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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854833/psn-pdf
     October 25, 2023 - DeBakey VA Medical Center in Houston, Texas. … details five wrong-site surgeries and three instances of retained surgical items at one VA medical center … Additionally, the medical center failed to fully report the provider responsible for three of the wrong-site

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34698/psn-pdf
     January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective … Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective … https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient … https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys … https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

283. Editorial Team | PSNet
     psnet.ahrq.gov/Information/Editor
     May 23, 2025 - the UC Davis Medical Center’s Emergency Department, inland northern California’s only level-1 trauma center … Inpatient Mental Health Services, Department of Psychiatry, 60th Medical Group/David Grant Medical Center … CA; Faculty Psychiatrist and Chair, Department of Psychiatry, 59th Medical Wing/Wilford Hall Medical Center … Division, Department of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center … He has an interest in single-center randomized trials, of which he has completed five on such topics

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40779/psn-pdf
     September 10, 2013 - Tennessee Center for Patient Safety. September 10, 2013 Tennessee Center for Patient Safety. … https://psnet.ahrq.gov/issue/tennessee-center-patient-safety This Web site summarizes patient safety … https://psnet.ahrq.gov/issue/tennessee-center-patient-safety https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34945/psn-pdf
     May 08, 2012 - Joint Commission International Center for Patient Safety. … Accreditation of Healthcare Organizations https://psnet.ahrq.gov/issue/joint-commission-international-center-patient-safety … The center advocates for patient safety through research and education. … https://psnet.ahrq.gov/issue/joint-commission-international-center-patient-safety

286. Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  | PSNet
     psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error
     April 03, 2019 - Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error Reduction … Copy URL February 5, 2018 Expert Panel on Weight Loss Surgery, Betsy Lehman Center … Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error Reduction … May 31, 2023 Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45148/psn-pdf
     April 24, 2018 - Safety of overlapping surgery at a high-volume referral center. … Safety of Overlapping Surgery at a High-volume Referral Center. … https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center Overlapping surgery … compared overlapping surgeries with nonoverlapping surgeries of the same type at a single referral center … https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center https://psnet.ahrq.gov

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40661/psn-pdf
     March 08, 2015 - Patient safety front and center. March 8, 2015 Terry K. Patient safety front and center. … https://psnet.ahrq.gov/issue/patient-safety-front-and-center This article discusses strategies that … https://psnet.ahrq.gov/issue/patient-safety-front-and-center

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33994/psn-pdf
     March 17, 2011 - San Diego Center for Patient Safety. … March 17, 2011 https://psnet.ahrq.gov/issue/san-diego-center-patient-safety The San Diego Center for … https://psnet.ahrq.gov/issue/san-diego-center-patient-safety

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37871/psn-pdf
     January 06, 2017 - A controlled trial of a rapid response system in an academic medical center. … A controlled trial of a rapid response system in an academic medical center. … https://psnet.ahrq.gov/issue/controlled-trial-rapid-response-system-academic-medical-center Widespread … This study found that implementation of an RRT at an academic medical center did not improve clinical … https://psnet.ahrq.gov/issue/controlled-trial-rapid-response-system-academic-medical-center https://psnet.ahrq.gov

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34087/psn-pdf
     June 16, 2011 - Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center … Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center … ://psnet.ahrq.gov/issue/evaluation-culture-safety-survey-clinicians-and-managers-academic-medical- center … https://psnet.ahrq.gov/issue/evaluation-culture-safety-survey-clinicians-and-managers-academic-medical-center … https://psnet.ahrq.gov/issue/evaluation-culture-safety-survey-clinicians-and-managers-academic-medical-center

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35889/psn-pdf
     March 10, 2011 - Automated surveillance for adverse drug events at a community hospital and an academic medical center … Automated surveillance for adverse drug events at a community hospital and an academic medical center … psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and- academic-medical-center … psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center … psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35170/psn-pdf
     October 07, 2016 - Center for Patient Safety. … Missouri State Medical Association; Missouri Hospital Association; Primaris https://psnet.ahrq.gov/issue/center-patient-safety … The Missouri Center for Patient Safety is dedicated to improving patient safety in Missouri by applying … https://psnet.ahrq.gov/issue/center-patient-safety

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841768/psn-pdf
     December 21, 2022 - to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center … to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center … describes the characteristics of incident reports submitted by trainees in a large academic medical center

295. Healthcare Failure Mode and Effect Analysis. | PSNet
     psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
     May 24, 2017 - National Center for Patient Safety. … Facebook Twitter Linkedin Copy URL January 17, 2012 National Center … National Center for Patient Safety. … May 24, 2017 National Center for Patient Safety Falls Toolkit 2004. … May 3, 2023 Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38185/psn-pdf
     October 29, 2008 - Implementation of the SBAR communication technique in a tertiary center. … Implementation of the SBAR Communication Technique in a Tertiary Center. … https://psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center This article … https://psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34608/psn-pdf
     March 28, 2005 - Center for Medical Simulation. … March 28, 2005 https://psnet.ahrq.gov/issue/center-medical-simulation The Center for Medical Simulation … https://psnet.ahrq.gov/issue/center-medical-simulation https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40310/psn-pdf
     March 23, 2011 - Inaccuracy of ECG interpretations reported to the poison center. … Inaccuracy of ECG interpretations reported to the poison center. … https://psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center The emergency interpretation … https://psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center https://psnet.ahrq.gov

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36996/psn-pdf
     September 24, 2016 - Interruptions in a level one trauma center: a case study. … Interruptions in a level one trauma center: a case study. Int J Med Inform. 2008;77(4):235-41. … https://psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study The investigators shadowed … https://psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42710/psn-pdf
     December 29, 2014 - Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results … Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results … /psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical- center-results … ://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results … ://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results