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  1. Peer Support Toolkit. | PSNet

    psnet.ahrq.gov/issue/peer-support-toolkit
    May 03, 2023 - Betsy Lehman Center for Patient Safety. September 2021. … Facebook Twitter Linkedin Copy URL September 29, 2021 Betsy Lehman Center … Betsy Lehman Center for Patient Safety. September 2021. … May 3, 2023 Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert

  2. Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. | PSNet

    psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and-pembroke-hospital
    May 24, 2023 - Disability Law Center. Boston, MA: February 2018. … Facebook Twitter Linkedin Copy URL March 21, 2018 Disability Law Center … Disability Law Center. Boston, MA: February 2018. … - September 19, 2024 Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46944/psn-pdf
    March 21, 2018 - Critical Deficiencies at the Washington DC VA Medical Center. … https://psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center Systemic weaknesses … Highlighting concerns at one medical center that were found to contribute to opportunities for waste, … https://psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center https://psnet.ahrq.gov

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45572/psn-pdf
    March 22, 2017 - Ordering interruptions in a tertiary care center: a prospective observational study. … Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. … https://psnet.ahrq.gov/issue/ordering-interruptions-tertiary-care-center-prospective-observational-study … https://psnet.ahrq.gov/issue/ordering-interruptions-tertiary-care-center-prospective-observational-study

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33953/psn-pdf
    February 05, 2018 - February 5, 2018 Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical … https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and- … https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error … https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50855/psn-pdf
    January 29, 2020 - improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center … Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic Medical Center … recommendations (e.g., label redesign, patient-specific bar coding on pens) at a quaternary academic medical center

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44469/psn-pdf
    September 16, 2015 - Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah … psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va- medical-center-tomah … psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah … psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45440/psn-pdf
    November 09, 2016 - Safety lessons from the NIH Clinical Center. November 9, 2016 Gandhi TK. … Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. … https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center System failures can remain undetected … https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center https://psnet.ahrq.gov/issue/when-systems-fail

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45592/psn-pdf
    October 27, 2016 - Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare … https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center- transforming-healthcare … https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare … https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare

  10. Ensuring Correct Surgery. | PSNet

    psnet.ahrq.gov/issue/ensuring-correct-surgery
    May 24, 2017 - National Center for Patient Safety; NCPS Copy Citation Save Save to your library … Facebook Twitter Linkedin Copy URL December 24, 2014 National Center … National Center for Patient Safety; NCPS Copy Citation Related Resources From the Same … 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

  11. Evidence Brief: Implementation of High Reliability Organization Principles. | PSNet

    psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
    November 11, 2020 - 2020 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center … Johnson VA Medical Center in Clarksburg, West Virginia. … Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center … 2019 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center

  12. Algorithmic Bias Playbook. | PSNet

    psnet.ahrq.gov/issue/algorithmic-bias-playbook
    May 13, 2020 -  Center for Applied Artificial Intelligence, Chicago Booth: June 2021. … Center for Applied Artificial Intelligence, Chicago Booth: June 2021. …  Center for Applied Artificial Intelligence, Chicago Booth: June 2021. … Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center

  13. HEAR Her Concerns. | PSNet

    psnet.ahrq.gov/issue/hear-her-concerns
    April 01, 2024 - National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health; … Facebook Twitter Linkedin Copy URL April 6, 2022 National Center … National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health;

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47119/psn-pdf
    September 19, 2018 - A usability and safety analysis of electronic health records: a multi-center study. … A usability and safety analysis of electronic health records: a multi- center study. … https://psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study … https://psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44628/psn-pdf
    September 12, 2016 - Rates of safety incident reporting in MRI in a large academic medical center. … Rates of safety incident reporting in MRI in a large academic medical center. … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center This … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center https:

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34787/psn-pdf
    March 28, 2005 - Medication misadventures resulting in emergency department visits at an HMO medical center. … //psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo- medical-center … https://psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center … https://psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60242/psn-pdf
    March 01, 2021 - These successes have been across a variety of health system contexts, including: a VA medical center … A recent analysis found that the reduction in service usage saved the VA medical center $200k per year … Robert Graham Center. … Center for Consumer Engagement in Health Innovation. … Peterson Center on Healthcare. Learning Update: Improving Healthcare for High-Need Patients.

  18. How to Talk About Patient Safety. | PSNet

    psnet.ahrq.gov/issue/how-talk-about-patient-safety
    June 24, 2019 - Boston, MA: Betsy Lehman Center for Patient Safety; March 2019. … Boston, MA: Betsy Lehman Center for Patient Safety; March 2019. … Boston, MA: Betsy Lehman Center for Patient Safety; March 2019. … May 3, 2023 Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48190/psn-pdf
    June 17, 2024 - Markell Conference Center, Somerville, MA, September 4–5, 2024. … apsf-stoelting-conference https://psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

  20. Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety
    January 08, 2020 - May 1, 2016 Center for Patient Safety. … October 28, 2021 Betsy Lehman Center for Patient Safety. … November 7, 2018 Center for Patient Safety.
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