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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33831/psn-pdf
     April 01, 2017 - 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

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865655/psn-pdf
     April 24, 2024 - discharge, 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.

363. In Conversation With… Paul McGann, MD | PSNet
     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

364. Psn-Pdf (pdf file)
     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 RCA 2, 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.

365. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
     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.

366. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
     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

367. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-339
     April 27, 2022 - This multi-center study found that a transitional pharmacy care program (including teach-back, pharmacy

368. In Conversation With... Freya Spielberg, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
     September 28, 2022 - As an educator, I've developed a new curriculum, Community-Oriented Quality Improvement, to teach medical … worker was able to go to grandma's house, get the meds, bring them to the patient, and get the patient back … Some states are going back to the requirement that telemedicine is done with video, and this will result … The community health workers can teach them how to do that, collect the information on their vitals if … As far back as the Heckler Report, 30 data has indicated that preventable, manageable health conditions

369. Workplace Safety in Health Care | PSNet
     psnet.ahrq.gov/perspective/workplace-safety-health-care
     January 01, 2017 - PO : I have to go back in my career a little bit. … I have a long-standing engagement with health and medical care going back to the 1960s. … PO : When I was at Alcoa, I created the Alcoa University and offered to teach people in the community … So you're no longer taking care of four patients; you're sitting on your butt waiting for your back to … One thing you have to do is beat back the legal staff who don't want you to tell anybody that there was

370. In Conversation With… Paul H. O'Neill, MPA | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
     January 01, 2017 - PO : I have to go back in my career a little bit. … I have a long-standing engagement with health and medical care going back to the 1960s. … PO : When I was at Alcoa, I created the Alcoa University and offered to teach people in the community … So you're no longer taking care of four patients; you're sitting on your butt waiting for your back to … One thing you have to do is beat back the legal staff who don't want you to tell anybody that there was

371. The Role of the Patient in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
     March 01, 2007 - References Back to Top 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

372. Building a Safety Program in a Vast Health Care Network | PSNet
     psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
     March 01, 2019 - in both directions—from the center to the local hospitals and clinics, and from the local entities back … The doctor came back from the second day on call and said, "I delivered 11 babies in 24 hours by myself … Then your person came back and told you that he or she delivered 11 babies, and you felt it was unsafe … We do that for premature babies, back-transfer them to a lower level nursery. … We should back-transfer people to the appropriate levels of care.

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49664/psn-pdf
     January 01, 2013 - The receiving team reads back key information handed over. … consequences Situation awareness Consultants maintain overall picture and awareness by standing back

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867357/psn-pdf
     December 18, 2024 - trachea; the larynx may then ricochet in the anterior direction causing the tip of the ETT to flick back

375. Healthcare 411 Special Report: National Patient Safety Awareness Week. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-special-report-national-patient-safety-awareness-week
     October 18, 2006 - November 30, 2011 Don't come back, hospitals say.

376. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
     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

377. Psn-Pdf (pdf file)
     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

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49395/psn-pdf
     April 01, 2003 - He was discharged back to a chronic care facility.

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33834/psn-pdf
     May 22, 2017 - such as abuse-deterrent formulations to improve safe use, dispensing, and storage of opioids; take-back

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33876/psn-pdf
     August 01, 2018 - in both directions—from the center to the local hospitals and clinics, and from the local entities back