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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33625/psn-pdf
     January 01, 2006 - References Back to Top 1.Air France jet overran runway. CBS News. August 5, 2005.

422. When "Psychiatric" Symptoms Are Not | PSNet
     psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
     September 20, 2011 - July 28, 2010 WebM&M Cases Back to Basics March 1

423. In Conversation with…Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
     October 01, 2008 - 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 … Romano and colleagues ( 15 ) found that half of the difference in postoperative (after back surgery) … References Back to Top 1. Zhan C, Miller MR.

424. In Conversation with...Allan Frankel, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
     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 public … The feedback loop needs to be closed by getting back to those who have reported incidents and unsafe … Patient Safety OfficerMedical Director of Knowledge ManagementOSF Healthcare System References Back

425. Key Issues in Developing a Successful Hospital Safety Program | PSNet
     psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
     July 01, 2006 - The feedback loop needs to be closed by getting back to those who have reported incidents and unsafe … Patient Safety OfficerMedical Director of Knowledge ManagementOSF Healthcare System References Back … 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 public

426. The Unfinished Patient Safety Agenda | PSNet
     psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
     August 01, 2005 - Leadership Professor of Nursing and Professor of Sociology University of Pennsylvania References Back … Reference Back to Top 1. Gallagher RM, Kany KA, Rowell PA, Peterson C.

427. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
     psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
     August 01, 2005 - Reference Back to Top 1. Gallagher RM, Kany KA, Rowell PA, Peterson C. … Leadership Professor of Nursing and Professor of Sociology University of Pennsylvania References Back

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33728/psn-pdf
     May 01, 2012 - We published an article in JAMA back in the 1990s, where we were able to review on a daily basis all … demonstrated very good test characteristics of finding adverse events, and then people instinctively push back … When we do, then I think we may come back to the article I mentioned from LDS Hospital where 70% of

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33839/psn-pdf
     August 01, 2017 - We would frequently be operating late into the night and would have to be back the next morning, and … That's going to take training attendings even more about how to teach and how to break the operation

430. Good medical care can suffer late in the day. | PSNet
     psnet.ahrq.gov/issue/good-medical-care-can-suffer-late-day
     December 16, 2020 - May 19, 2021 Looking back on the history of patient safety: an opportunity to reflect

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838972/psn-pdf
     October 27, 2022 - 35 minutes, she hopped down the hallway on one leg to find assistance but was unsuccessful and went back

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49651/psn-pdf
     May 01, 2012 - references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references A common way to teach … to evaluate receivers on use of active listening behaviors, such as interactive questioning, read-back

433. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
     psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
     July 23, 2024 - To sustain the gains from this campaign, Ascension is launching a “We Got Your Back” cultural campaign … To sustain the gains from this campaign, Ascension is launching a “We Got Your Back” cultural campaign

434. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
     psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
     February 01, 2014 - You can get back into the task. … They teach us a lot about the sorts of systems we can eventually put in place to minimize distraction … that the person using your system might be distracted, turn away to do something else, and then come back … Of course the person answered the text message and went back and forgot to order the medicine and it

435. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
     October 01, 2008 - Romano and colleagues ( 15 ) found that half of the difference in postoperative (after back surgery) … References Back to Top 1. Zhan C, Miller MR. … 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

436. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
     psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
     March 27, 2024 - AI encompasses a lot of different domains, but at the root of each of those domains is trying to teach … Let’s step back briefly and talk about the areas that AI has been used in healthcare historically. … Sarah Mossburg: I’m thinking back to the point you made earlier: that you can predict who’s at risk, … Most of our solutions don’t really consider that, so we’re back to augmenting intelligence rather than … That handoff back to humans is a fundamental concern for a lot of AI systems across industries.

437. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
     psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
     March 27, 2024 - AI encompasses a lot of different domains, but at the root of each of those domains is trying to teach … Let’s step back briefly and talk about the areas that AI has been used in healthcare historically. … Sarah Mossburg: I’m thinking back to the point you made earlier: that you can predict who’s at risk, … Most of our solutions don’t really consider that, so we’re back to augmenting intelligence rather than … That handoff back to humans is a fundamental concern for a lot of AI systems across industries.

438. In Conversation With… Karl Bilimoria, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
     April 19, 2023 - We would frequently be operating late into the night and would have to be back the next morning, and … That's going to take training attendings even more about how to teach and how to break the operation

439. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
     psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
     February 26, 2025 - It was critical that frontline staff could communicate concerns they were seeing with patients back to

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49562/psn-pdf
     May 01, 2008 - relieving another, spent valuable OR time reorganizing a set of complicated orthopedic instruments on the back