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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - hospitalist) increased authority, responsibility, and accountability for the care of surgical patients.( 1 ) Rather … than simply offering advice to the referring surgeon on a specific question, comanaging physicians have … The chances that a surgical patient would be comanaged grew by more than 11% per year between 2001 and … more common in non-teaching hospitals, where surgical patients are often admitted to the hospitalist rather … than the surgeon.
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - return to the OR for laparotomy, it became apparent that the diversion had involved the transverse colon rather … than the descending colon. … A second confirmatory test consists of instilling air or water (rather than a colonoscope) into the distal … On average, patients have an ileus that is much shorter with the laparoscopic procedure than with open … It is important to note that mechanical obstruction can occur for reasons other than the error described
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - RW: Now when you were talking about what was different in 1999 than 1980, most of your answer
emphasized … envision a day when
these systems actually do begin to replace physicians because they'll be better than … they're much more digitally native
than we are. … Outcomes-based
connections rather than knowledge- and textbook-based connections? … Rather than looking at the prior probability of conditions within the pages of a textbook, it would actually
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - It was around that time
that the term patient safety began to be used in the UK other than in terms … It's had some adverse consequences because there is an
enormous amount of rather disorganized regulation … There's another form of reporting, which is rather different from this voluntary reporting system, the … You spend a
little less than 10%. … This is a rather crude response, and it's very hard still to make an
argument to senior managers and
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Third, enacting culture refers to performing work in ways that embody the desired culture, rather than … The evolutionary model of culture implies that culture change doesn't happen through one big fix, but rather … than personal flaws. … than encouraging it. … than a simply organizational change.
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - the county health care system generally to see if the public hospitals had a lower standard of care than … Rather, it was a problem with the nurses, who ignored the patients and who were pre-charting and post-charting … It may be more than a 1-day story, but at least you won't be accused of not being up-front. … It is a challenge, but there are plenty of people who study this and have more expertise than we do as … One of the final tallies that the county provided indicated that more than 600 of the hospital's 2400
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - "( 28 ) In fact the vision laid out by the e-Patient prime mover, Tom Ferguson, went much deeper than … Yet in many ways it is much less change than we would wish. … More than once I was called into a production manager's office and was schooled about how it is vital … can view the record at home, that will bring the clinical encounter into the greater sphere of life rather … than having it be something that only happens at that place down the road.
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - unlikely that a patient being cared for by residents at Harvard or UCSF at 2:00 AM is in more peril than … Rather, it was a problem with the nurses, who ignored the patients and who were pre-charting and post-charting … It may be more than a 1-day story, but at least you won't be accused of not being up-front. … It is a challenge, but there are plenty of people who study this and have more expertise than we do as … One of the final tallies that the county provided indicated that more than 600 of the hospital's 2400
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - We have very good guidelines about what to do in terms of prevention, yet the rates are still higher than … It is just a more complex problem than hospital-acquired infections. … I would rather see us focus on a smaller number of metrics and report to fewer organizations. … Electronic health record reviews likely have a lower rate of missing data than the paper chart reviews … Three factors enabled the breakthrough that reduced CLABSI rates by more than 80%.
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Electronic health record reviews likely have a lower rate of missing data than the paper chart reviews … The rate of adverse events in outpatient settings was, therefore, lower than researchers found in inpatient … Three factors enabled the breakthrough that reduced CLABSI rates by more than 80%. … It is just a more complex problem than hospital-acquired infections. … I would rather see us focus on a smaller number of metrics and report to fewer organizations.
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - One is that nurses tend to be
viewed as a cost center, rather than a core service line of the hospital … that patients being discharged from hospitals, nursing homes, and rehabilitation units are
sicker than … It cost more than was saved in costs, and given the current reimbursement
https://psnet.ahrq.gov/issue … the New York Times recently about how the physician
work force is changing as they become employees rather … than individual entrepreneurs.
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Cardiac Risk Index instrument, implying a risk for all major complications (not just death) of less than … This is a far more efficient method of
identifying potential safety problems than most other methods … hospitals to investigate publicly reported patient safety
indicators with high false-positives rates, rather … importance
The cases identified involve safety problems that carry a high risk for substantial
morbidity, rather … than relatively unimportant problems (e.g., missed doses of minor
medications).
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
January 01, 2008 - However, after 2 days and a net output of more than 2.7 liters, he continued to be dyspneic, requiring … more supplemental oxygen than baseline. … discussion with colleagues and family members
Appreciate that need for support after an error is normal rather … than a sign of weakness
Disclose error to patient and apologize if appropriate
See Notes for References … Promote open discussion of errors in a manner designed to foster personal and institutional growth rather
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - demonstrated 3.8 billion times in advertisements but has seen one-nostril administration demonstrated less than … elements of your work, when combined together, create a system—one that might be far more error-prone than … In fact, rather than getting in the way, we come to count on it. … I think it would be less intrusive than what we have today. … RW: I think there's a general feeling that health care may be more complex than many other endeavors
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Further, data has demonstrated that patients with an SUD during their pregnancy have worse
outcomes than … mentoring needs.4 Critically, peer recovery
mentors are not traditional community health workers, but rather … In recent years, the program has focused resources on patient care rather than on data collection. … The program has
succeeded in increasing the likelihood that patients will have more than seven prenatal
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather … Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought?
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought? … , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - Rather
acutely, the patient became pulseless, and CPR was initiated as the patient's cardiac rhythm … More than 1 million physicians worldwide have taken an ATLS course. … wounds are lower, and for the rare patient with blunt trauma–induced cardiac rupture,
even lower (less than … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Upon arrival in the emergency
department (ED), his pH was less than 6.8, carbon dioxide 37 mm Hg, oxygen … so, his matrix helped us realize that
seatbelts and airbags are, in aggregate, far more beneficial than … those expressed by end-users (the
proceduralists themselves) in qualitative studies and provide us a rather … the epidemiology, prevention, and amelioration of trauma: the
transition to approaches etiologically rather … than descriptively based. 1968.
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - The nurse informed him that the patient had developed a junctional rhythm with a heart rate less than … been given 100 mg of metoprolol XL and 180 mg of diltiazem CR by the hospital admitting physician, rather … than the 50 mg of metoprolol XL and no diltiazem intended by her outpatient cardiologist. … flag to medication and problem lists indicating that the patient has been seen in clinic more recently than … of clinical information, it is important not to abandon the safety practices used in the past, but rather