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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
June 01, 2016 - During daily huddles, staff and leaders examine safety events from the past 24 hours and review quality … In the past, we've largely built our patient safety workforce from people who had an interest in care … For example, in the past we used to worry about handwriting errors. … The good news is that for many health care organizations, handwriting errors are now a thing of the past
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - and relevant financial relationships as “financial relationships in any amount occurring within the past … 24 months that create a conflict of interest.
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - For the past seven years, I have served as the executive director
of the agency. … For example, we had an event a few months ago where a patient‘s finger was amputated in a wheelchair. … In the past, the
interdisciplinary approach included managers, frontline staff, and a patient.
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - Could you share with us your thoughts on how patient safety has improved in the past 10 years and how … Much work has been done in the past two decades to improve both quality and safety. … There were indeed many gains made in the past 10 years—improvements in healthcare-acquired infections … CMS has, over the past few years, reduced the overall number of measures. … Reviewing charts is a resource-intensive and cumbersome process typically completed months after care
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Reviewing charts is a resource-intensive and cumbersome process typically completed months after care … Could you share with us your thoughts on how patient safety has improved in the past 10 years and how … Much work has been done in the past two decades to improve both quality and safety. … There were indeed many gains made in the past 10 years—improvements in healthcare-acquired infections … CMS has, over the past few years, reduced the overall number of measures.
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - (Simply scan the list of past interviewees in our "In Conversation With?"
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - Methicillin-resistant Staphylococcus aureus (MRSA) has received a great deal of media attention over the past … few months following the release of a study indicating that, on an annual basis, approximately 94,000
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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - occur soon after the initial injury, especially with retained organic material, or may be delayed by months … or years, especially with inert material.
16
16
General Approach to Wounds (3)
Both the past medical … Past medical history identifies patient-level risk factors that affect wound healing. … secondary intention—the slow granulation, contraction, and re-epithelialization of the wound over weeks to months—is
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - unequivocally supports leadership and teamwork as critical components of effective critical
care.(11) Well past … understandable, as few programs teach communication skills.(12)
Communication research must move well past
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - Over the past decade, post-acute patients represent an increasing
proportion of the overall SNF patient … care hospitals (LTACHs) care for medically complex patients expected to require
care for weeks to months
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - Anchoring appears to have been particularly strong in this case, where the patient presented 6 times over 2 months
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - We're well past the point where people can say Lean does not work in health care. … where they can make a relatively limited but
significant impact fairly quickly, within the first 6 months … That transition might be 6
to 12 months within one department.
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - The Case A 54-year-old man with no significant past medical history presented to a new primary care … that typically begins in the hands and feet) and referred to see a neurologist sometime in the next 3 months
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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 - collaboration between ED and neurology teams.
4
Case Details (1)
• A 58-year-old man with a past … The patient’s past medical history of seizures and his
normal non-contrast cranial CT could be compatible … systematic review and meta-analysis found no difference in mortality or in
functional independence at 3 months
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - and relevant
financial relationships as “financial relationships in any amount occurring within the past … 24 months that
create a conflict of interest." … postoperative cervical hematoma after
thyroid surgery: A single-institution study based on 5156 cases from the past
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psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 - of liver disease associated with intestinal failure have led to improved patient survival over the past … Changes are typically made to the PN components every few weeks to months depending on a patient’s laboratory
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - and relevant financial
relationships as “financial relationships in any amount occurring within the past … 12 months that create a
conflict of interest.
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - visits associated
with excessive alcohol consumption and SI
• Patient had 6 ED visits in prior 3 months … consultation and translation services should be
enlisted to overcome cultural and linguistic barriers
• Past
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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - RW : What do you think of the trend of increased supervision that has developed over the past 20 years … In the past, hundreds of attending physicians who only occasionally took care of inpatients were a very … resident's GYN privileges (he had completed his residency and was intending to take the boards in the next 6 months … February 1, 2012
Perspective
Graduate Medical Education (GME) has changed substantially over the past
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - and relevant financial relationships as “financial relationships in any amount occurring within the past … 12 months that create a conflict of interest.