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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - Concerns about alert fatigue on the one hand and making the caregivers unhappy, on the other hand not … we had dozens of railroad gauges, hundreds of time zones, and even areas with both left- and right-hand
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - 7 , 10 ) They are a source of organizational resilience, the ability to improvise with materials at hand … Thus, it can be powerful to engage this army of creative minds and hands to improve work systems.
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - affected. 27
Interestingly, there is no federal statutory or regulatory requirement for EMS providers to hand … not necessarily evaluate and treat that patient, and the treating provider often never received the hand-written
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - internal medicine, plus or minus critical care, who enjoy doing procedures and enjoy working with their hands … We run hands-on training sessions during their orientation week that give them all of the basics. … There's a combination of some information didactics as well as mostly hands-on training.
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - When I was an MD–PhD student getting interested in this question, on the one hand there was so much to … know and on the other hand I could see even as a medical student the cost of fragmentation of care. … More About The Topic
Hospitals
Physicians
Hospital Medicine
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - Communication through these care hand-offs about the feeding tube reflected only “PEG tube” or “G tube … develop mechanisms to mitigate this risk.38,42 Current best practices include
using checklists at hand-offs … , implementing standardized hand-off tools, and standardizing the content of
discharge summaries regarding
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psnet.ahrq.gov/issue/partnership-healthcare-excellence
October 26, 2020 - March 12, 2008
Health IT implementation stories: HANDS care plan tool seeks to improve
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - Getting the (Right) Doctor, Right Away
August 21, 2016
Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
The Case
A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery.
Postop…
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - Safety Culture in EMS
May 26, 2021
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/safety-culture-ems
Defining a Just Culture
A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an
environmen…
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - How—in the world's most sophisticated operating theaters and in the hands of highly trained surgeons—can
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - Others take a hands-off approach, leaving the purchasing hospital or clinic to customize
the system
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Human Factors Engineering Can Teach You How to Be
Surprised Again
November 1, 2006
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet].
2006.
https://psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
Perspective
Certain phrases ar…
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - With more complex products, such as new
defibrillators, documented completion of hands-on training and
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - and colleagues point out that "few care processes reach patients without
first passing through the hands
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psnet.ahrq.gov/node/49866/psn-pdf
June 01, 2019 - The appropriate action would
have been to hand the medication vial directly to the resident.
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psnet.ahrq.gov/node/49404/psn-pdf
June 01, 2003 - The Commentary
In the case at hand, several important systems failed and a patient with a continuing
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - Recognizing this potential catastrophe in the case at hand, the pharmacist attempted to manually override
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - As we hand over the reins
of AHRQ PSNet to new technical and editorial teams, we are proud to have influenced
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psnet.ahrq.gov/issue/part-2-9th-annual-communication-apology-and-resolution-care-forum
June 19, 2019 - June 15, 2022
Improving Transitions of Care: Hand-off Communications.
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psnet.ahrq.gov/issue/impact-medical-mistakes-navigating-work-family-boundaries-physicians-and-their-families
January 23, 2019 - May 9, 2018
Enhancing patient safety during hand-offs: standardized communication and