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Showing results for "follow up".

3721. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - Continuing Medical Education (CME) ( 25 ), the lifelong learning that practicing physicians need to stay up … RW: Let me bring up three concerns that people talked about with duty hours reduction. … If you go from every fourth night to every third night, the number of handoffs goes up by a small number … instance, if physicians are ill, they should not be caring for a patient and they should be providing back up … There are some determinants in the sleep literature indicating that we have some ways to go in setting up

3722. In Conversation with…Thomas J. Nasca, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
      February 01, 2010 - RW: Let me bring up three concerns that people talked about with duty hours reduction. … If you go from every fourth night to every third night, the number of handoffs goes up by a small number … instance, if physicians are ill, they should not be caring for a patient and they should be providing back up … There are some determinants in the sleep literature indicating that we have some ways to go in setting up … Continuing Medical Education (CME) ( 25 ), the lifelong learning that practicing physicians need to stay up

3723. Strengthening the Business Case for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
      May 01, 2013 - Within the US, the Hospital Quality Incentive Demonstration (HQID), which initially paid up to 2% in … The most important question to me is this: why didn't every hospital in America take that up the next … If I could invest in one thing in patient safety, it would be in coming up with high-quality reliable … and reasonably up-to-date measures of patient safety that could be operationalized. … In the short run, it looks like we'll have a few companies that end up dominating.

3724. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      September 24, 2024 - notes that, since the 2013 launch of their Certified Zero Harm Awards, member hospitals have achieved up … Will health systems free up resources as harms become less frequent, or will efforts to reach zero harm … And, when we do have an event of harm, the role of the leader is to help the organization pick itself up … than that overarching Big Hairy Audacious Goal, it's better to have marginal improvements that add up … When you have that laser focus on improvement and supporting each other, you end up being the best.

3725. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
      psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
      December 14, 2022 - There are some basic principles that you follow, but there will also be some variation, and something … Sarah Mossburg: Yes, and that builds the capacity for resilience and sets up the groundwork for that … energized by the opportunity to solve problems, by the autonomy, by the creative solutions they were coming up

3726. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
      psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
      December 14, 2022 - There are some basic principles that you follow, but there will also be some variation, and something … Sarah Mossburg: Yes, and that builds the capacity for resilience and sets up the groundwork for that … energized by the opportunity to solve problems, by the autonomy, by the creative solutions they were coming up

3727. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
      psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
      December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events Citation Text: Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…

3728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49825/psn-pdf
      April 01, 2018 - The patient obtained the necessary cardiac follow-up and her surgery was rescheduled.

3729. What Have We Learned About Safe Inpatient Handovers? | PSNet
      psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
      March 01, 2011 - patients' clinical course and condition, as well as what tasks need to be performed (e.g., following up … transfer from EMS [emergency medical services] to the emergency department, the emergency department up … The research hasn't really caught up there.

3730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60328/psn-pdf
      May 27, 2020 - risk for OSA based on a score calculated from questions related to snoring, daytime fatigue, waking up

3731. Spotlight Case Hindsight Is 2020 Slides Final Revised 05.03.2024 (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
      January 01, 2024 - examination, there was no facial droop, but facial symmetry was difficult to assess as he would not follow

3732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848110/psn-pdf
      April 26, 2023 - Unfortunately, the patient could not follow instructions and did not understand that she was unable … on the use of full bed rails, if they were present, they may have contributed to her ability to get up

3733. The Perils of Cross Coverage | PSNet
      psnet.ahrq.gov/web-mm/perils-cross-coverage
      September 22, 2010 - Transfer May 1, 2012 WebM&M Cases Postdischarge Follow-Up

3734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850673/psn-pdf
      June 14, 2023 - particularly in critical care, that families know their loved one better than staff, and they often pick up … mental cognition, or they know how the patient responds to certain medications, and they can pick up … I think that some people felt more comfortable speaking up from their kitchen table, on their turf,

3735. In Conversation With… Vineet Chopra, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
      February 28, 2024 - I didn't know this would fly as a research career, because the first question that came up was who "owns … development award, I put together a group of 15 experts from across the world (including a patient) to come up … In this way, the most important principles are shared up front.

3736. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
      psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
      September 30, 2020 - the leading cause of severe maternal morbidity 1 and preventable maternal deaths , accounting for up … patient had abnormal vital signs and multiple providers considered intra-abdominal hemorrhage yet no work-up

3737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865413/psn-pdf
      March 27, 2024 - John Riggi: As we review our data from 2023, it seems that 2023 has shaped up to be our worst year in … doesn't look right and a patient may be harmed, creating that culture of raising your hand and speaking up

3738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49553/psn-pdf
      January 01, 2008 - in a hurry, do not understand the importance of antiseptic contact time, and are unlikely to wait up … Take-Home Points Blood culture contamination is common, constituting up to half of all positive blood

3739. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
      January 01, 2022 - STROKE ALERTS 17 Stroke Alerts (1) 18 • Stroke alerts comprise a mechanism to expedite the work-up … Both the emergency medicine and general neurology teams might have reasonably assumed that the work-up

3740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837215/psn-pdf
      July 08, 2022 - to handoff communication.5,6 Stroke Alerts Stroke alerts comprise a mechanism to expedite the work-up … Both the emergency medicine and general neurology teams might have reasonably assumed that the work-up