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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - In contrast, in our just culture model, if a person is reckless, whether they caused harm or not, the … If a patient has been harmed, we're looking for the person last to touch the patient. … We're going to go after that person. … If a person caused no harm, there may be a tendency to turn a blind eye. … If a person makes an error , he/she knew the right thing to do, intended to do the right thing, and
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psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
August 05, 2020 - This mishap demonstrates the need to use multiple means of identification to avoid "wrong-person" errors
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - RW: My last question is: Can you envision a world in which the technology is so good that this person-to … -
person stuff can go away? … AS: I don't think you can ever replace the person-to-person piece. … However, two-way person-to-person
communication goes back to that final S of I-PASS, synthesis by receiver
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psnet.ahrq.gov/node/33666/psn-pdf
October 01, 2008 - While invasive MRSA infections occur more commonly in the hospital, 15% occurred
in persons without … reservoir for MRSA in health care facilities, and the predominant method of transmission occurs
from person … to person via the hands of health care personnel. … 13 times more likely to develop
a more resistant strain of CA-MRSA.(14) Since CA-MRSA is spread by person-to-person
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psnet.ahrq.gov/node/39546/psn-pdf
May 26, 2010 - 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/node/40486/psn-pdf
June 01, 2011 - process-changes-increase-compliance-universal-protocol-bedside-procedures
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/38892/psn-pdf
August 26, 2009 - incidence-patterns-and-prevention-wrong-site-surgery
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/40474/psn-pdf
July 02, 2011 - survey-use-time-out-protocols-emergency-medicine
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/74853/psn-pdf
February 24, 2022 - debriefing-clinical-learning
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - A wingman is often a frontline staff person trusted by their colleagues. … Staff and frontline providers will confide in this person who will then serve as a spokesperson and advocate … patient safety team went to their local sites to disseminate the educational materials and provide in-person … A wingman is often a frontline staff person trusted by their colleagues. … Staff and frontline providers will confide in this person who will then serve as a spokesperson and advocate
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Staff to measure and report results: at least one person with data related skills who can use the EHR … patients up to one year after discharge. 12 Among these patients, the suicide rate was 325.4 per 100,000 person … population as reported by the Centers for Disease Control and Prevention (CDC), which was 14.1 per 100,000 person … Staff to measure and report results: at least one person with data related skills who can use the EHR … It includes details like what to do first and includes the ways that every person involved in the innovation
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psnet.ahrq.gov/node/44243/psn-pdf
November 09, 2015 - concept-analysis-wrong-site-surgery
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/35961/psn-pdf
May 24, 2006 - This mishap demonstrates the need to use multiple means
of identification to avoid "wrong-person" errors
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psnet.ahrq.gov/node/37189/psn-pdf
April 14, 2011 - framework for measurement of time spent on patient safety–related activities,
expressed in terms of person-hours
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
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 … 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 … Not Telehealth: Which primary care visits need in-person care?
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psnet.ahrq.gov/node/47275/psn-pdf
November 19, 2018 - safety-stop-valuable-addition-pediatric-universal-protocol
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/46736/psn-pdf
December 17, 2018 - enhanced-time-out-improved-communication-process
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/39769/psn-pdf
August 18, 2010 - determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
May 01, 2023 - tagged PubMedId RIS
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MHA Person
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psnet.ahrq.gov/node/860720/psn-pdf
January 17, 2024 - urgent-referrals-primary-care-dermatology-lesions-suspicious-skin-cancer-patterns-outcomes
https://psnet.ahrq.gov/issue/completion-recommended-tests-and-referrals-telehealth-vs-person-visits