-
psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - We launched a newsletter, hired full-time staff, and developed our high-alert drug list. … elsewhere in the hospitals, in the country, elsewhere in the world, and all of a sudden it became this big … So that's obviously been a big help.
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - RW: Given that the initial IOM report catalyzed the patient safety movement and did it with a big visible … We are hopeful that each of the parties involved in diagnosis—and it's a long list of stakeholders that … can facilitate information flow or get in the way of social relationships, and all of those
are very big
-
psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - Spreading across all those entities and having one standard of care is a big challenge. … Lucy Savitz: It depends on how big the organization is and whether the learning health system is the … Savitz: When I think about a lot of the leading areas of patient harm, it would probably be the same
list
-
psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - The big problem is how far you are willing to go financially in
continuing to train people and have … A
professional really needs to work to some kind of list of best practices, but on the other hand, when
-
psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - Another big change is the feedback and assessment that must occur frequently across the entire curriculum … Sarah Mossburg: How would you expect to see someone demonstrating competency in some of these big concepts … Under those big broad domain areas that I listed originally, there are very specific behaviors that a
-
psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - Another big change is the feedback and assessment that must occur frequently across the entire curriculum … Sarah Mossburg: How would you expect to see someone demonstrating competency in some of these big concepts … Under those big broad domain areas that I listed originally, there are very specific behaviors that a
-
psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - We weren't just reacting to some cases that posed big financial risks and other cases that didn't. … That in itself was a big shift from litigation gamesmanship to a more fundamental question that I knew … Obviously the data has supported that notion, but I think for many people that was a big surprise. … He said to me, "I was on faculty here 6 months, at only 6 months I could give you a short list of people
-
psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - We weren't just reacting to some cases that posed big financial risks and other cases that didn't. … That in itself was a big shift from litigation gamesmanship to a more fundamental question that I knew … Obviously the data has supported that notion, but I think for many people that was a big surprise. … He said to me, "I was on faculty here 6 months, at only 6 months I could give you a short list of people
-
psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
January 31, 2020 - The ED doc is incredibly busy, forgets to put it on a work list, or puts it on a work list that doesn … That image finding wasn’t on the problem list. … So I think in the oncology space there is an opportunity to use big data and AI to provide value to the
-
psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - The list of other potential risks from keeping medical care in the family is a long one.(8) Some are … The big lesson simply reinforces what doctors knew
centuries ago: When you love a patient too well you
-
psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - So we did some pilot studies, and then we set out to do a big study to see if we could find adverse drug … The agenda there is big. … , plus the tremendous amount of evidence that's come out since that time, we have an ever-expanding list
-
psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - Robert Wachter, Editor, AHRQ WebM&M : How big a problem are interruptions and distractions in the world … That's your mental to-do list, and when you get interrupted you can lose any item from it. … item they are up to, so that whatever happens to them, they know where their finger was in the task list … this, in which someone was about to do something on rounds and a text message came in saying there's a big … , if x then y , record of what was happening with the patient, and we were beginning to lose the big
-
psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - The list of other potential risks from keeping medical care in the family is a long one.( 8 ) Some are … The big lesson simply reinforces what doctors knew centuries ago: When you love a patient too well you
-
psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - Although pulsatile bright red blood is typically encountered when arterial puncture occurs (hitting "Big
-
psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - dark-side-and-sunny-side-patient-safety
https://psnet.ahrq.gov//#_edn8
https://psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns … for major vascular events, infections, and cancers: toward a national incidence estimate using the
“Big
-
psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Frequently, the pain is out of proportion to the clinical findings.1,2,4 Stevens et al. provide a list … Serious misdiagnosis-related harms in malpractice claims: The "Big
Three" - vascular events, infections
-
psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Frequently, the pain is out of proportion to the clinical findings. 1,2 , 4 Stevens et al. provide a list … Serious misdiagnosis-related harms in malpractice claims: The "Big Three" - vascular events, infections
-
psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - So we did some pilot studies, and then we set out to do a big study to see if we could find adverse drug … The agenda there is big. … , plus the tremendous amount of evidence that's come out since that time, we have an ever-expanding list
-
psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - The decision to create such a triage system for follow-up studies has the virtue of making the list more … manageable even if it has the vice of leaving potentially important things off the list. … They understand that health care is very important and that clinicians have big fiduciary relationships
-
psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - They understand that health care is very important and that clinicians have big fiduciary relationships … The decision to create such a triage system for follow-up studies has the virtue of making the list more … manageable even if it has the vice of leaving potentially important things off the list.