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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - In Conversation With… Eduardo Salas, PhD
November 1, 2011
In Conversation With… Eduardo Salas, PhD . PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
Editor's note: Eduardo Salas, PhD, is a University Trustee Chair and Pegasus Professor of Psychology at
the University of Ce…
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - Hidden Mystery
March 1, 2005
Brunette DD. Hidden Mystery. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/hidden-mystery
Case Objectives
Appreciate the challenges of caring for morbidly obese patients.
List specific interventions that can be implemented when caring for obese patients.
Develop a rational ap…
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy
Helak about Application of Safety-II Principles
August 28, 2024
In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-an…
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - Lost in Transitions of Care: Managing an Opioid-
Dependent Patient with Frequent Hospitalizations
September 29, 2021
Tan F, Johl K, Kotova M. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent
Hospitalizations. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/lost-transitions-care…
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - National Patient Safety Goals
March 27, 2024
Shaikh U. National Patient Safety Goals. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/national-patient-safety-goals
Background
Despite the development and publication of effective and evidence-based strategies to enhance patient
safety and reduce preventable h…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - PowerPoint Presentation
Spotlight Case February 2003
Apnea in a Patient Under General Anesthesia
webmm.ahrq.gov
Source and Credits
This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case
See full case–commentary on webmm.ahrq.gov
CME credit is available online
Commentary by: Paul Barach,…
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Patient Engagement and Patient Safety
Saul N. Weingart, MD, PhD | February 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. Rockville (MD): Agency fo…
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - The Role of Community Pharmacists in Patient Safety
October 24, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. Rockv…
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Treatment Challenges After Discharge
*
*
Source and Credits
This presentation is based on the November 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chase Coffey, MD, Henry Ford Health System,…
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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psnet.ahrq.gov/node/49464/psn-pdf
December 27, 2020 - Lap Burn
October 1, 2004
Ball K. Lap Burn. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lap-burn
The Case
A woman was scheduled for an elective diagnostic laparoscopy for dysfunctional uterine bleeding. After
accessing the abdomen with the trocar without complication, the surgeon inserted the laparoscope…
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January 1, 2015
Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - Payers are positioned to be major influencers, as health care as a whole is moving into an era of accountability
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - process can be quite complex, requiring alignment of multiple disciplines with unique roles
and shared accountability
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Readiness Huddle: a process to rapidly identify issues and foster improvement through problem-solving accountability
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - offerings to raise the awareness of our students to the issues surrounding safety, insisting on their accountability
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - This first consideration directly leads into the second question of accountability.
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - We did rigorous evaluations to show accountability back to the people who had sent us out to do the work