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  1. Patient Safety in Primary Care | PSNet

    psnet.ahrq.gov/perspective/patient-safety-primary-care
    January 31, 2020 - Role of Health IT in Patient Safety February 21, 2020 WebM&M Cases

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845473/psn-pdf
    March 15, 2023 - In both these cases, developing robust processes and clear guidelines for providers will help mitigate

  3. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

    psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
    September 24, 2024 - Eric Thomas:  You know, in some cases that may be a hard conversation, but in other cases, it's not.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60721/psn-pdf
    July 21, 2020 - Special Edition Perspective: Technology Responses to COVID-19 July 21, 2020 Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19 Editor’s note: This …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50701/psn-pdf
    November 26, 2019 - In these cases, they are training their nurses on recognition of delirium, implementing mobility programs

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33661/psn-pdf
    December 01, 2007 - at the time of the first follow-up contact, and this adversely affects care in about one-fourth of cases

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33878/psn-pdf
    April 01, 2019 - For example, there have been cases involving parents who have lost a child to a medical error who say

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33692/psn-pdf
    February 01, 2010 - They seem to march hand-in-hand in the majority of cases, and statistically they are very highly correlated

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50859/psn-pdf
    January 31, 2020 - may be better than AI, but is AI better than the general radiologist in a rural facility reading 250 cases

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33611/psn-pdf
    July 01, 2005 - In most cases, we didn't particularly count that one way or another, but when a significant finding

  11. Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. | PSNet

    psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
    March 29, 2006 - Book/Report Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Citation Text: Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Bonnie RJ, Ford M…

  12. How communication among members of the health care team affects maternal morbidity and mortality. | PSNet

    psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
    November 12, 2014 - Commentary How communication among members of the health care team affects maternal morbidity and mortality. Citation Text: Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…

  13. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet

    psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
    May 03, 2018 - Commentary CMS changes in reimbursement for HAIs: setting a research agenda. Citation Text: Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f. Copy Citation Format: …

  14. Driving improvement in patient care: lessons from Toyota. | PSNet

    psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
    September 24, 2016 - Study Classic Driving improvement in patient care: lessons from Toyota. Citation Text: Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. Copy Citation Format: Google Scholar …

  15. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet

    psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

  16. The 80-hour duty week: rationale, early attitudes, and future questions. | PSNet

    psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
    September 28, 2010 - Commentary The 80-hour duty week: rationale, early attitudes, and future questions. Citation Text: Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142. Copy Citation Format: Google Scholar PubMe…

  17. Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. | PSNet

    psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
    December 02, 2020 - Organizational Policy/Guidelines Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Citation Text: Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…

  18. An exploration of safety climate in nursing homes. | PSNet

    psnet.ahrq.gov/issue/exploration-safety-climate-nursing-homes
    January 03, 2017 - Study An exploration of safety climate in nursing homes. Citation Text: Singer SJ, Kitch BT, Rao SR, et al. An exploration of safety climate in nursing homes. J Patient Saf. 2012;8(3):104-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  19. Implementation of the safety huddle. | PSNet

    psnet.ahrq.gov/issue/implementation-safety-huddle
    November 03, 2021 - Commentary Implementation of the safety huddle. Citation Text: Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  20. COVID-19: making the right diagnosis. | PSNet

    psnet.ahrq.gov/issue/covid-19-making-right-diagnosis
    September 07, 2022 - Commentary COVID-19: making the right diagnosis. Citation Text: Schiff G, Mirica MM. COVID-19: making the right diagnosis. Diagnosis (Berl). 2020;7(4):377-380. doi:10.1515/dx-2020-0063. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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