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psnet.ahrq.gov/perspective/conversation-michael-l-millenson
April 27, 2022 - That helped set the stage for the high-profile case of Betsy Lehman, which was uncovered by investigative … Lehman, and it can do that because they are citing newspaper stories about error that the Lehman case helped … administered during her treatment at a prestigious Harvard-affiliated hospital. 3 That story, in turn, helped … Potential Future Role of Traditional and Social Media in Patient Safety
Traditional media helped turn
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - first in a major journal to translate the science of safety into health care terms.( 3 ) This, in turn, helped … government was supportive (and even more so after the publication of the Michigan results, when it helped
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Such a policy could have helped prevent the error in this case. … warfarin is to be discontinued or held, or requiring that it be ordered only in the morning, may have helped
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - in the operating room by reducing failure to perform certain tasks ( 11,12 ), would likely not have helped … ) In the presented scenario, such decision support may have led to better situational awareness and helped
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psnet.ahrq.gov/node/33737/psn-pdf
September 01, 2012 - For decades, federal entities have helped shape the size, composition, and
distribution of the nursing
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - These too have helped, but they have certainly not
abolished all medication errors.
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - I think of many federal agencies as partners; we’ve helped with their mission, and they’ve certainly … helped with ours. … I helped with the transitions of care. … Patient and family advisors helped the hospital see a simple, practical approach for sharing information … They shared iPads, taught people how to use them, and helped with internet access.
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - I think of many federal agencies as partners; we’ve helped with their mission, and they’ve certainly … helped with ours. … I helped with the transitions of care. … Patient and family advisors helped the hospital see a simple, practical approach for sharing information … They shared iPads, taught people how to use them, and helped with internet access.
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - sign-out practices with changes of shift,4
and structured progress notes, are useful but might not have helped … requiring junior team members to elevate certain types of new findings
to senior team members) may have helped
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - Getting the law degree
and learning a lot of those methodologies helped me. … This is where the legal piece helped me a lot.
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Manager in the success of the briefing and debriefing process cannot be overemphasized.( 9 ) MTT faculty helped … allowed to customize the briefing and debriefing tools and processes for their local environment, which helped … During these calls, we helped teams plan their next steps or discuss how to remove obstacles to change … In addition, sites knew we would be following them and that we had an expectation for change—this helped
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - Manager in the success of the briefing and debriefing process cannot be overemphasized.( 9 ) MTT faculty helped … allowed to customize the briefing and debriefing tools and processes for their local environment, which helped … During these calls, we helped teams plan their next steps or discuss how to remove obstacles to change … In addition, sites knew we would be following them and that we had an expectation for change—this helped
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - Getting the law degree and learning a lot of those methodologies helped me. … This is where the legal piece helped me a lot.
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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - The rapid availability of an intraoperative CXR was very important in this case because it helped to … Advancing the ETT tube further into the trachea helped
splint the trachea open and prevented the surgical
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - Gaba helped introduce the modern full-body patient simulator and the concept of crew resource management
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psnet.ahrq.gov/primer/falls
October 27, 2021 - Fall prevention has been the subject of intensive research and quality improvement efforts, which have helped
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - procedures and treatments and showed promise at identifying patient AEs.2
A retrospective case review has helped
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psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - transplant mismatch was a nationally recognized medical error, one
that clearly catalyzed our efforts and helped
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - assessment at admission and appropriate use of collateral information from the patient's daughter might have helped … Actively encouraging the family's participation in care may have helped identify delirium earlier and
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - But I
think that this has helped make the EMS data so much more usable, and we're combining across systems … Daniel Patterson helped develop,
and then I helped work with the Center for Patient Safety on an EMS-adapted