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  1. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet

    psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
    November 13, 2024 - Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 Innovation …

  2. Workplace Safety in Health Care | PSNet

    psnet.ahrq.gov/perspective/workplace-safety-health-care
    January 01, 2017 - Workplace Safety in Health Care Ross W. Simon and Elena G. Canacari, RN | January 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. Rockville (MD):…

  3. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet

    psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
    July 08, 2022 - SPOTLIGHT CASE Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy Citation Text: Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Resear…

  4. The Role of Bar Coding and Smart Pumps in Safety | PSNet

    psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
    September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN | September 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Rothschild JM, Keohane C. The Role of Bar Coding and Sm…

  5. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

    psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…

  6. In Conversation With… Paul H. O'Neill, MPA | PSNet

    psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
    January 01, 2017 - In Conversation With… Paul H. O'Neill, MPA January 1, 2017  Also Read an Essay Citation Text: In Conversation With… Paul H. O'Neill, MPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017…

  7. The Comprehensivist Model of Care: A Hospitalist's View | PSNet

    psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
    November 01, 2018 - The Comprehensivist Model of Care: A Hospitalist's View Robert Wachter, MD | November 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. The Comprehensivist Model of Care: A Hospitalist's View. PSNet [internet].…

  8. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet

    psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January 12, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and…

  9. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
    January 01, 2024 - Spotlight Spotlight Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis 1 Source and Credits This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Comment…

  10. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet

    psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
    January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO January 12, 2022  Also Read the Essay Citation Text: In Conversation With.…

  11. In Conversation With… David Meltzer, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
    November 01, 2018 - In Conversation With… David Meltzer, MD, PhD November 1, 2018  Also Read an Essay Citation Text: In Conversation With… David Meltzer, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…

  12. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
    March 01, 2008 - In Conversation with...Bradley T. Rosen, MD, MBA March 1, 2008  Also Read an Essay Citation Text: In Conversation with..Bradley T. Rosen, MD, MBA. PSNet [internet]. 2008.In Conversation with...Bradley T. Rosen, MD, MBA. PSNet [internet]. Rockville (MD): Agency for…

  13. Creation of a Medical Procedure Service to Improve Patient Safety | PSNet

    psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
    March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety C. Christopher Smith, MD, and Grace C. Huang, MD | March 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Smith CC, CHuang G. Creation of a Medical Proced…

  14. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
    November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD November 16, 2022  Also Read the Essay Citation Text: In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.In Conversation With... Pascale Carayon, PhD and Ni…

  15. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet

    psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
    November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions Pascale Carayon, PhD; Nicole Werner, PhD; Anita Makkenchery, MPH; Sarah E. Mossburg, RN, PhD | November 16, 2022  Also Read the Conversation View more articles from the same aut…

  16. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet

    psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - SPOTLIGHT CASE The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. Citation Text: Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.. PSNet [internet]. Rockv…

  17. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…

  18. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
    February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation T…

  19. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - SPOTLIGHT CASE Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis Citation Text: Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …

  20. The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Behrhorst J, Gale B, Van CM. Th…
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