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psnet.ahrq.gov/issue/delayed-or-failure-follow-abnormal-breast-cancer-screening-mammograms-primary-care-systematic
December 08, 2021 - WebM&M Cases
Delayed Breast Cancer Diagnosis: A False Sense
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - However, in medicine, there has been this countervailing issue regarding handoffs—the sense that in trying … I think it has to do with a professional sense of when it would be an appropriate time to walk out the … I'm not in a position to formally speak for the hospital, but my sense has been that they are very broadly … My sense is that we ought to start where the problem is apparently the greatest, namely, among doctors
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - However, in medicine, there has been this countervailing issue regarding handoffs—the sense that in trying … I think it has to do with a professional sense of when it would be an appropriate time to walk out the … I'm not in a position to formally speak for the hospital, but my sense has been that they are very broadly … My sense is that we ought to start where the problem is apparently the greatest, namely, among doctors
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - When you're trying to figure out the
diagnosis or you have a sense that this patient would benefit from … is, one of the greatest challenges is assembling the information in a chronological way that
makes sense … My sense is that iPads are not the end all be all, and there
is still a data entry problem with iPads … Obviously the residents love the iPad, but the faculty always sense more of the nuances.
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cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - represent the ‘average’ risk for primary prevention
· The upper limit of LDL-C <=190 in the logic makes sense … individuals with an LDL-C >=190 in the exclusion criteria with familial hypercholesterolemia makes sense
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - evaluate progress
Schedule end-of-day debrief to identify and address issues
Bring food, patience, and sense
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digital.ahrq.gov/sites/default/files/docs/data-visualization-qa-053017.pdf
May 30, 2017 - If it’s a nice monotonic trend, it’s relatively
easy to develop displays that make sense; but in the … I value when I’m given information that enables me to feel a sense of confidence.
5
Additional … about how quickly to
contact a healthcare provider about a result.
6
QUESTION:
It makes sense
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - RW: As you were in the middle of that study, what was your sense of its potential? … LL: Well, what struck me was that what they were talking about made so much sense, and seemed so
obviously … RW: When you were writing it, did you have a sense that this was going to catalyze something important
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
April 01, 2022 - Culture
A strong patient safety culture supports a learning environment and invites diverse input from teams to support wise decisions and system improvements. Use these tools to help your team make lowering infections part of your culture. Examples of common barriers that inhibit developing this culture are i…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - definition: interactional vs transactional: the transition may be a two-way dialogue that leads to “shared sense-making … definition: interactional vs transactional: the transition may be a two-way dialogue that leads to “shared sense-making
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - It doesn't make sense to have doctors retyping pieces of
demographic and medical information. … We also collected and listened to audio recordings to get a sense of
whether critical data elements … RW: Do you have any data or sense of what's happening at the nine places now that the spotlight is off
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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - You can
visually scan these results and get a sense of whether this intervention is approximately equally … forward more quickly if people
started using those measures and reporting on them so that people got a sense … of the
regulatory horse, so that we can make sure when the regulations come out they make the most sense
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - the understanding that they need to know the lives of the
shunters to make sure that the rules make sense … Generally, that gives a sense to the worker
https://psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd … The general sense of the importance of the rules becomes eroded
through having increasing numbers of
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research
January 09, 2024 - Government Resource
Improving Patient Safety Through Simulation Research.
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February 10, 2015
This announcement describes the 19 pro…
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - In this case, does it make sense to assign blame to the physician (or to the other care team members) … It may have made sense to shift the financial risk and the insurance model back in the 1970s, but today … My feeling was that this was just common sense. … judges, and they need to see that we are acting in a principled way, even if it doesn't seem to make sense … That doesn't make any sense.
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - It may have made sense to shift the financial risk and the insurance model back in the 1970s, but today … My feeling was that this was just common sense. … judges, and they need to see that we are acting in a principled way, even if it doesn't seem to make sense … That doesn't make any sense. … In this case, does it make sense to assign blame to the physician (or to the other care team members)
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - They're critically unstable and the handoff is more than just temporary in the sense that the team may … Certainly it's the sense that the incoming person, the receiver, is now going to acknowledge that they … So you really sense that it's a very dynamic process, and things could go wrong at any step. … We need to think about what makes the most sense for that patient at that moment. … So graduated responsibilities and the focus on supervision make sense.
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - Sepsis screening tools are important in improving early sepsis detection, but they can provide a false sense … Clinicians should be aware that false negative results of sepsis screening tools may provide a false sense … undue reliance on test results or "expert" opinion The ED false negative sepsis screen gives false sense
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psnet.ahrq.gov/issue/reducing-risk-delayed-colorectal-cancer-diagnoses-through-ambulatory-safety-net-collaborative
February 28, 2011 - WebM&M Cases
Delayed Breast Cancer Diagnosis: A False Sense
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psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
June 27, 2018 - Integrating incident data from five reporting systems to assess patient safety: making sense