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Showing results for "addressing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72624/psn-pdf
    January 05, 2021 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm January 5, 2021 https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework- reducing-inpatient-harm Summary Building on the company’s experience as a Hospital Engagement Network…

  3. Communication With Consultants | PSNet

    psnet.ahrq.gov/web-mm/communication-consultants
    October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  4. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
    May 01, 2012 - Spotlight Case July 2008 Spotlight Case The Perils of Cross Coverage * * Source and Credits This presentation is based on the May 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49760/psn-pdf
    May 01, 2016 - Mismanagement of Delirium May 1, 2016 Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/mismanagement-delirium The Case An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although fitted with a cast at a regional ho…

  6. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet

    psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
    July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 23, 2020 …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47559/psn-pdf
    November 14, 2018 - Changes in prevalence of health care-associated infections in U.S. hospitals. November 14, 2018 Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744. doi:10.1056/NEJMoa1801550. https://psnet.ahrq.gov/issue/change…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43814/psn-pdf
    June 21, 2015 - Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. June 21, 2015 Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Jt Comm J Qual Patient Saf. 2015;41(1):4-12. https…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45527/psn-pdf
    January 23, 2017 - Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study. January 23, 2017 Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place Study. J Gen Intern Med. 2017;32…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43643/psn-pdf
    November 04, 2014 - Out-of-hospital medication errors among young children in the United States, 2002–2012. November 4, 2014 Smith MD, Spiller HA, Casavant MJ, et al. Out-of-hospital medication errors among young children in the United States, 2002-2012. Pediatrics. 2014;134(5):867-76. doi:10.1542/peds.2014-0309. https://psnet.ahrq.g…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44643/psn-pdf
    July 21, 2016 - Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. July 21, 2016 Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medic…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42472/psn-pdf
    August 07, 2013 - Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. August 7, 2013 Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm. J Healthc Risk Mana…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39604/psn-pdf
    November 23, 2016 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. November 23, 2016 Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. Acad Med. 2010;85(6):1010-1017.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47831/psn-pdf
    May 08, 2019 - What US hospitals are currently doing to prevent common device-associated infections: results from a national survey. May 8, 2019 Saint S, Greene MT, Fowler KE, et al. What US hospitals are currently doing to prevent common device- associated infections: results from a national survey. BMJ Qual Saf. 2019;28(9):741…

  15. RxAwareness. | PSNet

    psnet.ahrq.gov/issue/rxawareness
    September 07, 2016 - Multi-use Website RxAwareness. Citation Text: RxAwareness. Centers for Disease Control and Prevention; CDC. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  16. 'Spread' remains challenge in patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/spread-remains-challenge-patient-safety-improvement
    January 23, 2019 - Newspaper/Magazine Article 'Spread' remains challenge in patient safety improvement. Citation Text: 'Spread' remains challenge in patient safety improvement. Healthcare benchmarks and quality improvement. 2011;18(5):49-52. Copy Citation Format: Google Scholar PubMed BibTe…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840172/psn-pdf
    November 16, 2022 - The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. November 16, 2022 Mullen JB, Wirt SZ, Moser A, et al. J Patient Saf. 2022;18(6):e947-e952 https://psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-fal…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44342/psn-pdf
    November 03, 2015 - How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. November 3, 2015 Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846126/psn-pdf
    March 09, 2023 - Medication Handling and Compounding Errors in the Operating Room. March 15, 2023 Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room The Case A 62-y…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49415/psn-pdf
    September 01, 2003 - Intubation Mishap September 1, 2003 Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/intubation-mishap Case Objectives To understand and apply a structured method of human factors case analysis To describe the key components of effective teamwork To understand the imp…
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