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41. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. | PSNet
    psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
    September 07, 2021 - Primary care is the starting point for safe, equitable health care.

42. Medicare says it won't cover hospital errors. | PSNet
    psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
    November 28, 2016 - Services (CMS) rule mandating that Medicare will no longer pay for treating certain preventable errors starting

43. Serious Adverse Events Reports. | PSNet
    psnet.ahrq.gov/issue/serious-adverse-events-reports
    November 10, 2011 - Considered a starting point for a national reporting initiative, this series of annual reports provides

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Peter Pronovost and colleagues describe the sequential investments made in human capital starting from

45. User's manual for the IOM's 'Quality Chasm' report. | PSNet
    psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report
    August 04, 2021 - The framework is presented in an executive summary fashion, starting with broad areas of interest (experience

46. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
    May 01, 2010 - * Case: Fatal Error in Neonate (3) Within 4 hours of starting the lipid emulsion through the TPN … * * A Just Culture Response Ask the nurse what should be done One of best starting points for

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42628/psn-pdf
    January 07, 2015 - for outpatient medication reconciliation and secure messaging to identify adverse drug events after starting

48. In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
    February 26, 2025 - The result is that we are starting to pay for improved quality and safety as opposed to volume, which … Best practices around how to implement are starting to come out but are still quite rudimentary. … TG : We've made progress in patient and family engagement over the last decade in terms of starting to … I think we're just starting to get experience with this. … TG : This is an area that we're just starting to explore.

49. In a culture of disrespect, patients lose out. | PSNet
    psnet.ahrq.gov/issue/culture-disrespect-patients-lose-out
    January 20, 2021 - But the media is starting to.

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50611/psn-pdf
    October 30, 2019 - regimens; yet, our state-of-the-art commercial system still had trouble handling this rivaroxaban starting … A cancer inpatient undergoing abdominal surgery is at high risk, and guidelines suggest starting prophylaxis … for such patients.(20) Rather than just thinking about "starting packs," we should also consider "starting

51. High nursing staff turnover in nursing homes offers important quality information. | PSNet
    psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
    September 16, 2020 - Starting in July 2016, the Centers for Medicare & Medicaid Services (CMS) began collecting daily staffing

52. Medication errors during treatment with new oral anticancer agents: consequences for clinical practice based on the AMBORA Study. | PSNet
    psnet.ahrq.gov/issue/medication-errors-during-treatment-new-oral-anticancer-agents-consequences-clinical-practice
    April 21, 2021 - Building on prior research , this study found that medication errors are common in patients starting

53. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). | PSNet
    psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
    October 02, 2019 - Starting in 2015, the Centers for Medicare & Medicaid Services has required hospitals to report adherence

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33764/psn-pdf
    April 01, 2014 - The result is that we are starting to pay for improved quality and safety as opposed to volume, which … Best practices around how to implement are starting to come out but are still quite rudimentary. … TG: We've made progress in patient and family engagement over the last decade in terms of starting to … I think we're just starting to get experience with this. … TG: This is an area that we're just starting to explore.

55. In Conversation with…Vineet Arora, MD, MA | PSNet
    psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
    March 01, 2011 - Several people are starting to apply communication theory to handoffs, realizing that doctors and nurses … We're starting to see studies examining how education can improve handoffs. … VA: In the handoff community, we're starting to standardize the way we talk about these things; we use … We're starting to understand that we need to risk-stratify handoffs and that not all handoffs are the … VA: We're starting to move into that realm.

56. Finding a way to ask doctors tough questions. | PSNet
    psnet.ahrq.gov/issue/finding-way-ask-doctors-tough-questions
    August 17, 2016 - But the media is starting to.

57. The impact of medication reconciliation and review in patients using oral chemotherapy. | PSNet
    psnet.ahrq.gov/issue/impact-medication-reconciliation-and-review-patients-using-oral-chemotherapy
    November 17, 2021 - In this study, a hospital pharmacist identified medication discrepancies in nearly 75% of patients starting

58. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet
    psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
    November 05, 2014 - physicians about the UK equivalent of the " July effect "—a tradition of nearly 50,000 new doctors starting

59. Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet
    psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications
    November 19, 2018 - About a quarter of patients were appropriately screened for all three infections before starting these

60. Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests? | PSNet
    psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction
    March 27, 2024 - But the media is starting to.