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Total Results: 580 records

Showing results for "last months".

421. In Conversation With… Karl Bilimoria, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
     December 01, 2017 - How has life changed over the last 10 or 15 years in terms of systems thinking, and how do you and surgeons … Forgive and Remember: Managing Medical Failure. ( 2 ) The book, which became a classic, was based on 18 months

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49820/psn-pdf
     February 01, 2018 - Second, during the last 2 to 3 days of a patient's admission, staff should verify the accuracy of written

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49607/psn-pdf
     August 01, 2010 - Missed Patient Assignment: Is Anyone There? August 1, 2010 Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there The Case In one hospital, nurses' patient assignments were communicated by listing the…

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60267/psn-pdf
     March 01, 2021 - Hospital Admissions and Falls and Improving Resident Health Originally published on June 12, 2020 Last

425. The Evolution of Patient Safety in Surgery | PSNet
     psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
     August 01, 2017 - Forgive and Remember: Managing Medical Failure. ( 2 ) The book, which became a classic, was based on 18 months … How has life changed over the last 10 or 15 years in terms of systems thinking, and how do you and surgeons

426. An Inadvertent Bolus of Norepinephrine. | PSNet
     psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
     December 04, 2016 - relevant financial relationships as “financial relationships in any amount occurring within the past 12 months … fibrillation, an ascending aortic aneurysm, and a bicuspid aortic valve, presented to clinic with several months

427. The Forgotten Turn | PSNet
     psnet.ahrq.gov/web-mm/forgotten-turn
     August 01, 2018 - At our last random audit, we found no pressure ulcers in 32 hip fracture patients cared for during a

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     August 28, 2024 - patient suffering a surgical site infection after coronary artery bypass grafting, and then in two months … And last, I encourage leaders to be open to their learning and tap into other organizations doing Safety-II

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60363/psn-pdf
     March 01, 2021 - Readmissions for Medicare Patients With Complex Postdischarge Needs Originally published on June 12, 2020 Last … Findings are sustained for at least six months following working with a Transitions Coach.

430. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
     psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
     September 24, 2024 - knowledge of this evidence-based process bundle, units and organizations began tracking “days since last … And when that CEO left, those organizations lost those gains in a matter of months when the new CEO didn … So, you have intensive care units that go months or years without any ventilator-associated pneumonias

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33690/psn-pdf
     December 01, 2009 - Robert Wachter, Editor, AHRQ WebM&M: Take us through the key findings in your research over the last … Furthermore, follow-up will occur in a defined number of months."

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865411/psn-pdf
     March 27, 2024 - relevant financial relationships as “financial relationships in any amount occurring within the past 24 months

433. Making Just Culture a Reality: One Organization's Approach | PSNet
     psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
     October 01, 2007 - After a career focused on safety assessment and improvement in aviation, he has spent the last decade … If a patient has been harmed, we're looking for the person last to touch the patient.

434. In Conversation with…William B. Weeks, MD, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
     May 01, 2009 - RW: In the last decade, what changes have you seen that try to create a business case to improve patient … Over the last 10 years, I've seen a greater awareness that there might be a financial argument. … We reliably view information in a context (what was the creatinine last time?).

435. Patient Safety: A Perspective from Office Practice | PSNet
     psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
     May 01, 2009 - We reliably view information in a context (what was the creatinine last time?). … RW: In the last decade, what changes have you seen that try to create a business case to improve patient … Over the last 10 years, I've seen a greater awareness that there might be a financial argument.

436. Safety Culture in EMS | PSNet
     psnet.ahrq.gov/perspective/safety-culture-ems
     May 26, 2021 - He has served as a paramedic for over 20 years, and in his last operational role he was the Chief of … work in a lot of different EMS [emergency medical services] systems throughout my career, but in my last … Leadership may be assessing challenges in their processes every year to 18 months, but a lot of the time

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837324/psn-pdf
     July 08, 2022 - Data Center: datacenter@cmqcc.org Date First Implemented 2006-01-01 Problem Addressed   In the last

438. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
     November 25, 2020 - Standardization of Practice to Improve Outcomes by avoiding unnecessary variation in approach. 15 The last

439. New Insights on Safety and Health IT | PSNet
     psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
     August 01, 2015 - Perspective Despite the widespread adoption of electronic health records (EHRs) over the last … 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

440. In Conversation With… Matthew Weinger, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
     August 01, 2018 - The primary role for simulation for the last 20 years has been in training. … And that happens once every 18 months. Do they do too much? … RW : Looking back over the last 10 to 20 years of research, how would you summarize what the research … competence, one could see ongoing assessment of practitioners along the lines of a paper we published last