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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - surgical patients with a length of stay of at least 4 days Excludes patients admitted from a long-term
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - Different health
systems can develop them differently, as long as the labels have some standard features
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - Communication of these results has long been known to be a source
of errors and delays in outpatient
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - When we look at the management literature, experts have long written
about the "bad apple" effect. … While I don't like the term, because it implies no hope for improvement, the
term helps us understand
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - AHRQ has had attention on patient safety for a long time, but having the
attention from CMS is great … We're very early in that piece right now, so that's an area in terms of our longer term vision
where
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - over to the PICU resulting in delayed
resolution of DKA, increased PICU length of stay, and potential long-term … The Institute for Safe Medication
Practices (ISMP) has expressed support for autoverification as long … algorithms account for
allergies, interactions, high-alert medications, and patient weight, and as long
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - over to the PICU resulting in delayed resolution of DKA, increased PICU length of stay, and potential long-term … The Institute for Safe Medication Practices (ISMP) has expressed support for autoverification as long … algorithms account for allergies, interactions, high-alert medications, and patient weight, and as long
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - I almost never use the term culture when I'm talking about behaviors, norms, and values in a situation … Culture is a term I don't find particularly useful. … It's not a term I particularly like. … It's clear we've moved a long way over the last 10 years in terms of understanding patient safety.
-
psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - The accepted term for a comprehensive and coherent cognitive
representation of the current clinical … Effective Teamwork in Health Care*
Common goal
Every team member shares and understands the short- and long-term
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - BJ : At Bristol we spent a long time trying to measure morbidity, because quite a number of children … a change in the methodology that stands up clinically and statistically, we're willing to use it as long … substantive change in coding practices, patient case mix, or service configuration over the short to medium term
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Research into patient safety in nursing homes and long-term care settings has increased in the last decade … , 2023
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See More About The Topic
General Hospitals
Long-Term
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - the key government agencies) and the private sector (the
insurance industry, clinicians, hospitals, long-term … Our job was to put out the list of
serious reportable events, to put out endorsed measures, and as long
-
psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - Then a couple of times a year, we go to different parts of the state to do day-long in-person training … February 28, 2011
The long road to patient safety: a status report on patient safety
-
psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - I wrote to my oncologist who gladly accepts emails and,
long story short, it turns out I had misunderstood … DdB: Long ago I took some weekend courses in changing the world one way or the other.
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - hospitals championed improved stroke care to the governing board, it resulted in a highly successful year-long … this was no longer just a set of opinions of a bunch of people who had worked in health care for a long
-
psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - RW : Has this been out long enough for you to have an experience with a system that has taken advantage … , empathy, and deep understanding of how creative people have to be and with fewer resources goes a long
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - this was no longer just a set of opinions of a bunch of people who had worked in health care for a long … hospitals championed improved stroke care to the governing board, it resulted in a highly successful year-long
-
psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - side, what's recently really exciting is the people who are being pulled into health care who have long
-
psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - Long-term retention of central venous catheter
insertion skills after simulation-based mastery learning
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - phase to redesign processes and create system changes that will result in safer patient care over the long … term.