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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - understanding that a hospitalized Asian woman would only communicate when a male family member was present, led
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - In December 2004, he announced an IHI-led "Campaign to Save 100,000 Lives"—promoting the implementation
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Approach to Improving Safety (3)
• Multiple diagnostic errors resulted in a delay in diagnosis, which
led
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - That led to my interest in an even more challenging conversation, which is how doctors and patients talk
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - 26, 2023
Patient Safety Innovations
Pharmacist-led
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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - similarities and quick solutions, coupled with the widespread pressure on health care to improve safety, have led
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - team-based approach, combined with a formal alarm management committee structure and broad-based education, led
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psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - Impact of a community pharmacist-led medication review on medicines use in patients on polypharmacy--
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - in general, and electronic health records (EHRs) in particular, the widespread adoption of EHRs has led
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - That led to my interest in an even more challenging conversation, which is how doctors and patients talk
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - including engaging leadership and overhauling the system’s approach to patient safety. 2 Efforts were led
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - : In our 2012 program, we monitored patients for two to three years and we noticed that
monitoring led
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - A goals-of-care discussion was led by the palliative care service; the patient and his designated decision-makers
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - Haste Makes Care Unsafe
Citation Text:
Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - Regulatory guidelines on PPE, testing, and visitation, for
example, while necessary and important, led … included 25 LTC
experts, consumer advocates, academics, state authorities, and residents, and was led
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - In both cases, errors led to the wrong concentration of IV heparin being administered, resulting in 1000
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - Impact of a community pharmacist-led medication review on medicines use in patients on polypharmacy--
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - RW : You led a now famous study that demonstrated no change in at least one way of measuring patient
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - team-based approach, combined with a formal alarm management committee structure and broad-based education, led
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - And that often doesn't happen, or it happens in a flurry of white coats being led around without getting