hospitalized-patients-multicentre-study-examining
August 26, 2020 - clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up
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psnet.ahrq.gov/issue/work-life-balance-behaviours-cluster-work-settings-and-relate-burnout-and-safety-culture
September 14, 2022 - and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - and was discharged to home
6
Case #1 Details
• Ten days post-discharge, the patient presented at follow-up … Aggression in clinical settings: nurses' views, a follow study. J Adv Nurs. 1999;29(3):532-541.
10.
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - ago, as recently as 15 years ago, resident physicians routinely
worked 90–100 hours per week, for up
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - for interpersonal risk taking.”2 The term embodies individual confidence
in the belief that speaking up … In turn, safety motivation had a positive effect on
safety voice, which is the act of speaking up about … confidently (individual level)
Chairing meetings: appointed meeting chairs are motivated to speak up … leadership modeling and behaviors, (2)
psychologically safe organizational practices, (3) speaking up … For the third theme, motivation to speak up, a team member may not be motivated
by patient safety to
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - I think there may have been a naïve vision in the old days
that you put up a bunch of pop-up alerts … to users that the warning that you're showing is an
important one, and whether or not you use a pop-up … But the approach that we've taken as a country to moving toward interoperability
has been to set up … Basically, a large part of what VISICU [an electronic ICU vendor] does is set
something up so that someone … ensure that 100% of abnormal biopsies or 100% of
abnormal Pap smears, for example, get followed up
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - RW: Yeah, I'm glad you brought that up in terms of the days of the giants. … You brought up training people as to what represents a useful note in this era. … Let's say it's a heart failure patient, and
she'll say, "BUN and creatinine are up a little bit. … I think that the increase in nurse practitioners and physicians' assistants will free up
physicians … time will be spent at the bedside
or freed-up time will be spent with more technology.
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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - In the same spirit, we decided that patient safety issues and problems would be
reported directly up … This wake-up call got the organization's collective attention but
might not have been sufficient to