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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - References
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1. Air France jet overran runway. CBS News. August 5, 2005. … times that we think that people are accepting it and willing to change their behaviors, and yet they go back … Even with a low-cost simulator, you can create scenarios that will teach people the skill sets they need … JB: Well, we've had a couple of instances where people came back and told us that they probably stopped
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - Folks like you have helped teach
us about it. … They may hang out there for a week or more, and they will simply
come back and describe what they've … Then not infrequently, we go feed it back to where
we've done the observations. … It comes back to your point earlier: is there really a distinction between the people
and the systems
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - RW: Looking back on when you got interested in it and got involved as a faculty member, how has it played … simulation, but there's a fundamental
cultural belief that's still hard to shake—the "see one, do one, teach … RW: Looking back over the last 10 to 20 years of research, how would you summarize what the research … simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
https://www.theaba.org/get-certified/
https://www.theaba.org/maintain-certification/
Getting back
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - RW : Looking back on when you got interested in it and got involved as a faculty member, how has it played … simulation, but there's a fundamental cultural belief that's still hard to shake—the "see one, do one, teach … RW : Looking back over the last 10 to 20 years of research, how would you summarize what the research … Getting back to your prior question, in terms of other improvements, video graphics have finally started … Many educational and training units use simulation to help teach new skills, refresh old skills, and
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psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - cancer and known bone metastases presented to the emergency
department with a gradual increase in back … When radiology trainees provide preliminary reports, back-up support by attending faculty for difficult … subspecialty radiologists, perhaps “higher-risk” cases could be identified and lead to automatic attending
back-up … Attending radiologists need to provide back-up for the residents, and can do so by accessing the
images
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - presented from home with 1 week of intermittent fevers, chills, increasing shortness of breath, and low back … The new student on the wards soon finds that skills at the computer in getting data back and arranging … It seems unlikely that physical examination skills in North America will ever come back to their apogee … The only way to bring rounds back to the bedside (where they belong) and to raise the level of physical
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - Methods to verify received information, including repeat-back or read-back techniques. … personnel with recording demographic data and referring provider information (most
importantly, a call back … Diagnoses may seem obvious initially, but time is often our best diagnostic tool, and
this simple mental back-up
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psnet.ahrq.gov/node/49776/psn-pdf
November 01, 2016 - "(2) Shortly after
the Physician Charter was written, Hafferty and Castellani, harkening back to Aristotle
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - the OR
nurse stated that there was packing in the vagina but did not ask
for or receive any repeat-back … of packing and
placement, as shown
• The armband and tracker facilitate
handoffs with active read-back … /repeat-
back instruction between the nurse
circulator and the receiving nurse
21
Approach to Improving
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - Then you move on to part two, which is watching a video that we created back in Pittsburgh called "The … Professor 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
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Figure.
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - We were trying to change systems back in the 1990s without labeling it as such. … That's where I got my start at CMS, back in the early 2000s. … that the providers that we're working with in quality improvement bring their data to the table and teach … were involved in making this work happen and facilitated it, that it provides an information stream back
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - If that is not part of this organization, we could put that RCA back on the
shelf and not look at it … Jessica Behrhorst: When we teach RCA2, we stress that it is a toolkit, not just one tool. … I often think back to my early career. … Several years back, RCA2
got approval from The Joint Commission.
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - It would also have the nurse and/or pharmacist conduct patient education, preferably using the "teach … back" technique.
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
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, we
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - , and many of these are preventable. 16 Case 2 is representative of a preventable hospital “bounce-back … inexpensive processes exist that may identify patients who were discharged prematurely and redirect them back … explain the diagnosis, condition, and next steps in the patient’s care to the patient and family and use teach … back.
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - You back up and when there's an object behind you, the car beeps. … RW: Our hospital had an error with the use of a defibrillator a while back, and we found there were … Today it's quite common for physicians to turn to a book or a computer and look something up and come back … Human Factors Engineering Can Teach You How to Be Surprised Again
November 1, 2006
Perspective … References
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1. Murff HJ, Gosbee JW, Bates DW.
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - Before the new bags arrived and the CRRT could be restarted, the patient deteriorated and was taken back
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - Looking back, from the onset of her periods, the patient felt that her physicians had implied that the … Peripheral Nerves - Leading to leg pain, abdominal muscle pain, chronic back pain, and rarely to loss … undifferentiated inflammatory conditions, neurologists for neuropathic conditions, and orthopedics for chronic back … May 7, 2014
Using the NAM diagnostic process framework to teach clinical reasoning in
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psnet.ahrq.gov/node/33704/psn-pdf
December 01, 2010 - We couldn't get money for it back then either. … communication, the money gets made by the lawyers through time spent in discovery, motions to
quash, and back … intimidated with what I know and my beliefs about it, I can only imagine that many families
would back