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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - May 2, 2018
Despite technology, verbal orders persist, read back is not widespread, and
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - Dean for Graduate and Continuing
EducationUniversity of California, San Francisco
References
Back
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - When I teach torts to my students at the university here, I'm teaching many of the same concepts that … I might teach in the US to tort students at, say, Stanford Law School, whereas in New Zealand it's quite … RW : Stepping back from the medical malpractice world, were there analogies in other fields driven by … The clinician wanted to redirect the conversation back to what he felt was clinically important, i.e. … He appreciated her going to his house and spending time and that they had a lot of conversation back
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psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
June 27, 2018 - June 16, 2019
Despite technology, verbal orders persist, read back is not widespread,
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - For example, they might have multiple lectures on low back pain across the 4 years. … We're integrating the way we teach anatomy into much more around an organ system approach. … but by returning to the content in important ways—for example, UCSF does a brilliant job of coming back … That really brings value back to the health care system. … We have people coming back from other health care jobs.
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - be done under general anesthesia in the operating room (OR) in hopes that anesthesia would relax the back … experts but generally not used by residents included limiting interruptions during the handoff, reading back … As cases like this one teach us, to do less no longer makes sense. … Using simulation to teach and study healthcare handoffs. Simul Healthc. 2010;5:191-192. … treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back
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psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - Commentary
The inevitability of physician burnout: implications for interventions.
Citation Text:
Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002.
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DOI Google Scho…
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - In addition, the physician did not provide symptom-based parameters for a call back—ie, what the patient … It is not surprising that such errors occur; only 6% of residency programs teach telephone medicine.( … Always provide specific symptom-based parameters for a call back and always offer an office visit. … Calling the patient back in a few hours can be reassuring for both patient and physician. … Improving patient safety by repeating (read-back) telephone reports of critical information.
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psnet.ahrq.gov/issue/some-cancer-experts-see-overdiagnosis-question-emphasis-early-detection
June 19, 2019 - 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back
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psnet.ahrq.gov/issue/waiting-urgent-procedures-weekend-among-emergently-hospitalized-patients
September 04, 2019 - December 23, 2008
Improving patient safety by repeating (read-back) telephone reports
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - our major concerns was that sites would close the operating room, train the clinicians, and then go back … There must be a proper space for training and the right support so that the trainers can teach and the … Now, it's a little different; but back then there was a lot more resistance, a lot more pushback, a lot … What do we know about that and how do you teach people to think differently? … At the same time, in order for individuals to monitor their own thinking and behavior, we teach them
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - Now, it's a little different; but back then there was a lot more resistance, a lot more pushback, a lot … What do we know about that and how do you teach people to think differently? … At the same time, in order for individuals to monitor their own thinking and behavior, we teach them … Now all of this happens in seconds in their head, but the ability to be able for a moment to step back … There must be a proper space for training and the right support so that the trainers can teach and the
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psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults
April 05, 2013 - Study
Health literacy and medication understanding among hospitalized adults.
Citation Text:
Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925.
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - For example, they might have multiple lectures on low back pain across the 4 years. … We're integrating the way we teach anatomy into much more around an organ system approach. … but by returning to the content in important ways—for example, UCSF does a brilliant job of coming back … That really brings value back to the health care system. … We have people coming back from other health care jobs.
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - Looking
back at the big, mediagenic errors over the past 25 years (Table), a striking pattern emerges … of Medicine University of
California, San Francisco Editor, AHRQ WebM&M and AHRQ PSNet
References
Back … Table
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Table.
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psnet.ahrq.gov/periodic-issue/periodic-issue-400
July 31, 2023 - clinician burnout and patient safety are not new, the COVID-19 pandemic brought this safety concern back … clinician burnout and patient safety are not new, the COVID-19 pandemic brought this safety concern back … weight loss, constipation for several days, subjective fevers at home, and mild pain in the chest, back
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - feedback.( 2 ) While these assertions have prima facie credibility, it seems reasonable to take a step back … Med Teach. 2013;35:e844-e875. [go to PubMed]
6. Cook DA, Hatala R, Brydges R, et al. … If you teach them, they will learn: why medical education needs comparative effectiveness research. … Some people push back and say, "The evidence is not strong enough and doing it is too expensive," despite … would probably be no reason for doing it with relatively experienced people and we'd just let them go back
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Policy, Management, and BehaviorSchool of Public Health, University of Albany, SUNY
References
Back … Table
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Incremental Change Leading to Permanent Culture Change: An Example Using the Residents … RW: How do you relate this back to a policy level?
BS: Keep it evidence based, period.
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psnet.ahrq.gov/issue/critical-incident-technique
January 07, 2015 - describes the development of the "critical incident technique," the history of its evolution dating back