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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43679/psn-pdf
    May 22, 2015 - Patient safety goals for the proposed Federal Health Information Technology Safety Center. … Patient safety goals for the proposed Federal Health Information Technology Safety Center. … //psnet.ahrq.gov/issue/patient-safety-goals-proposed-federal-health-information-technology-safety- center … field, recommends goals for the proposed Office of the National Coordinator-based Health IT Safety Center … The authors also highlight the convening ability of such a center as a critical component for transforming

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33737/psn-pdf
    September 01, 2012 - A fourth Center activity involves the production of Nursing Facts and Figures. … The Center plans to publish the report on a biennial basis beginning in late 2012. … Similarly, the Community Health Center program has added more than 3000 nursing positions since 2009 … The goal of the Coordinating Center is to promote an integrated health system in which coordinated, … Studies Institute for Medicine and Public Health Vanderbilt University Medical Center

  3. Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
    January 31, 2024 - VA Medical Center in Memphis, Tennessee. … Roudebush VA Medical Center in Indianapolis, Indiana. … Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center … DeBakey VA Medical Center in Houston, Texas. … November 13, 2013 Critical Deficiencies at the Washington DC VA Medical Center.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46821/psn-pdf
    June 06, 2018 - Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness … Focus on the Quadruple Aim: Development of a Resiliency Center to Promote Faculty and Staff Wellness … https://psnet.ahrq.gov/issue/focus-quadruple-aim-development-resiliency-center-promote-faculty-and-staff … https://psnet.ahrq.gov/issue/focus-quadruple-aim-development-resiliency-center-promote-faculty-and-staff-wellness … https://psnet.ahrq.gov/issue/focus-quadruple-aim-development-resiliency-center-promote-faculty-and-staff-wellness

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47411/psn-pdf
    December 12, 2018 - Patterns of disrespectful physician behavior at an academic medical center: implications for training … Patterns of Disrespectful Physician Behavior at an Academic Medical Center: Implications for Training … https://psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center- implications-training … retrospectively reviewed events involving disrespectful provider behavior at a single academic medical center … https://psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39330/psn-pdf
    March 03, 2010 - Consistency between coded poison center data and fatality abstract narratives for therapeutic error … Consistency between coded poison center data and fatality abstract narratives for therapeutic error … https://psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract- narratives-therapeutic … This study of poison center data found that the precise reasons for fatality were difficult to ascertain … https://psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic

  7. Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. | PSNet

    psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
    November 29, 2023 - Roudebush VA Medical Center in Indianapolis, Indiana. … Haley VA Medical Center, Tampa, Florida. … Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center … Roudebush VA Medical Center in Indianapolis, Indiana. … Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center

  8. Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. | PSNet

    psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans
    November 29, 2023 - Haley VA Medical Center, Tampa, Florida. … Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center … Roudebush VA Medical Center in Indianapolis, Indiana. … DeBakey VA Medical Center in Houston, Texas. … Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60362/psn-pdf
    April 13, 2018 - for tertiary care through a 24/7 patient/provider call center. … Key elements of the program include the following: Call center: The call center, staffed by women's … Physicians contact the call center to arrange telemedicine consultations with medical center maternal … to the center or to the nearest, most appropriate facility. … The medical center now cares for more Medicaid patients as a result of the initiative.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36262/psn-pdf
    August 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. … Safety in the academic medical center: transforming challenges into ingredients for improvement. … https://psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients- improvement … https://psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement … https://psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865678/psn-pdf
    April 24, 2024 - implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center … implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center … residents, advanced practice providers (APPs) and physician assistants (PAs) at one Comprehensive Cancer Center

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866744/psn-pdf
    September 18, 2024 - Hayden VA Medical Center in Phoenix, Arizona. … Hayden Va Medical Center In Phoenix, Arizona. … General (OIG) reviewed a patient care delay in receiving basic life support services while on VA medical center

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36970/psn-pdf
    March 17, 2011 - Connecticut Center for Patient Safety. … March 17, 2011 Connecticut Center for Patient Safety https://psnet.ahrq.gov/issue/connecticut-center-patient-safety … The Connecticut Center for Patient Safety works to improve patient safety in Connecticut hospitals  … https://psnet.ahrq.gov/issue/connecticut-center-patient-safety

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35920/psn-pdf
    March 17, 2011 - North Carolina Center for Hospital Quality and Patient Safety. … March 17, 2011 North Carolina Center for Hospital Quality and Patient Safety. … https://psnet.ahrq.gov/issue/north-carolina-center-hospital-quality-and-patient-safety The center was … https://psnet.ahrq.gov/issue/north-carolina-center-hospital-quality-and-patient-safety

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45784/psn-pdf
    April 03, 2017 - Processes for identifying and reviewing adverse events and near misses at an academic medical center … Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center … psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses- academic-medical-center … This survey of operational leaders at a single academic medical center identified multiple conferences … psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35638/psn-pdf
    June 25, 2010 - Medication errors in a pharmacy-based bar-code- repackaging center. … Medication errors in a pharmacy-based bar-code-repackaging center. … https://psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center The authors …  describe a bar-code-repackaging center within their hospital pharmacy and confirm the types of errors … https://psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36504/psn-pdf
    February 16, 2011 - The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. … The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. … https://psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education … The authors describe a simulation-based medical education center and how it changed the educational … https://psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47019/psn-pdf
    July 11, 2018 - Center of Excellence for Improving Diagnosis. July 11, 2018 Patient Safety Authority. … https://psnet.ahrq.gov/issue/center-excellence-improving-diagnosis Diagnostic error has gained recognition … Established within the Pennsylvania Patient Safety Authority, this center will address diagnostic improvement … The center will focus on efforts to share data and information, design and test innovations, and facilitate … https://psnet.ahrq.gov/issue/center-excellence-improving-diagnosis https://psnet.ahrq.gov/primer/diagnostic-errors

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37040/psn-pdf
    April 11, 2011 - The host hospital 24-hour underreferral rate: an automated measure of call-center safety. … The host hospital 24-hour underreferral rate: an automated measure of call-center safety. … https://psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety … Conducted at a tertiary care pediatric hospital, this cohort study matched calls to the call center … The study authors advocate for using the under-referral rate as a measure of call center quality of

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34943/psn-pdf
    November 11, 2015 - JCAHO to launch global patient safety center: the initial focus will be on reviewing and publicizing … November 11, 2015 Robeznieks A https://psnet.ahrq.gov/issue/jcaho-launch-global-patient-safety-center-initial-focus-will-be-reviewing-and … on the launch of the Joint Commission on Accreditation of Healthcare Organizations' International Center … https://psnet.ahrq.gov/issue/jcaho-launch-global-patient-safety-center-initial-focus-will-be-reviewing-and-publicizing … https://psnet.ahrq.gov/issue/jcaho-launch-global-patient-safety-center-initial-focus-will-be-reviewing-and-publicizing
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