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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - That led me to want to study their journey—and that led me to the postdischarge period and readmission … RW : What led you to characterize what happens to patients after they leave the hospital as a syndrome … This led me to think about what might be the mechanism.
Where the idea came from is interesting. … That jet-lag experience led me to think about this toxicity. … But the penalties have led places to make investments in improving the transition, improving safety.
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - That led me to want to study their journey—and that led me to the postdischarge period and readmission … RW : What led you to characterize what happens to patients after they leave the hospital as a syndrome … This led me to think about what might be the mechanism.
Where the idea came from is interesting. … That jet-lag experience led me to think about this toxicity. … Leora Horwitz (now at NYU) led a study that we did together in which we documented that people, soon
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Quality Improvement and Patient Safety at the Agency for Healthcare Research and Quality, where she led … He has led multiple national and international projects focused on characterizing clinical reasoning … Barbara has also led system-wide employee safety efforts at the University of California, resulting in … Most recently, he co-led the creation of the Superior Health Quality Alliance, an eight-organization … Prior to being named Senior Vice President of Field Engagement, Watson led the MHA Keystone Center in
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psnet.ahrq.gov/node/41351/psn-pdf
June 27, 2018 - This article details how miscommunication and lack of patient-centered care contributed to errors that led
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psnet.ahrq.gov/node/35779/psn-pdf
July 20, 2010 - https://psnet.ahrq.gov/issue/our-story
The author tells the story of medical errors that led to the
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psnet.ahrq.gov/node/39132/psn-pdf
December 17, 2009 - https://psnet.ahrq.gov/issue/nurses-transforming-care
This special issue highlights the work of nurse-led
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psnet.ahrq.gov/node/36801/psn-pdf
August 05, 2008 - the inconsistent use of the Department of Defense electronic medical records system
and how this has led
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psnet.ahrq.gov/node/40628/psn-pdf
July 20, 2011 - entire-upmc-transplant-team-missed-hepatitis-alert
This newspaper article reports how a missed test result alert led
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psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
May 25, 2011 - July 29, 2020
A pharmacist-led information technology intervention for medication errors … October 18, 2023
Scaling-up a pharmacist-led information technology intervention (PINCER
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psnet.ahrq.gov/issue/reader-bias-breast-cancer-screening-related-cancer-prevalence-and-artificial-intelligence
February 01, 2013 - Citation
Related Resources From the Same Author(s)
Impact of an intensivist-led … November 4, 2020
The impact of pharmacists-led medicines reconciliation on healthcare
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psnet.ahrq.gov/node/33997/psn-pdf
March 17, 2011 - The center is a collaboration of two organizations that have led
safety/quality initiatives in Maryland
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psnet.ahrq.gov/node/37299/psn-pdf
June 13, 2011 - mother-claims-hospital-error-kept-her-newborn-daughter
This article reports how a failure to perform medication reconciliation during patient transfer led
-
psnet.ahrq.gov/node/34620/psn-pdf
March 17, 2011 - psnet.ahrq.gov/issue/consumers-advancing-patient-safety
Consumers Advancing Patient Safety (CAPS) is a consumer-led
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - That led,
not immediately, but eventually to our National Patient Safety Agency. … What is required to be reported, have reports
led to action, and how is the reporting system organized … to the Institute of Medicine and the An Organisation with a Memory, that it's been professionally
led … from the doctors and nurses and so on, and the whole impetus has been professional and clinically led … didn't
show much change, it was very influential because a great many people were involved in it and it led
-
psnet.ahrq.gov/node/42239/psn-pdf
May 01, 2013 - impossible-workload-doctors-training
This newspaper article examines how duty hour restrictions have not necessarily led
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psnet.ahrq.gov/node/37370/psn-pdf
March 28, 2012 - article examines how effective communication, as taught through assessment tools and team training,
has led
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psnet.ahrq.gov/node/41743/psn-pdf
October 10, 2012 - undiagnosed-breast-cancer-mr-imaging-analysis-causes
This retrospective study explored factors that led
-
psnet.ahrq.gov/node/39441/psn-pdf
May 04, 2010 - listen-carefully-risk-error-spoken-medication-orders
This auditory perception study explored factors that led
-
psnet.ahrq.gov/node/39188/psn-pdf
June 10, 2018 - who lost his
license and is serving a prison sentence for failing to detect a medical error, which led
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - medication management across care transitions; assist with care coordination for transitions Pharmacist-led … A 2012 randomized controlled trial of a pharmacist-led intervention in primary care practices in the … Given the latter factor, further studies that consider the return-on-investment of pharmacist-led safety