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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
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/node/33788/psn-pdf
June 01, 2015 - Is there a back-story around that, and how has that list
evolved to support the field of patient safety … CC: That list has been a very important one. It's now called the Serious Reportable Events list. … RW: I wonder whether Ken Kizer could have predicted in 2002, when he introduced that list, that a few … Or to Medicare
choosing 6 years later to no longer pay for harms on the list. … As someone who
spent many recent years of my career at the ABIM, a big part of what we do is evaluate
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - A critical component of the
communication is an escalation list of who should be called until a responsible … with a clinician with more
urgency because the final value of the 24-hour urine protein was not on a list … often leads to prematurity, and in most cases
demands inpatient management; furthermore, there is a big
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - Is there a back-story around that, and how has that list evolved to support the field of patient safety … CC : That list has been a very important one. It's now called the Serious Reportable Events list. … RW : I wonder whether Ken Kizer could have predicted in 2002, when he introduced that list, that a few … Or to Medicare choosing 6 years later to no longer pay for harms on the list. … As someone who spent many recent years of my career at the ABIM , a big part of what we do is evaluate
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - VA : I have always been a big fan of electronic tools to improve the handoff and basically not duplicating … If you didn't, game over, you would be lower on that person's rank list. … Kaiser involves looking at writing the note with the patient in the room watching the monitor on a big … graduates and others who move into concierge primary care or new models of primary care—I think it's a big
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - Case Objectives
List the goals of having order sets in the electronic health record. … 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 of … 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 it
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - VA: I have always been a big fan of electronic tools to improve the handoff and basically not duplicating … If you didn't, game over, you would be lower on that
person's rank list. … Kaiser involves looking at writing the note with the patient in the room
watching the monitor on a big … graduates and
others who move into concierge primary care or new models of primary care—I think it's a big
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psnet.ahrq.gov/node/33632/psn-pdf
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.
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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - Poor health literacy can
have a big impact on patient safety. … When
we were creating the conceptual model in 2000, we conducted a literature review and made a list … Patient safety is a big numbers game.
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psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - and medication allergy list … Once reconciled, the allergy would be in the patient's allergy list. … , allergy list, or problem list. … convert one concept to another, make sure that it's the right John Smith, or decide if the
request is big … Would it somehow have made it into Hospital Y's
allergy list?
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psnet.ahrq.gov/node/50392/psn-pdf
September 01, 2019 - The beginning of the Never Events list was AHRQ commissioning
a report called Making Health Care Safer … In the safety world, NQF's involvement probably got on the map with the Never
Events list. … they're not as unambiguously neverish as the original list was. … How do you see the evolution of the list over time, and do you see the list growing in both
number and … A big driver of frustration with the whole quality paradigm today is that it's
really hard to get the
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - and medication allergy list … Once reconciled, the allergy would be in the patient's allergy list. … , allergy list, or problem list. … convert one concept to another, make sure that it's the right John Smith, or decide if the request is big … Would it somehow have made it into Hospital Y's allergy list?
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - RD: For me, this is too big a question for one single answer because the pandemic has been hugely
impactful … PS: I think there has been a big impact on mental health, fatigue, and burnout.
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - A critical component of the communication is an escalation list of who should be called until a responsible … with a clinician with more urgency because the final value of the 24-hour urine protein was not on a list … often leads to prematurity, and in most cases demands inpatient management; furthermore, there is a big
-
psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - “iterative hypothesis testing”: periodic re-evaluation of the available information
to refine the list … Serious misdiagnosis-related harms in
malpractice claims: the "Big Three" - vascular events, infections
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - The big breakthrough in
airline safety was made when the field came to understand systems causation … Getting financial compensation comes lower down the list. … In short, the big picture points on
reporting systems are how do we decide what to do at local level
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - The beginning of the Never Events list was AHRQ commissioning a report called Making Health Care Safer … In the safety world, NQF's involvement probably got on the map with the Never Events list. … they're not as unambiguously neverish as the original list was. … How do you see the evolution of the list over time, and do you see the list growing in both number and … A big driver of frustration with the whole quality paradigm today is that it's really hard to get the
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
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 used in … 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/perspective/are-we-safer-today
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 used in … 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/perspective/high-reliability-organization-hro-principles-and-patient-safety
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