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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - and Associate Chairman, Department of Medicine University of California, San Francisco
References
Back … Improving patient safety by repeating (read-back) telephone reports of critical information. … Table
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Table . … radiofrequency identification) may ultimately be required in many identification processes
Figure
Back … RW: From where you sit now, thinking back on how you were trained in medical school, what do you think
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psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - min for the study and located an appropriate tank (that would allow higher-flow
oxygen) for the trip back
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - Mark Chassin : Back when I was on the hospital side struggling with quality and safety problems, it always … If you go back to the roots of The Joint Commission 100 years ago, the goal has always been to improve … And it goes back to the aphorism that I learned a long time ago from a very wise CIO who said, "Computers … instances of providing no-benefit health care services, like antibiotics for cold or imaging for simple back
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - the OR nurse stated that there was packing
in the vagina but did not ask for nor receive any repeat-back … There is active read-back/repeat-back instruction
between the nurse circulator and the receiving nurse … (The primary source providers usually go back to the OR to start the next case and may not be available
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - Let's go back to hand hygiene. … That hospital needs to come back and stand behind that because they cannot tolerate a reckless group … with a letter saying that this is really important but then doesn't take action, it will drift right back … strongly toward accountability and, like most complex issues, there's a pendulum there and it tends to go back … Page, MS, MHA Chief Safety OfficerFairview Health Services
Figure
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Figure.
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - The first occurs when a patient has an unnecessary procedure, such as back surgery or cardiac procedure … RW : Should we dial down reimbursement for everything or pare back specific areas of overuse? … front-page articles in the New York Times, Washington Post, and Wall Street Journal on overuse of back … motivation for cardiac procedures performed on patients when there are no blockages, or for most complex back … So how do we turn our brains back on?
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - The first occurs when a patient has an unnecessary procedure, such as back surgery or cardiac procedure … RW : Should we dial down reimbursement for everything or pare back specific areas of overuse? … front-page articles in the New York Times, Washington Post, and Wall Street Journal on overuse of back … motivation for cardiac procedures performed on patients when there are no blockages, or for most complex back … So how do we turn our brains back on?
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - References
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1. Roberg K. Kelsey's story. Am J Health Syst Pharm. 2001;58:985-987. … 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
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - Our first response may be automatic, but with a little reflection, we call back, ask for additional information … Education The Accreditation Council on Graduate Medical Education (ACGME) requires that residency programs teach
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - ProfessorSchool of Public Administration University of Victoria Victoria, BC, Canada
References
Back … Evidence-based Medicine: How to Practice and Teach EBM. New York, NY: Churchill Livingstone; 1997. … [go to PubMed]
Figures
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Figure 1. … Which one can we safely put on the back burner while the other high-priority project is underway? … I go back to the 1999 Institute of Medicine definition (which is also The Joint Commission definition
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - But of course to deliver on the value of all those discoveries, the pieces have to come back together … That comes back to the basic premise of the research I've been doing over many years, which is that some … You can swing it back into the health care setting. … Lumry Family Assistant Professor of Business Administration Harvard Business School
References
Back
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Lumry Family Assistant Professor of Business Administration Harvard Business School
References
Back … But of course to deliver on the value of all those discoveries, the pieces have to come back together … That comes back to the basic premise of the research I've been doing over many years, which is that some … You can swing it back into the health care setting.
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - "( 2 ) Shortly after the Physician Charter was written, Hafferty and Castellani, harkening back to Aristotle
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Failed double checks have been traced back to trust in colleagues,
distractions or interruptions, and
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - This individual attended staff meetings to explain the purpose of the program and to
teach frontline … new process has become the accepted way of doing business, with
few if any staff considering going back
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Failed double checks have been traced back to trust in colleagues, distractions or interruptions, and
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Timely diagnosis of esophageal perforation
February 26, 2020
Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
The Case
A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…
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psnet.ahrq.gov/sites/default/files/2020-05/webmm.ahrq_.gov_.392_slideshow.pptx
January 01, 2020 - She was brought back to the emergency department and ultimately admitted to an inpatient psychiatry unit
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - older
adult is already in a skilled nursing facility, they go to the emergency department, and they go back … A care transition, from the
ED or from any other healthcare setting, back to home or to another setting … Hopefully through what we do and what we provide to them, we teach them a lot of things, and
you know
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - the biggest problem was that the economists had taken over, and it was time for the doctors to get back … Then I came back to Boston looking for work. I didn't really know what I was going to do. … Was there any sort of back story in getting that published? … Also, it seemed to me there were enough people carrying that ball that I could back away from it. … None of us wanted to be part of seeing it reset to zero (perhaps some people did come back earlier to