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141. Ambulatory Care Safety | PSNet
     psnet.ahrq.gov/primer/ambulatory-care-safety
     September 07, 2019 - involves two related concepts: first, educating patients about their illnesses and medications, using methods … that require patients to demonstrate understanding (such as " teach-back "); and second, empowering

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33683/psn-pdf
     April 01, 2009 - Deciding on the minimum level of quality, the best programs and procedures to be used to achieve it, … performance have become adept at developing their own, clinician-driven safety and quality improvement procedures … 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. … ref16back https://psnet.ahrq.gov//#ref17back http://www.ncbi.nlm.nih.gov/pubmed/17381811 Figures Back

143. Coming Undone: Failure of Closure Device | PSNet
     psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
     April 01, 2006 - complications related to the retroperitoneal hematoma, including persistent fever, leukocytosis, ileus, and back … catheterization, the sheath in the femoral artery is removed, and hemostasis is achieved from one of several methods … Manual compression of the artery is the traditional method and is easy to perform, but it is associated … laboratory abnormalities that should raise suspicion of retroperitoneal bleed include hypotension, back … Cardiac catheterization is one of the most commonly performed procedures in medical practice and has

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836794/psn-pdf
     March 31, 2022 - This procedure ensures that all aspects of the patient are considered: biological, psychological, and … In a national survey of physicians from specialties “for which evidence- based mind-body methods could … issues."7 Even more concerning, approximately 1 in 3 physicians believed that integration of these methods … , role modeling), some to teach skills (supervised practice, observation and feedback, role play), some … Levy MH, Adolph MD, Back A, et al. Palliative Care.

145. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
     January 01, 2022 - This procedure ensures that all aspects of the patient are considered: biological, psychological, and … – In a national survey of physicians from specialties “for which evidence- based mind-body methods … – Even more concerning, approximately 1 in 3 physicians believed that integration of these methods … reflection, role modeling), some to teach skills (supervised practice, observation and feedback, role … Levy MH, Adolph MD, Back A, et al. Palliative Care. J Natl Compr Canc Netw. 2012;10(10):1284-1309.

146. What Does Simulation Add to Teamwork Training? | PSNet
     psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
     October 01, 2004 - (such as in the OR, the ICU, or the ED), one has to simultaneously make clinical decisions, perform procedures … These two approaches are complementary methods to improve decision-making and teamwork skills, and I … Box Back to Top Inexpensive Simulation? … Table Back to Top Table. … simulation scenario Team performance measurement is a part of successful team training Methods

147. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
     psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
     February 01, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures … Lab Value (normal range) Pre-Procedure Day of Procedure Day After Procedure Readmission (day after discharge … His pre-procedure medication instructions were to stop all medications the night prior to the procedure … Using teach-back methods and written or online resources, ensure that patients understand why specific … March 21, 2018 A mixed methods study exploring patient safety culture at 4 VHA Hospitals

148. In Conversation with...Richard P. Shannon, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
     August 01, 2010 - How many times does the procedure have to be interrupted because the proceduralist doesn't have what … What is different in academic medicine is the opportunity to engage workers in process-improvement methods … Building a high reliability organization through a multi-method approach to monitoring the practice environment … Med Teach. 2005;27:298-3016. [go to PubMed] 24. Walton MM, Shaw T, Barnet S, Ross J. … [go to PubMed]     Figure Back to Top Figure.

149. Ebola: Are We Ready? | PSNet
     psnet.ahrq.gov/web-mm/ebola-are-we-ready
     July 01, 2012 - The blood was successfully collected using available equipment, yet the procedure to send it to the laboratory … on patients with Ebola, particularly procedures that are typically delegated to trainees. … Simulation, preferably in the actual place that care will be provided (in situ), is by far the best method … Interns' success with clinical procedures in infants after simulation training. … Clinical outcomes after bedside and interventional radiology paracentesis procedures.

150. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet
     psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
     February 26, 2025 - family and staff should look out for and what might happen), and Synthesis by receiver (family reads back … contextual determinants to high adherence to structured family-centered rounds: a national multi-site mixed methods … A conceptual framework informed by scoping and narrative literature review methods.

151. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - It is critical that clinical assessments and procedures be performed correctly and safely to reduce the … KH: Can we go back to the regional and state-level reporting programs you mentioned? … And those skilled physicians can teach EMTs to administer and use ultrasound and transmit the images … of the public avoid the bad event (exercise and stop smoking to reduce the risk of a heart attack); teach … In the past we tried to use “typical” cases as our method of presenting education to our EMS providers

152. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
     January 01, 2021 - was placed to drain the bladder • After completion of the procedure, the physician composed a dressing … the OR nurse stated that there was packing in the vagina but did not ask for or receive any repeat-back … of packing and placement, as shown • The armband and tracker facilitate handoffs with active read-back … /repeat- back instruction between the nurse circulator and the receiving nurse 21 Approach to Improving … Using a standardized method to identify patients with vaginal packing.

153. When Patients and Providers Speak Different Languages | PSNet
     psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
     December 08, 2021 - Back to the Case Reflecting on this case of the Spanish-speaking woman presenting for preoperative evaluation … interpretation Check in with the patient to make sure you are getting things right through the interpreter Use teach … back to make sure the patient is understanding you through the interpreter References 1. … Patient satisfaction with different interpreting methods: a randomized controlled trial. … and Regulatory Requirements Professional Interpretation Interpretation Modality Technology Back

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33809/psn-pdf
     June 01, 2016 - How does that change the thinking about the content and the methods of both training and certification … 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. … If I had to think back on a few major changes that I tried to make in health care organizations that

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865373/psn-pdf
     March 27, 2024 - AI encompasses a lot of different domains, but at the root of each of those domains is trying to teach … Balancing those becomes a very human activity and often difficult to quantify with contemporary AI methods … It also led us to look into different AI methods that could help with this puzzle, such as reinforcement … edn1 https://psnet.ahrq.gov//#_edn2 Another big challenge I see, especially with the more advanced methods … suggest looking at current strategies and practices for implementing new technologies, medications, procedures

156. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
     psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
     July 08, 2022 - This procedure ensures that all aspects of the patient are considered: biological, psychological, and … In a national survey of physicians from specialties “for which evidence-based mind-body methods could … issues." 7 Even more concerning, approximately 1 in 3 physicians believed that integration of these methods … , role modeling), some to teach skills (supervised practice, observation and feedback, role play), some … [Free full text] Levy MH, Adolph MD, Back A, et al. Palliative Care.

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33635/psn-pdf
     July 01, 2006 - They're also going to make sure that feedback occurs, so that these actions get back to the providers … is the methodology for making changes, which includes reliable design, the rapid cycle improvement methods … from the IHI, and the other methods such as Six Sigma and Toyota Lean. … It's the holding back and the carefully crafted, uninformative answers that anger the media and the … process from a physician writing an order to the delivering of a medication to a patient coming in for a procedure

158. In Conversation With… Matthew Weinger, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
     August 01, 2018 - simulation, but there's a fundamental cultural belief that's still hard to shake—the "see one, do one, teach … You can imagine, for example, in pediatric cardiac surgery—where you have unusual anatomy—that the procedure … You could imagine savvy marketers of these new technologies saying, "Your surgeon will practice the procedure … Many educational and training units use simulation to help teach new skills, refresh old skills, and … Methods Used in Health Care Simulation Four main methods are used in health care simulation: human

159. 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 … RW: How about the specificity of those different methods? … RW: Should the other methods of error detection go away? … The pushback is that we need this method to know what's happening on the ground, and we've spent a lot … If this becomes the method for measuring the safety of an individual institution, what happens?

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49825/psn-pdf
     April 01, 2018 - Back to the Case Reflecting on this case of the Spanish-speaking woman presenting for preoperative evaluation … Skills Check in with the patient to make sure you are getting things right through the interpreter Use teach … back to make sure the patient is understanding you through the interpreter References 1. … Patient satisfaction with different interpreting methods: a randomized controlled trial.