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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33689/psn-pdf
     October 01, 2009 - Looking back at the big, mediagenic errors over the past 25 years (Table), a striking pattern emerges … of Medicine University of California, San Francisco Editor, AHRQ WebM&M and AHRQ PSNet References Back … Table Back to Top Table.

402. Safety and Medical Education | PSNet
     psnet.ahrq.gov/perspective/safety-and-medical-education
     December 01, 2013 - There wasn't any looking back after that—I finally got a K23 grant [a larger 5-year faculty development … HS : Absolutely, and that goes back to the time that I was in practice.

403. Patient Perceptions of Health Information Exchange and Implications for Successful Implementation (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006EmaniGarberFisher_052411comp.pdf
     June 16, 2021 - in each group expressed concerns about the concept SECURITY Serious concerns, especially hacking BACK … Develop and implement state-of-the-art security protocols along with public education • Reliable back-up

404. Sloppy and Paste | PSNet
     psnet.ahrq.gov/web-mm/sloppy-and-paste
     February 02, 2011 - conflicting reports, the ED physician returned to the EMR and noted that this mistaken history of PE dated back … Investigating further back, the ED physician discovered that the letters "PE" were first noted nearly … The Commentary Copying of notes in the medical record is a practice that dates back at least 100 years … Education and mentoring There is a dearth of effective strategies to teach and foster high-quality … In reflecting back to our case presentation, it does end on an upbeat note with the emergency physician

405. Error-prone conditions that lead to student nurse-related errors. | PSNet
     psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
     October 31, 2012 - July 1, 2015 Despite technology, verbal orders persist, read back is not widespread,

406. The University of Texas System Clinical Safety and Effectiveness Course | PSNet
     psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
     February 01, 2011 - address this need, a few programs have been developed for practicing physicians and other caregivers to teach … Shine, MD Executive Vice Chancellor for Health AffairsThe University of Texas System References Back … Teach health care professionals about QI 4. Research & develop new knowledge for QI 5. … , 2) Institutional and peer recognition, and 3) Financial reward for achieving objectives Back

407. NASS Description of Data Elements
     hcup-us.ahrq.gov/db/nation/nass/nassdde.jsp
     February 01, 2025 - Privacy Notice , Viewers & Players Last modified 2/19/25 Back to Top

408. Critical laboratory value notification: a failure mode effects and criticality analysis. | PSNet
     psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
     June 27, 2018 - June 16, 2019 Despite technology, verbal orders persist, read back is not widespread,

409. Patient Safety During Hospital Discharge | PSNet
     psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
     April 01, 2018 - literacy, using language appropriate to patient understanding, utilizing visuals, and practicing the teach-back … Is "teach-back" associated with knowledge retention and hospital readmission in hospitalized heart failure … If readmissions drop, then savings accrue, and patients—who are generally not eager to come back to the … One time I came back from an overseas trip. … We now know that people end up back in the hospital quite frequently, and some of the ways the system

410. The inevitability of physician burnout: implications for interventions. | PSNet
     psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
     April 17, 2024 - Commentary The inevitability of physician burnout: implications for interventions. Citation Text: Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002. Copy Citation Format: DOI Google Scho…

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49496/psn-pdf
     December 01, 2005 - At a minimum, the clinicians should have asked the patient to verbally repeat (“teach back”) their instructions

412. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
     April 01, 2013 - And so, it can really make your own program better when you try to go teach someone else how to do what … In addition, we teach every single month, we teach IV classes, that is a 4-hour class that we teach how … So we’ll get back to you with more clarity on that, and thanks for asking the question. … Go back and redo your staff safety assessment again, if you need to. … jump back into it again with renewed vigor in January.

413. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
     January 01, 2017 - How do we teach people they are susceptible to bias? How can we recognize it? … of LI Headings Rule Name Status Description Appropriate nesting Passed Appropriate nesting Back

414. Sources of NIS Data and State-Specific Restrictions 2004
     hcup-us.ahrq.gov/db/nation/nis/nis_2004_stspecific_restr.jsp
     January 01, 2004 - Privacy Notice , Viewers & Players Last modified 9/12/06 Back to Top

415. Sources of KID Data and State-Specific Restrictions 2003
     hcup-us.ahrq.gov/db/nation/kid/kid_2003_stspecific_restr.jsp
     January 01, 2000 - Privacy Notice , Viewers & Players Last modified 9/3/08 Back to Top

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33657/psn-pdf
     September 01, 2007 - folklore is easily detectable; the moderator needs to be willing and able to steer the conversation back … Reference Back to Top 1. Wachter RM, Shojania KG. … Table Back to Top Table. Example Questions(Go to table citation in perspective) Question #1? … (Matrix Conference of 7/7/05) Slide Presentation Back to Top An Overview of the M+M Matrix Program

417. Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. | PSNet
     psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
     November 02, 2022 - treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back

418. Waiting for urgent procedures on the weekend among emergently hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/waiting-urgent-procedures-weekend-among-emergently-hospitalized-patients
     September 04, 2019 - December 23, 2008 Improving patient safety by repeating (read-back) telephone reports

419. Some cancer experts see 'overdiagnosis,' question emphasis on early detection. | PSNet
     psnet.ahrq.gov/issue/some-cancer-experts-see-overdiagnosis-question-emphasis-early-detection
     June 19, 2019 - 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back

420. 005-Ss-Preop-Chlorhexidine-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
     April 01, 2025 - Jones is a 64-year-old male with a history of arthritis and diabetes and a year-long history of back … used the CHG every night and tried to complete his shower as instructed but couldn’t always reach his back … Jones performed his CHG shower every night, but a note adds that he didn’t always reach his back, which … days, he is still given an additional CHG wash before the surgery, with particular focus on his lower back … While he had completed the full 5-day course of CHG bathing, he reported difficulty reaching his back