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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - As you have mentioned, it is often espoused in healthcare systems as a value. … There are some processes in health care that we can map out in linear steps. … The hard work of health care transformation. N Engl J Med . 2016;375(8):709-711. … Zero harm in health care. NEJM Catalyst . 2020;1(2). [Available at] Davis DJ. … Care Providers
Health Care Executives and Administrators
Family Members and Caregivers
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - psnet.ahrq.gov//#references
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/49461/psn-pdf
September 01, 2004 - are likely much smaller.(5,7)
When interviewing patients prior to contrast material injection, many health … care providers, including
radiologists, technologists, nurses, and physicians, continue to ask patients … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - Objectives
At the conclusion of this educational activity, participants should be able to:
• Describe how health … care providers should evaluate acute neurological
deficits of less than 24 hours duration … 2019 Update to the
2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - One is
why haven't those gains really spread throughout the health care community? … But to fundamentally rethink the way they deliver health care—the 1% to
2% financial risk hasn't been … But what I'm thinking about is much more experimentation and research at the sharp end of health care … delivery. … We do obviously have pretty
good measures for health care–associated infections.
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - [Free
full text]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - I remember Ken Kizer announcing these eight things that should never happen in health care and they all … Bringing that thinking to health care and saying wrong-site surgery or foreign bodies being left in a … A lot of things matter in health care, from clinical outcomes to the experience of care that patients … It's really by the state of affairs with health care data and lack of flexibility and usability of health … The To Err Is Human report identified deaths occurring in the American health care system because
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - Building a Safety Program in a Vast Health Care Network
Paul E. … care in the United States has consolidated, large health care systems have proliferated across the country … However, large health care systems also present challenges to the building and maintenance of safety … Beneath the surface of most large health care systems lies a heterogenous set of local entities (often … care system expansion.
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - marginalized groups are sometimes viewed socially, as problems beyond the scope of healthcare systems … They noted that if healthcare systems leverage telehealth as a tool to improve availability of care, … The checklist also enabled identification of areas in the healthcare delivery infrastructure in which … Thomas, DrPH, MPH, MBA
Vice President, Healthcare Delivery Research
MedStar Health
Fredericksburg … J Health Care Poor Underserved . 2010;21(3):879-897. doi:10.1353/hpu.0.0323
Meadows AR, Byfield R,
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - They think there is an opportunity for a recalibration, or restructuring, of UCD’s healthcare delivery … IDHI: I think that in a traditional model, like in the University of Arkansas or other healthcare systems … Fierce Healthcare. … Care Delivery and Pharmacists During the COVID-19 Pandemic
June 29, 2020 … care delivery?
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - care system. … One is why haven't those gains really spread throughout the health care community? … But to fundamentally rethink the way they deliver health care—the 1% to 2% financial risk hasn't been … delivery. … We do obviously have pretty good measures for health care–associated infections.
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … Learning Objectives Describe how health care providers should evaluate acute neurological deficits of … care cost savings.
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - Wachter : What got you interested in the confluence between law and health care?
Ms. … Malpractice law is intended to make health care safer. … care provider, much less on fault by an individual health care provider. … The evidence for tort deterrence in health care has always been thin. … It's the health care system dealing with the patient and the patient's attorney.
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Int J Qual Health Care. 2016;28:640-649. [go to PubMed]
4. … Improving Diagnosis in Health Care. … Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - care system for the mistake.( 17 ) Moreover, physicians and other providers can also be tough on themselves … TG: It's clear that health care workers endorse the concept of disclosure. … care organizations' or health care workers' need to protect themselves from the negative consequences … TG: Health care workers ought to see disclosure as involving at least two phases. … It's important for health care workers to realize that this is a multi-step process.
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - ensure
balance, independence and objectivity in all its CME activities to promote improvements in health … care and
not proprietary interests of a commercial interest. … “as any entity whose primary business is producing,
marketing, selling, reselling, or distributing healthcare … This activity is jointly provided by the Agency
for Healthcare Research and Quality (AHRQ) PSNet. … [Free full text]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … must ensure balance, independence and objectivity in all its CME activities to promote improvements in health … care and not proprietary interests of a commercial interest. … This activity is jointly provided by the Agency for Healthcare Research and Quality (AHRQ) PSNet.
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … must ensure balance, independence and objectivity in all its CME activities to promote improvements in health … care and not proprietary interests of a commercial interest. … ACCME) defines a commercial interest as “any entity producing, marketing, re-selling, or distributing health … care goods or services consumed by, or used on patients” and relevant financial relationships as “financial
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - care costs without improved medical outcomes.(16) Third, targeted
laboratory testing may be indicated … Int J Qual Health Care. 2016;28:640-649. [go to PubMed]
4. … Improving Diagnosis in Health Care. … Committee on Diagnostic Error in Health Care, National Academies
of Science, Engineering, and Medicine … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare