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181. In Conversation With… Lawrence Smith, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
     February 01, 2012 - RW : In getting that right, is that a matter of training our faculty to pull back and to ask those questions … I find it's the fellows who begin to push back if they don't get given the cases. … We have to take a step back and say, "How do we not thwart all the advances we've made in patient safety … recognized and addressed.( 15 ) Rather than our profession's previous mantra of "see one, do one, teach

182. 40 of K | PSNet
     psnet.ahrq.gov/web-mm/40-k
     January 12, 2011 - use of verbal or telephone orders, but if used, the order should be immediately transcribed and read back … Always request a "read-back" of the transcribed order.

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33693/psn-pdf
     February 01, 2010 - Dean for Graduate and Continuing EducationUniversity of California, San Francisco   References Back

184. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
     psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
     March 25, 2020 - 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 to … rapidly, the right atrial appendage should be re-cannulated emergently so the patient can be placed back … Cardiac OR staff should always be prepared to put their patient back on bypass urgently if VF or other

185. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet
     psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
     May 26, 2021 - job when we see EMTs [emergency medical technicians] and paramedics in the workforce and we have to teach … How do we teach this younger generation? … KH: I'd like to get back to error reporting because I think that's something that's consistent across … be able to figure out the “why” when you’re looking at errors in clinical care to ensure that we can teach … Are trauma registries or any registries that may interface with EMS used for looking back at care?

186. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet
     psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
     September 26, 2012 - September 26, 2012 Read-back improves information transfer in simulated clinical crises

187. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet
     psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
     August 28, 2013 - Operating Room Surgery Discontinuities, Gaps, and Hand-Off Problems Surgical Complications Read Back

188. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet
     psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
     June 01, 2016 - 2017 Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back

189. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. | PSNet
     psnet.ahrq.gov/issue/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
     September 29, 2021 - treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33810/psn-pdf
     June 01, 2016 - techniques promoted through the patient safety program within my organization are clarifying through read-back

191. In Conversation with...J. Bryan Sexton, PhD, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
     December 01, 2006 - RW: How do you relate this back to a policy level? BS: Keep it evidence based, period. … 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

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73906/psn-pdf
     October 06, 2021 - emergency and what’s normal and who to ask if she's not sure, and that she feels like she’d want to come back … stay, she might go home and have a headache and have high blood pressure and say, “Well I’m not going back … devices], and to be provided instructions for their follow-up care, and then we see that they can't fall back … nursery, but not if you had a C-section [cesarean section] and you're trying to hoist your baby out and back … to do with this hypertension curriculum idea is to build the model for what it looks like to really teach

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33699/psn-pdf
     August 01, 2010 - MDProfessor of Medicine Vice Dean for Academic AffairsTulane University School of Medicine References Back … Med Teach. 2005;27:298-3016. [go to PubMed] 24. Walton MM, Shaw T, Barnet S, Ross J. … [go to PubMed]     Figure Back to Top Figure.

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849660/psn-pdf
     May 31, 2023 - to engage patients as active partners in their healthcare, (6) Confirming comprehension using the teach-back

195. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     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 … Tom 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 … Table Back to Top Table.

196. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - Looking back at the big, mediagenic errors over the past 25 years ( Table ), a striking pattern emerges … Table Back to Top Table. … But if you try to lie about it, it will come back to you. … Tom 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

197. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. | PSNet
     psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
     December 21, 2014 - Study Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Citation Text: Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…

198. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. | PSNet
     psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
     February 24, 2011 - Study Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. Citation Text: Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…

199. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
     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

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49396/psn-pdf
     April 01, 2003 - Encourage the receiver to write down and read back all orders, spelling the product name. … Warn them about the risk of mix- ups and teach them to insist that the pharmacist show them the appearance … Pharmacists and nurses should write down and read back drug names.