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  1. www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/components.html
    December 01, 2013 - Transitioning Newborns from NICU to Home Basic Components of the Health Coach Program Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet Coaching in the Hospi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49396/psn-pdf
    April 01, 2003 - Encourage the receiver to write down and read back all orders, spelling the product name. … Warn them about the risk of mix- ups and teach them to insist that the pharmacist show them the appearance … Pharmacists and nurses should write down and read back drug names.
  3. psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
    October 01, 2009 - Looking back at the big, mediagenic errors over the past 25 years ( Table ), a striking pattern emerges … Table Back to Top Table. … But if you try to lie about it, it will come back to you. … Tom Garthwaite, who is the former head of the Los Angeles County health system, said was that you can teach … right thing is, you can make sure that they have the skills, but the bottom line is you cannot always teach
  4. psnet.ahrq.gov/perspective/conversation-charles-ornstein
    October 01, 2009 - But if you try to lie about it, it will come back to you. … So, going back to King/Drew Medical Center, one of the things that we thought was really important was … Tom Garthwaite, who is the former head of the Los Angeles County health system, said was that you can teach … right thing is, you can make sure that they have the skills, but the bottom line is you cannot always teach … Table Back to Top Table.
  5. hcup-us.ahrq.gov/db/vars/hosp_control/nedsnote.jsp
    May 01, 2015 - Privacy Notice , Viewers & Players Last modified 5/8/15 Back to Top
  6. psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
    February 24, 2011 - Study Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. Citation Text: Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…
  7. psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
    December 21, 2014 - Study Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Citation Text: Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…
  8. psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
    June 01, 2016 - As you reflect back over 15 or 20 years of experience, has anything surprised you in terms of content … GM : I often reflect back on the honor and privilege I had to be there at the beginning of the federal … A few years ago for the series, I called him back to do an update on safety culture . … When I think back to my days at AHRQ, we had a fantasy that something like this would begin to happen … If I had to think back on a few major changes that I tried to make in health care organizations that
  9. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
    May 01, 2024 - Internal Medicine Refines and evaluates a simulated intervention, which uses actors playing patients, to teach … recommending watchful waiting to patients who request low-value and potentially harmful imaging for low back
  10. hcup-us.ahrq.gov/reports/statbriefs/sb85.pdf
    January 01, 2010 - frequently in urban hospitals than in rural hospitals for some common conditions and procedures: back … These were back problems (disorders of intervertebral discs and bones in the spinal column), complication … settings: hardening of the heart arteries and other heart disease (61.4 percent in urban hospitals), back … 68 38.6 16 108 61.4 2 Degenerative joint disease (osteoarthritis) 90 53.2 8 79 46.8 3 Back
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33624/psn-pdf
    December 01, 2005 - Yale, and found that the law school offered an interesting way to look at social policy and could teach … So during my second year of medical school, I applied to law school and then went back and forth between … RW: Looking back almost two decades later at the Harvard Medical Practice Study, first, is there anything … We supported no-fault back in the early 1990s, but the most important part of our argument was that
  12. PATIENTSLIKEME (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/clifford.pdf
    October 08, 2025 - an ALS -- I've been in the U.K. a lot so I say motor neuron disease, so pardon me if I slip, flip back … But the patient who's down at the end can teach the patient who's just diagnosed a tremendous amount … But then you hear some of the other things that we ask patients to come back and tell us about: anxiety … gender, primary condition, you know, what they filled out when they first signed up and never came back … They went back to their neurologist and said, you know, here's some data that I got from this multiple
  13. effectivehealthcare.ahrq.gov/sites/default/files/frazee-presentation.pdf
    October 08, 2025 - for it -­‐-­‐ and  I think this point's come up a little bit  today -­‐-­‐ and  when  do we back … And this goes back to some of the work by Daniel Kahnem an and some of the other people before him, again … So it kind of goes way back to also what we can pay attention to with cognitive limitations. … Again, that goes back to where   we  evol ved from . … It's how you   teach  your children   to brush   their teeth  and  do everything else.
  14. hcup-us.ahrq.gov/reports/statbriefs/sb182-Medicaid-Uninsured-Hospitalizations-2012.jsp
    October 01, 2014 -     1         367,200 5.0 Spondylosis, intervertebral disc disorders, other back … Privacy Notice , Viewers & Players Last modified 5/12/16 Back to Top
  15. www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - action practices, (3) formal and informal leader actions and expectations, (4) teamwork processes (e.g., back-up … Nurse Med calls back to the ED 20 minutes later and asks for Nurse ED. … Slide 25 Back to the Surgeon Why is the surgeon opposed to the new protocol?
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
    January 01, 2003 - Press the sponge against skin and apply chlorhexidine solution using a back-and-forth friction scrub … Apply chlorhexidine 2 percent in 70 percent isopropyl alcohol (ChloraPrep Frepp) using a back-and-forth
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
    July 01, 2023 - as resources to better support your clinical team o Calling‐out critical information and checking‐back … The SPPC‐II Teamwork Toolkit is comprehensive in its ability to teach language, skills, tools, and strategies … We will help you organize frontline participation and teach you how to lead the facilitation sessions … The Hgb result is called back to the room at 7.1 g/dl, and no additional active bleeding is noted. … Williams, the patient Tanya, charge nurse Allison, L&D nurse SCRIPT The Hgb result is called back
  18. hcup-us.ahrq.gov/db/nation/nis/reports/NIS_1998_Design_Report.jsp
    January 01, 1998 - Privacy Notice , Viewers & Players Last modified 5/27/16 Back to Top
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49497/psn-pdf
    December 01, 2005 - responsibility for independent practice, a model sometimes derisively referred to as “see one, do one, teach … away from traditional lecture-based techniques and embrace new modalities in order to effectively teach … language used in the delivery room often is not standardized, important communications are rarely read back
  20. psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - The surgery was proceeding uneventfully when the surgeon requested that the PA catheter be pulled back … to speed up the transfer process, the attending anesthesiologist refloated the PA catheter himself back … incorporating the following components: identify–situation–observations–background–agreed plan–read back

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