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psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
October 19, 2022 - Study
Standardizing hospital discharge planning at the Mayo Clinic.
Citation Text:
Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36.
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psnet.ahrq.gov/issue/observational-study-postoperative-handoff-standardization-failures
March 10, 2021 - Study
An observational study of postoperative handoff standardization failures.
Citation Text:
Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458.
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psnet.ahrq.gov/issue/josie-king-act-2004
May 22, 2009 - January 6, 2016
Patient Safety: Achieving a New Standard of Care. … January 4, 2009
Patient Safety: Achieving a New Standard for Care.
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psnet.ahrq.gov/node/44541/psn-pdf
September 30, 2015 - experienced more adverse
events (as measured by the IHI Global Trigger Tool) than those in units with standard … Rates of adverse
events were similar in units with universal gown and glove precautions and those with standard
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psnet.ahrq.gov/node/42577/psn-pdf
December 31, 2014 - the medication reconciliation process is assembling the best possible medication
history—the gold standard … emergency department (ED) in Quebec, compared the medication history obtained
by ED staff with the gold standard
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psnet.ahrq.gov/node/43745/psn-pdf
December 17, 2014 - preventable harm (e.g., increased mortality rates, longer length of stay, and higher cost) beyond the
standard … found to be present in 16% of inpatient admissions,
much higher than the 1% of admissions in which standard
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psnet.ahrq.gov/node/46959/psn-pdf
August 20, 2018 - This study randomized
internal medicine residency programs to either standard duty hour rules from the … hour programs reported worse well-being and educational satisfaction compared to those
working within standard
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psnet.ahrq.gov/issue/cms-seeks-add-9-hospital-acquired-conditions-no-pay-list
November 10, 2010 - August 16, 2008
No pay for "never event" errors becoming standard. … May 16, 2008
No pay for "never event" errors becoming standard.
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psnet.ahrq.gov/issue/slow-progress-meeting-hospital-safety-standards-learning-leapfrog-groups-efforts
May 13, 2020 - December 9, 2020
Patient Safety: Achieving a New Standard of Care. … November 3, 2021
Patient Safety: Achieving a New Standard for Care.
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Scatter plot of use of teach-back vs patient age
Run Charts A run chart is a standard … In this run chart, the external standard is the National Healthcare Safety Network (NHSN) mean CLABSI … The run chart shows that this hospital’s CLABSI rate has been consistently greater than the external standard … The UCL and LCL are commonly set at 3 standard deviations from the mean. … The dotted red line is the UCL representing 3 standard deviations above the mean.
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psnet.ahrq.gov/issue/professional-conduct-toolkit
January 04, 2009 - Related Resources From the Same Author(s)
Patient Safety: Achieving a New Standard … January 4, 2009
Patient Safety: Achieving a New Standard for Care.
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psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
November 10, 2010 - August 16, 2008
No pay for "never event" errors becoming standard. … December 15, 2021
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard
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psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
February 15, 2023 - Commentary
2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology.
Citation Text:
Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - Error
Evaluation of a case with knowledge of the patient’s outcome (hindsight bias)
Lack of a gold standard … cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14645889
Lack of a Gold Standard
Diagnostic errors … difficult to call when there is no gold standard for diagnosis
Without gold standard, all diagnoses
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psnet.ahrq.gov/node/33573/psn-pdf
March 15, 2025 - Although there is no standard definition of disruptive behavior, most authorities include any behavior … Current Context
The Joint Commission's Leadership Standard went into effect in 2009, including mandates … Adherence to the leadership standard is evaluated as part of Joint
Commission accreditation surveys.
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - Standard Work and Innovation
A critically important principle in lean thinking is standard work. … Standard work captures the current best-known way to do something. … Standard work is a particularly troublesome concept to many health care professionals. … Standard work, some say, stifles creativity and the foundational freedom to think and do differently, … CEO Gary Kaplan, MD, calls standard work "the foundation for innovation."
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Standard Work and Innovation
A critically important principle in lean thinking is standard work. … Standard work captures the current best-known way to do something. … Standard work is a particularly troublesome concept to many health care professionals. … Standard work, some say, stifles creativity and the foundational freedom to think and do differently, … CEO Gary Kaplan, MD, calls standard work "the foundation for innovation."
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - February 17, 2011
Patient Safety: Achieving a New Standard of Care. … January 4, 2009
Patient Safety: Achieving a New Standard for Care.
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psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
December 09, 2020 - February 9, 2022
Patient Safety: Achieving a New Standard for Care. … March 29, 2007
Patient Safety: Achieving a New Standard of Care.
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psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
October 28, 2020 - July 5, 2016
Patient Safety: Achieving a New Standard of Care. … January 4, 2009
Patient Safety: Achieving a New Standard for Care.