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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40599/psn-pdfNovember 23, 2011 - Organizational climate determinants of resident safety culture in nursing homes. November 23, 2011 Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053. https://psnet.ahrq.gov/issue/or… -
psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdfJanuary 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx Spotlight A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion Source and Credits • This presentation is based on the July 2023 AHRQ WebM&M Spotlight Case o See the full article at ht…
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-maDecember 01, 2006 - All sorts of safety culture measurements and assessments now exist.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-smallDecember 01, 2006 - All sorts of safety culture measurements and assessments now exist.
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Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.pptOctober 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case October 2003 Hemivulvectomy: Wrong Side Removed Source and Credits This presentation is based on the Oct. 2003 AHRQ WebM&M Spotlight Case in OB/GYN See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Charles Vin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49603/psn-pdfJune 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.pptMay 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case May 2005 Diagnosing Diagnostic Mistakes Source and Credits This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Robert McNutt, MD; Richard A… -
Spotlight Case July 2008 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.pptSeptember 01, 2011 - Spotlight Case July 2008 Spotlight Case The Safety and Quality of Long Term Care * * Source and Credits This presentation is based on the September 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37225/psn-pdfDecember 15, 2011 - Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. December 15, 2011 Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beliefs: The Seniors Empowerment and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60041/psn-pdfMarch 11, 2020 - Supplement on Deepening our Understanding of Quality in Australia (DUQuA). March 11, 2020 Int J Qual Health Care. 2020;32(Supp1):1-105. https://psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua Quality and safety are often intertwined in large improvement efforts. This special iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60965/psn-pdfSeptember 30, 2020 - Data collection for adverse events reporting by US dental schools. September 30, 2020 Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281. https://psnet.ahrq.gov/issue/data-collection-adverse… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74076/psn-pdfNovember 17, 2021 - Influence of perioperative handoffs on complications and outcomes. November 17, 2021 Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60889/psn-pdfJanuary 01, 2021 - Expert consensus on currently accepted measures of harm. September 9, 2020 Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36691/psn-pdfJanuary 18, 2011 - The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. January 18, 2011 Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;96(12):1255-1259. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44983/psn-pdfApril 20, 2016 - Back to basics: counting soft surgical goods. April 20, 2016 Spruce L. Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. doi:10.1016/j.aorn.2015.12.021. https://psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods Despite heightened awareness of hazards associated with… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47955/psn-pdfApril 17, 2019 - Will human factors restore faith in the GMC? April 17, 2019 Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. https://psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc Investigations into medical mistakes that result in patient harm sh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44126/psn-pdfMay 13, 2015 - SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. May 13, 2015 Sittig DF, Singh H, eds. Waretown, NJ: Apple Academic Press; 2015. ISBN: 9781771881173. https://psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience Implementation of electronic health… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50822/psn-pdfJanuary 22, 2020 - Nurses' sleep, work hours, and patient care quality, and safety January 22, 2020 Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320. https://psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety Research provides evidence that sleep deprivation among nurses is a threat to p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35109/psn-pdfNovember 03, 2015 - Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. November 3, 2015 Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by the UK National Patient Safety Ag… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35767/psn-pdfJuly 20, 2010 - An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study. July 20, 2010 MacNab YC, Kmetic A, Gustafson P, et al. An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study. …
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