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psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
November 30, 2016 - August 5, 2020
Large scale organisational intervention to improve patient safety in four … February 23, 2011
Perceptions of the impact of a large-scale collaborative improvement
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psnet.ahrq.gov/node/49619/psn-pdf
February 01, 2011 - The following day, the patient's echocardiogram confirmed a large pericardial effusion "without
tamponade … tachycardia and pulseless electrical activity, and required emergent resuscitative measures, including large … His large pericardial effusion, which was presumably the result of the "post-
pericardiotomy syndrome … Knowing that this patient had a large pericardial effusion that was at risk of progressing, the clinicians
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - The Emergency Medicine physician contacted the Laboratory to determine the cause of such a large shift … mislabels have reported error rates approaching 1.12%. 6-8
For lost specimens, due to the nature of large … Large health networks may have multiple clinics strewn across a large geographical area and rely on couriers … In some cases, samples may be sent to large referral laboratories in other states and require both ground … their facility could not account for about 6 to 7 specimens per week. 9 This facility is relatively large
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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - What I discovered when I took on the
job of trying to improve a very large, very complex system was … that some systems are so large and
complex that it's difficult to achieve improvement at that system … They're very large,
very complicated, very difficult systems to work on. … on leverage points was probably the main personal learning that
came out of my experience in that large … Administrators of hospitals have tended to take care of the finances and
facilities and to a large extent
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - Part of the reason is that, unlike in pharmaceuticals, there is no deep pocket willing to pay for the large … The boards or large health care organizations could also theoretically do that. … Whether and when organizations like The Joint Commission or large hospital networks will start to mandate … RW : If a large health care system wanted to get into the simulation business, it strikes me that they … Educators have a large toolbox from which to design instructional activities, and the tools they select
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psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
July 08, 2008 - 2021
Impact of structured interdisciplinary bedside rounding on patient outcomes at a large … September 1, 2016
A prevalence study of errors in opioid prescribing in a large teaching
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psnet.ahrq.gov/issue/family-caregiver-activation-transitions-fcat-tool-new-measure-family-caregiver-self-efficacy
September 10, 2014 - October 18, 2016
Large language model influence on diagnostic reasoning: a randomized … January 25, 2023
Medical large language models are vulnerable to data-poisoning attacks
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psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time-hospitalized
December 01, 2010 - June 28, 2011
Large-scale deployment of the Global Trigger Tool across a large hospital
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psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
March 17, 2015 - July 10, 2017
Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care … May 6, 2015
Outcomes with overlapping surgery at a large academic medical center.
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psnet.ahrq.gov/issue/nurse-interrupted-development-realistic-medication-administration-simulation-undergraduate
September 27, 2016 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … October 30, 2024
Multimethod study of a large-scale programme to improve patient safety
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psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
December 22, 2018 - Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large … Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large … October 4, 2023
Factors associated with neuroradiologic diagnostic errors at a large
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psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
March 15, 2017 - March 15, 2017
Intended and unintended effects of large-scale adverse event disclosure … : a controlled before-after analysis of five large-scale notifications.
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psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
February 15, 2011 - An initiative to improve the management of clinically significant test results in a large … 2017
Using an electronic prescribing system to ensure accurate medication lists in a large
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psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department
November 18, 2016 - 2020
Impact of structured interdisciplinary bedside rounding on patient outcomes at a large … March 10, 2021
Preventable anesthesia-related adverse events at a large tertiary care
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psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience
November 23, 2014 - Related Resources From the Same Author(s)
Characterization of adverse events detected in a large … May 25, 2013
Implementing SBAR across a large multihospital health system.
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psnet.ahrq.gov/issue/disclosing-errors-patients-perspectives-registered-nurses
February 17, 2011 - Citation
Related Resources From the Same Author(s)
The disclosure dilemma—large-scale … Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
November 11, 2015 - March 2, 2011
Large-scale deployment of the Global Trigger Tool across a large hospital
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psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
September 27, 2016 - August 5, 2020
Multimethod study of a large-scale programme to improve patient safety … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
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psnet.ahrq.gov/issue/examining-medical-office-owners-and-clinicians-perceptions-patient-safety-climate
December 21, 2018 - July 20, 2016
Large language model influence on diagnostic reasoning: a randomized clinical … 22, 2018
The relationship between safety culture and voluntary event reporting in a large