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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - by the time it comes across the right person's desk and the right things are set in motion, weeks to months … We know that it's very difficult to track down what's happened if weeks to months have gone by. … It's sometimes surprisingly difficult to even know whom to talk to, and if you can identify them 6 months … I would say that this is probably true, but the increased engagement won't last. … its severity and/or the likelihood that we're not going to be able to figure out what happened in 3 months
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - by the time it comes across the right person's desk and the right things are set in motion, weeks to months … We know that it's very difficult to track down what's happened if weeks to months have gone by. … It's sometimes surprisingly difficult to even know whom to talk to, and if you can identify them 6 months … I would say that this is probably true, but the increased engagement won't last. … its severity and/or the likelihood that we're not going to be able to figure out what happened in 3 months
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - Eight months later, he was
admitted to the hospital with shaking chills and confusion and found to have … eight clinic visits with multiple physicians,
and had no symptoms until his dramatic presentation many months … In the case above, an RSI went undetected
for 8 months. … Using a data-matrix-coded sponge counting system across a
surgical practice: impact after 18 months.
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - For example, diagnosis of lung cancer cases that should have been made in 3 or 4 months but stretched … something that somebody else might have diagnosed in 2 months. … If you ask physicians if they can remember their last diagnostic error, many will say that they cannot … But in some ways the promise held out over the last 30 years was ultimately that we wouldn't need the … There was a meeting last month hosted by the National Board of Medical Examiners starting to ask how
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - to meet every other week to brainstorm ways to eliminate hazards, review work accomplished since the last … , they agreed that they would adopt a standard practice of how to prep and tend lines, and after 18 months … There are very, very few health care organizations that can close their books in 6 months. … RW : From what you have seen in health care for the last decade or so, are you seeing progress, and how … I haven't looked at it today, but last week the year-to-date lost workday safety rate at Alcoa was 0.07
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - , they agreed that they would adopt a standard practice of how to prep and tend lines, and after 18 months … There are very, very few health care organizations that can close their books in 6 months. … The last time I looked at the US data, if you take all the errors including unreadable orders, incorrect … RW : From what you have seen in health care for the last decade or so, are you seeing progress, and how … I haven't looked at it today, but last week the year-to-date lost workday safety rate at Alcoa was 0.07
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - appropriate
follow-up for a patient with a solitary pulmonary nodule on chest radiograph, it may be several months
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psnet.ahrq.gov/training-catalog
June 01, 2025 - Date Field
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - If I, as CEO, can look them in the eye and say, the board is expecting us to come back in 3 months with … you asked this question, because it's something I think is one of the real important learnings in the last … A few months later, when the medical staff executive committee adopted a policy of full barrier precautions … In the last year or two, we've seen three fairly large studies of boards and how they work and how they … As one highly experienced board member commented a few months ago, high quality, safe care was always
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - As one highly experienced board member commented a few months ago, high quality, safe care was always … If I, as CEO, can look them in the eye and say, the board is expecting us to come back in 3 months with … you asked this question, because it's something I think is one of the real important learnings in the last … A few months later, when the medical staff executive committee adopted a policy of full barrier precautions … In the last year or two, we've seen three fairly large studies of boards and how they work and how they
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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - RW: I noticed your article came out in March of 2000, a couple months after the Institute of Medicine … RW: Tell us about findings from your research on second victims and any other research over the last … unsurprising finding
is that after these things happen, people feel bad for a while, days or even months … This is not a
systems problem, you blew it in some way, and that may be obviously the last thing that
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - They can repeat after you or say the days of the week
or the months of the year backwards. … I only find out
because I ask all my patients, "Did anything happen last night that disturbed your sleep … We try to keep restraints
as a last resort. … It seems to me it's entered the patient safety world over
the last 3 or 4 years. … SI: We were working on coding at last year's American Delirium Society meeting (it's a brand new
organization
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - for 1 month post-hospital, the patients were significantly more likely to stay out of the hospital 6 months … In other words, 5 months after the coach had disengaged with the patient, these patients were still staying … the patient gets home, the coach and patient would arrange for a home visit, and this would typically last … During a period of convalescence that may last days, weeks, or even months, patients must manage new
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - During a period of convalescence that may last days, weeks, or even months, patients must manage new … for 1 month post-hospital, the patients were significantly more likely to stay out of the hospital 6 months … In other words, 5 months after the coach had disengaged with the patient, these patients were still staying … the patient gets home, the coach and patient would arrange for a home visit, and this would typically last
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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - Last reviewed in 2025. … interactions between providers and patients in the ambulatory setting are limited and
occur weeks to months
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psnet.ahrq.gov/primers-0
March 15, 2025 - Date
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - appropriate follow-up for a patient with a solitary pulmonary nodule on chest radiograph, it may be several months
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - RW : I noticed your article came out in March of 2000, a couple months after the Institute of Medicine … RW : Tell us about findings from your research on second victims and any other research over the last … an unsurprising finding is that after these things happen, people feel bad for a while, days or even months … This is not a systems problem, you blew it in some way, and that may be obviously the last thing that
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psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
May 12, 2021 - Professionalism lapses and adverse childhood experiences: reflections from the island of last
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psnet.ahrq.gov/issue/longitudinal-study-impact-simulation-positive-deviance-through-speaking
August 24, 2022 - Study
A longitudinal study on the impact of simulation on positive deviance through speaking up.
Citation Text:
M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006.
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