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psnet.ahrq.gov/node/837200/psn-pdf
May 25, 2022 - readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
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psnet.ahrq.gov/node/73282/psn-pdf
January 01, 2022 - system-level and patient-level interventions as well as physician mentors providing
remote coaching and in-person
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psnet.ahrq.gov/node/40520/psn-pdf
June 08, 2011 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - incorporation of the Joint Commission's "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person … A "time-out" should be conducted to confirm the above using the two-person rule. … procedure to verify patient, tooth, and procedure with the assistant at the time of extraction (two-person … January 17, 2019
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - Airbag inflation sufficient for an unbelted person or a large person may seriously
injure a person wearing … a seatbelt, a child, or a smaller person. … Or do we need an extra person sitting at the table who does this for a living to raise these
concerns
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - Now part of the selection is, "How
would I feel after a day of flying with this person in a confined … Whoever the leader is, that person can really create a team climate that's conducive to everyone
communicating … Then this person who sneezed said, "Okay, yeah,
you're right, I need to go wash my hands," and did it … It was just a simple thing of including the person on the team. … And that
person truly is part of the team but was never recognized that way before.
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Download Citation
Redefining Maternal Safety
Maternal safety refers to the safety of a person … However, when assessing maternal safety, it is also essential to also take a whole-person view. … Example of Whole-Person Maternal-Infant Care—Reengineering Postnatal Unit Care and the Transition to … Home
This integrated approach to whole-person maternal care is underway in work led by Drs. … AS: I think one of the key pieces is how critical it is to have a support person, but not everybody
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psnet.ahrq.gov/node/46280/psn-pdf
December 03, 2018 - lost-mothers-maternal-care-and-preventable-deaths
https://psnet.ahrq.gov/issue/preventing-maternal-death
https://psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
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psnet.ahrq.gov/node/37343/psn-pdf
December 02, 2008 - surgical-confusions-ophthalmology
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/859300/psn-pdf
January 01, 2024 - safety-i-safety-ii-white-paper
https://psnet.ahrq.gov/issue/completion-recommended-tests-and-referrals-telehealth-vs-person-visits
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - KH : When you talk about authentic person and family engagement, can you describe that for some of our … The phrase person and family engagement gained momentum as CMS began to use it in their engagement work … In our opinion, a person- and family-centered healthcare model is a noun. … If we think about patient family engagement as an active patient safety strategy, as an engaged person … As patients and families and as advisors, we’re all working to make things better for the next person
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psnet.ahrq.gov/node/39222/psn-pdf
January 13, 2010 - surgical-site-signing-and-time-out-issues-compliance-or-complacence
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/40909/psn-pdf
November 09, 2011 - handing-over-patient-care-it-just-old-broken-telephone-game
General surgery residents strongly preferred signing out patients in person
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psnet.ahrq.gov/node/38822/psn-pdf
July 29, 2009 - 5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/41929/psn-pdf
January 09, 2013 - quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/41439/psn-pdf
May 30, 2012 - psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
This study found that if the first person
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - It’s that extra person there providing education and rounding with
physicians. … If you’ve seen the research about nurses getting
interrupted every five minutes, this person is not … up the virtual nurse to ask them questions, and to
be able to talk, and be in partnership with that person … They had a question, and she was the person they identified with. … There could be these warm handoffs, handoffs from person to person.
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - They become the first person
that someone calls when they have an issue. … the other people who have other
disabilities may just need that community health worker to be that person … that telephone care continues to be
made available to individuals who have barriers to attending in-person … You need that person out in
the community doing that education, doing the home screening, reinforcing … In my
work in community clinic settings, we always had a behavioral health person integrated into the
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psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
October 23, 2019 - This first-person account shares the experience of a gynecologic oncology fellow whose mistake harmed
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - This first-person account shares the story of a mother’s loss of a daughter to sepsis .