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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - In a number of countries where we worked, reliable water supply was a big issue. … Then the other piece is really one of WHO's strengths, it's a big organization. … So these were big G, big C, Global Challenges. … EK : This is one of the big new driving forces that will really shape how WHO does its work. … But this will be a big theme for WHO in the next decade.
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psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
December 06, 2023 - April 24, 2018
Computerized triggers of big data to detect delays in follow-up of chest
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psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration
May 25, 2016 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big
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psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure
October 04, 2023 - January 24, 2018
The other big drug problem: older people taking too many pills.
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - was constructed allowed us to detect side effects of
medication so that we didn't have a very long list … Is there a smoldering urinary tract infection that's gone undetected that's going to cause a big
episode … I've seen everything from falling stars to falling leaves to big red signs. … Hospital falls is on that list, which implies that they are identifiable and largely preventable. … As a policy strategy, do you think falls should have been on that list?
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psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - We don't have a methodology to avoid alerting clinicians with
the kind of list of possible side effects … The second big bucket is in the implementation. … One is this big bolus
of money got us to buy and install software that wasn't very good and is not very … That area is a big safety issue. I don't call it a national patient identifier. … We are just finishing up a
mini-collaborative on pick list errors, and we're going to be coming forward
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psnet.ahrq.gov/issue/nonpayment-harms-resulting-medical-care-catheter-associated-urinary-tract-infections
December 19, 2017 - February 28, 2011
Improving patient safety in critical care: big challenge, exciting
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - the list goes on and on. … Now the big proviso is that I've had experience in large-scale quality improvement collaborations in … The Partnership for Patients 2.0 statement of work does have a suggested standardized list of measures … What I'm seeing and HHS actually went to this space and used one of the words in my list of seven words … fee-for-service such that we get 30% of payments in alternative payment models by the end of 2016—a big
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - Jim
Collins, a popular business book author, identified some companies with goals that he called Big … Sarah Mossburg: Rather than that overarching Big Hairy Audacious Goal, it's better to have marginal … If you come to me
tomorrow with a week of abdominal pain, the list of possible causes is extremely long … in an
organization's approach to safety, a place where it becomes appropriate for them to set these Big
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - was constructed allowed us to detect side effects of medication so that we didn't have a very long list … Is there a smoldering urinary tract infection that's gone undetected that's going to cause a big episode … I've seen everything from falling stars to falling leaves to big red signs. … Hospital falls is on that list, which implies that they are identifiable and largely preventable. … As a policy strategy, do you think falls should have been on that list?
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - But a
question on everyone's mind that follows from that is the big picture: Are we safer today? … The latter study is the first big study that looked at
patient harm prospectively in outpatient settings … The other big change is that we are now using triggers to find adverse events, which were not
https: … Adverse drug
events are still at the top of the list, both inside and outside the hospital. … They are useful because if you have a dashboard, you can see where you are
having a big problem right
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - and safety culture are too often treated as
things that can be accomplished and then crossed off the list … A big part of the high reliability mindset is the nature of the talk, the openness,
the vulnerability … We need to experiment and try
different types of interventions, which is a big barrier. … So, those are some of the big barriers. … Tim Vogus: I am not going to give big, sweeping pronouncements here because of the limitations we
talked
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - the list goes on and on. … Now the big proviso is that I've had experience in large-scale quality improvement collaborations in … The Partnership for Patients 2.0 statement of work does have a suggested standardized list of measures … What I'm seeing and HHS actually went to this space and used one of
the words in my list of seven words … PM: Exactly, and of course it's a big country out there and there are Geisingers and Kaiser Permanentes
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.17_slideshow.ppt
June 01, 2003 - educational activity, participants should be able to:
Appreciate the variable presentation of appendicitis
List … diagnosing appendicitis
Define anchoring and metacognition and state their impact on missed diagnoses
List … Applying this “big picture” assessment can prevent error.
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psnet.ahrq.gov/node/33760/psn-pdf
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 … , in which someone was about to do something on
rounds and a text message came in saying there's a big … problem-oriented, if x then y, record of what was happening with the patient, and we were
beginning to lose the big
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
Case Objectives
List the goals … List key principles in the optimal design of order sets. … A commonly used example is in aviation, where completion of a preflight
checklist containing a list … When the majority of interventions on a list are always appropriate, there is a tendency on the
part … In those situations in which
such a big picture view of the case is needed, we came to believe that
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - consultant post in a hospital as a surgeon, you almost invariably get the Friday afternoon theater list … The big thing in the news in the UK recently has been around junior doctor contracts. … our most recent paper , on obstetric care, unfortunately happened to come out about a week before a big … RW : You were doing big data before that was fashionable. … today, given the proliferation of electronic health records and the new capacity of computers to crunch big
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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - 3 bestselling books, including Cutting for Stone, which has been on the New York Times bestseller list … attendings that I trained with were quite capable of this stuff, it certainly wasn't high up on their list … AV : Actually one of the big surprises is that I thought I would get a lot of pushback from people saying … She had big neck veins, and one of our worries was did she have a pericardial effusion. … didn't have the sophistication to say she had cardiac tamponade; it took the cardiologists and the big
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - consultant post in a hospital as a surgeon, you almost invariably get the Friday afternoon theater list … The big thing in the news in the UK recently has been around junior doctor contracts. … our most recent paper , on obstetric care, unfortunately happened to come out about a week before a big … RW : You were doing big data before that was fashionable. … today, given the proliferation of electronic health records and the new capacity of computers to crunch big