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psnet.ahrq.gov/issue/detectability-medication-errors-stoppstart-based-medication-review-older-people-prior
August 18, 2021 - Study
Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission.
Citation Text:
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-ba…
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psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
March 15, 2022 - Newspaper/Magazine Article
Medication orders with future start dates: how far away is too far?
Citation Text:
Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
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Sa…
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - They started tackling some really tough problems: patient falls, surgical site infections, central line … Over the course of the next several months, they started tackling this problem, these constant breakdowns … Soon after the start of the joint venture, that plant started winning awards from JD Power, and it continues
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - They started tackling some really tough problems: patient falls, surgical site infections, central line … Over the course of the next several months, they started tackling this problem, these constant breakdowns … Soon after the start of the joint venture, that plant started winning awards from JD Power, and it continues
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Getting Started with This Innovation
Getting Started with This Innovation
Refine and expand program
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - The Program started with a fairly limited set of measures that are now called Inpatient Quality Indicators … Users started telling us that the code being used in the construction of this indicator was being applied
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Treatment after Discharge (1)
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After a urine culture was obtained in the ED, the patient was started
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psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
March 02, 2022 - Study
Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.
Citation Text:
Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - validated their results in a clinical setting. 4 Regulatory bodies and healthcare payment systems have started … Additionally, some healthcare payers, including CMS, have started covering specific AI-assisted diagnostic … patient safety, which the National Artificial Intelligence Initiative 16 and the WHO 17 have already started … The clinician might already be moving the patient to the ICU and may have started antibiotics.
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - The clinician might already be moving the patient to the ICU and may have started antibiotics. … validated their results in a clinical setting. 4 Regulatory bodies and healthcare payment systems have started … Additionally, some healthcare payers, including CMS, have started covering specific AI-assisted diagnostic … patient safety, which the National Artificial Intelligence Initiative 16 and the WHO 17 have already started
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - When I started at Sinai Health System 6 years ago, I focused on high-alert medications: anticoagulants … Looking at the evolution of patient safety science over the last 20–25 years, we have really started … Schools of public health have started to put in the curriculum.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - PP: When we started this work, the safety and delivery of care were often not viewed as science. … Eliot said, "And the end of all our exploring will be to arrive where we started and know the place for … We think the CUSP tool really helps—once people get started, they really run with it.
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - PP: When we started this work, the safety and delivery of care were often not viewed as science. … Eliot said, "And the end of all our exploring will be to arrive where we started and know the place for … We think the CUSP tool really helps—once people get started, they really run with it.
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - Getting Started with This Innovation
The innovators found that a deployment plan was necessary when … getting started with this innovation.
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psnet.ahrq.gov/node/841772/psn-pdf
December 21, 2022 - Detectability of medication errors with a STOPP/START-
based medication review in older people prior to a
potentially preventable drug-related hospital admission.
December 21, 2022
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-
based medication review in old…
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - It's a philosophy that many of us who have been doing handoff
research started to think about.
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psnet.ahrq.gov/node/47342/psn-pdf
August 22, 2018 - The doctor doesn't listen to her. But the media is starting
to.
August 22, 2018
Fetters A. The Atlantic. August 10, 2018.
https://psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
Women face implicit bias that can affect the safety and effectiveness of their care. Reviewing several high-
profile accoun…
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psnet.ahrq.gov/node/46882/psn-pdf
May 23, 2018 - How health care changes when algorithms start making
diagnoses.
May 23, 2018
Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018.
https://psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses
Use of artificial intelligence and computer algorithms as tools to improve diagnosis have both r…
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - systems issues and need systems-level approaches,
and so trigger tools are a really good way to get started … Thinking back to
when you started, and all the way through your career now, is there anything that you
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - don't think that people who were tweaking and improving processes in health care had any idea that what started