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psnet.ahrq.gov/node/33724/psn-pdf
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
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - Anesthesiologist; Director, Patient Simulation Center of InnovationVA Palo Alto Health Care System
References
Back … Box
Back to Top
Inexpensive Simulation? … Table
Back to Top Table.
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - RW : As you look back, why didn't diagnosis get the attention it deserved for the first 10 years of the … Sometimes I won't hear about a patient that I missed with back pain that ended up at another hospital … Especially a patient who you may have misdiagnosed who is angry and upset or didn't come back. … As she and I looked back over the record, I realized to my horror that I followed up on the abnormal … Perhaps the patient should have called me, as I encourage them to do if I don't get back to them on key
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - Sometimes where you start is to get people back to their fighting strength so that they can work on process … (It used to be called Bouncing Back from Burnout, but that had a negative ring to it.) … RW : As we think back on the early years of the quality and safety movement, let's say, 8 or 10 years … The concept of simplifying work is very appealing and it clearly links back to what we need to do for … I'll go back to that hallway interaction with that nurse as something that really changed the course
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - in the day because there were plenty of ways to cheat and game the system back then. … I don't think we were more ethical or righteous back then. … But I guess that gets back to role modeling. … Let's back off on the diuretics." This is before we've actually seen the patient. … Teach Learn Med. 2017;29:420-432. [go to PubMed]
16. Dean SM, Eickhoff JC, Bakel LA.
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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/web-mm/good-catch-operating-room
August 27, 2017 - The Case A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled
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psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - Incidents Act," allows full access to all patient records related to adverse medical events, turning back … Anesthesiology and MedicineAssociate Dean for Patient SafetyUniversity of Miami Medical School
References
Back
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - 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.
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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/periodic-issue/periodic-issue-425
February 28, 2024 - trial provided either standard discharge medication instructions or an intervention which included teach-back
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - Let's say that I had a
55-year-old guy with chronic low back pain. … to you, once the taper has been effective, that the fog seems to
have lifted and their old self is back … A typical story
is somebody who started opioids for a bad hip or back. … If we were to step back and speak about what the
overarching goals of drug therapy are, it's almost … We need to step back and always deal with the patient in front of us and ask ourselves what makes
sense
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - Case & Commentary—Part 1 A 42-year-old man with a history of asthma and chronic lower back pain was … been prescribing high doses of long-acting morphine (MS Contin), oxycodone, and gabapentin for his low back … The patient in this case was prescribed opioids for his low back pain. … Opioids for back pain patients: primary care prescribing patterns and use of services. … Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with
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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/node/33635/psn-pdf
July 01, 2006 - They're also going to make sure that feedback occurs, so that these actions get
back to the providers … If
they need to move to a higher level, the authority can move back and forth to appropriately address … It's the holding back and the carefully
crafted, uninformative answers that anger the media and the
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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
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psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - These are unforeseen
consequences that pop out the back end. … NS: Let me take you back to your crystal ball, particularly to your political lens, and it's now February
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
March 01, 2007 - plight of the individual doctor or nurse who hears you and says, I need to slow down, and then goes back … You know, I can't solve the problem, but it's sad that they have to go back into this environment where … References
Back to Top
1. Roberg K. Kelsey's story. Am J Health Syst Pharm. 2001;58:985-987.