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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/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/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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Format:
…
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Unintended mechanical overdistension of the atria when blood is re-infused from the
bypass machine back … For this reason, the clinicians in this case were trying to rapidly cardiovert the patient back to
sinus … As soon as electrocautery is no longer needed, the setting on the
pacing box should be changed back … in VF, the team would have had to re-cannulate the right atrium, re-heparinize the patient and go
back … Cardiac OR staff should always be prepared to put their patient back on bypass urgently if VF or
other
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Unintended mechanical overdistension of the atria when blood is re-infused from the
bypass machine back … • For this reason, the clinicians in this case were trying to rapidly cardiovert the
patient back … – As soon as electrocautery is no longer needed, the setting on the pacing box should
be changed back … restored rapidly, the right atrial appendage
should be re-cannulated so the patient can be placed back … in VF, the team would have had to re-cannulate the right
atrium, re-heparinize the patient and go back
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - The medical student remained for the 2-hour scan and helped transport the patient back upstairs. … Med Teach. 2007;29:2-19. https://www.ncbi.nlm.nih.gov/pubmed/17538823
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The Entrustment Decision
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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
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - But if you try to lie about it, it will come back to you. … So, going back to King/Drew Medical Center, one of the things that we
thought was really important was … important for reporters is not just to say when a particularly bad case
happens, but also to take a step back … Garthwaite, who is the former head of the Los Angeles County health system, said was
that you can teach … right thing is, you can make sure that they have the skills, but the
bottom line is you cannot always teach
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Health Policy, Management, and
BehaviorSchool of Public Health, University of Albany, SUNY
References
Back … Table
Back to Top
Incremental Change Leading to Permanent Culture Change: An Example Using the Residents
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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
Back to Top
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/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician
August 04, 2021 - neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - 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 … 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.
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psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - answer all your
questions or for you to share all your observations at that time, someone can come back … RW: As we try to engage patients in new ways and also teach them a new set of skills, is technology … If we can get back to the mindset that we're in a partnership together, we make decisions
together,
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psnet.ahrq.gov/node/33746/psn-pdf
March 01, 2013 - 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/node/49725/psn-pdf
January 01, 2015 - The surgery was proceeding uneventfully when the surgeon requested that
the PA catheter be pulled back … to speed up the transfer process, the attending anesthesiologist refloated the PA catheter himself
back … incorporating the following components: identify–situation–observations–background–agreed plan–read
back
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - As you reflect back over 15 or 20 years of experience, has anything surprised you in terms of content … GM : I often reflect back on the honor and privilege I had to be there at the beginning of the federal … A few years ago for the series, I called him back to do an update on safety culture . … When I think back to my days at AHRQ, we had a fantasy that something like this would begin to happen … If I had to think back on a few major changes that I tried to make in health care organizations that
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - There wasn't any looking back after that—I finally got a K23 grant [a larger 5-year faculty development … HS : Absolutely, and that goes back to the time that I was in practice.
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psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
December 04, 2015 - December 30, 2014
A "back to basics" approach to reduce ED medication errors.
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psnet.ahrq.gov/issue/timing-diagnosis-attention-deficithyperactivity-disorder-and-autism-spectrum-disorder
February 03, 2016 - Study
Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder.
Citation Text:
Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e83…
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psnet.ahrq.gov/issue/instituting-culture-professionalism-establishment-center-professionalism-and-peer-support
March 03, 2011 - Commentary
Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support.
Citation Text:
Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for professionalism and peer support. Jt Comm …