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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33783/psn-pdf
    April 01, 2015 - They spent 5 months training people, having joint calls, doing data collection, and so forth before … They've learned over the last 10 years how to get this to happen. … That seemed to dominate many safety conversations for the last 5 or 6 years.
  2. psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 23, 2024 - Rescue Improvement Conference Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 23, 2024 View more articles from the same authors. Innovation Contact …
  3. psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
    December 14, 2022 - The last goal of the CMS National Quality Strategy is alignment. … Last year, we introduced two new electronic clinical quality measures (eCQMs) for glycemic control. … Sarah Mossburg: Thinking back over the last 10 years, how do you think the measurement landscape has … I think we have not changed as much as we could have or perhaps should have in the last 10 years, but … Reviewing charts is a resource-intensive and cumbersome process typically completed months after care
  4. psnet.ahrq.gov/perspective/measuring-patient-safety
    December 14, 2022 - Reviewing charts is a resource-intensive and cumbersome process typically completed months after care … The last goal of the CMS National Quality Strategy is alignment. … Last year, we introduced two new electronic clinical quality measures (eCQMs) for glycemic control. … Sarah Mossburg: Thinking back over the last 10 years, how do you think the measurement landscape has … I think we have not changed as much as we could have or perhaps should have in the last 10 years, but
  5. psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
    June 01, 2018 - RW : One error that we saw here a few months ago was after an emergency department ultrasound of the … It is really interesting, because we have been talking for the last decade or so about point-of-care … Fortunately, the pace has accelerated rapidly in the last few years. … the formation of the Yale Point-of-care Ultrasound Council: a multispecialty group that meets every 2 months
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49463/psn-pdf
    October 14, 2004 - challenge hospitals, evidenced by JCAHO making improved identification a patient safety standard in the last
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33876/psn-pdf
    August 01, 2018 - United States has consolidated, large health care systems have proliferated across the country in the last
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33659/psn-pdf
    October 01, 2007 - Making Just Culture a Reality: One Organization's Approach October 1, 2007 Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach Perspective We've all been there...something goes wrong,…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33684/psn-pdf
    May 01, 2009 - We reliably view information in a context (what was the creatinine last time?).
  10. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
    March 01, 2011 - mL/hr for first 10kg 2 mL/kg/hr x 10 kg = 20 mL/hr for second 10kg 1 mL/kg/hr x 5 kg = 5 mL/hr for last
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33724/psn-pdf
    February 01, 2012 - GYN privileges (he had completed his residency and was intending to take the boards in the next 6 months … , "Not a single resident has done surgery independently as the first surgeon in my program for the last
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33662/psn-pdf
    January 01, 2008 - improvement, we saw the overall rate of those health care–associated infections drop by 50% within 18 months … Some hospitals had moved to such a low rate that they were actually measuring days since last infection
  13. psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - We made a small mistake in your care, but don't worry, you'll be fine in 6 months," is likely to have … RW: What has the research told us over the last 5 years about how patients react to disclosure, and … Those last two matter a lot to patients because they want to sense that a lesson has been learned from … The National Quality Forum issued a Safe Practice about disclosure last year.
  14. psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
    January 01, 2009 - RW: What has the research told us over the last 5 years about how patients react to disclosure, and … Those last two matter a lot to patients because they want to sense that a lesson has been learned from … The National Quality Forum issued a Safe Practice about disclosure last year. … We made a small mistake in your care, but don't worry, you'll be fine in 6 months," is likely to have
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33723/psn-pdf
    December 01, 2011 - on falls in the hospital setting is probably immaterial; at best they should be seen as an absolute last … English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33861/psn-pdf
    July 01, 2018 - RW: What have we learned in the last 5 or 10 years about trying to measure diagnostic errors? … We've just reviewed all the primary care malpractice cases for the last several years for the two big … I immediately ordered a CT scan, but 6 months later when I saw her in the clinic and I asked, whatever
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33859/psn-pdf
    June 01, 2018 - RW: One error that we saw here a few months ago was after an emergency department ultrasound of the … It is really interesting, because we have been talking for the last decade or so about point-of-care … Fortunately, the pace has accelerated rapidly in the last few years.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33789/psn-pdf
    August 01, 2015 - Particularly over the last 20 or 30 years—I liken it to a Christmas tree on which we're hanging so many … If you were a quality department, you could pull the chart 3 months later and see what the doctor wrote … Silicon Valley has figured out in the last year or two that health care is the only part of the economy
  19. psnet.ahrq.gov/perspective/patient-safety-home-dialysis
    April 28, 2021 - There's a lot of technology that has facilitated some of these safeguards over the last few years with
  20. psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
    September 28, 2022 - Over the last 25 years since the IOM report “Crossing the Quality Chasm,” patient safety has been a … been times when somebody had an abnormal blood test that didn’t get reported back to the patient for months … Jones in the last week and maybe there’s an outbreak of something. … Page last reviewed November 2018. Accessed August 10, 2022. … Page last reviewed September 27, 2019. Accessed March 10, 2022.

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