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  1. 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.

  2. Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
    September 10, 2014 - Roudebush VA Medical Center in Indianapolis, Indiana. … 2023 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center … Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center … Johnson VA Medical Center in Clarksburg, West Virginia. … Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41829/psn-pdf
    November 07, 2012 - Center for Drug Safety & Effectiveness. … https://psnet.ahrq.gov/issue/center-drug-safety-effectiveness This Web site provides resources for individuals … https://psnet.ahrq.gov/issue/center-drug-safety-effectiveness

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40706/psn-pdf
    August 17, 2011 - The National Center for Human Factors Engineering in Healthcare. … https://psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare This Web site hosts … https://psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare https://psnet.ahrq.gov

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33707/psn-pdf
    February 01, 2011 - led by Brent James at Intermountain Healthcare.(10,13) The University of Texas MD Anderson Cancer Center … at Houston, UT Medical Branch at Galveston, UT Southwestern Medical Center at Dallas, UT Health Science … Center at San Antonio, UT MD Anderson Cancer Center, and UT Health Science Center at Tyler. … = 379; UT Health Science Center San Antonio = 63; UT Health Science Center Houston = 39; UT Southwestern … = 37; UT Medical Branch in Galveston = 52; and UT Health Science Center Tyler = 7).The two campuses

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49852/psn-pdf
    February 01, 2019 - The physician arranged to have the patient transferred to a large academic medical center that could … He did not inform the hospital's transfer center. … Center for Medicare and Medicaid Services. [Available at] 8. … [go to PubMed] 18. 6 benefits of a hospital's centralized transfer Center. … The development of the patient transfer center at Ochsner Medical Center.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867004/psn-pdf
    October 30, 2024 - /psnet.ahrq.gov/innovation/critical-radiology-alert-process Summary Vanderbilt University Medical Center … lead to serious adverse health events.2 In response to these concerns, Vanderbilt University Medical Center … a  critical radiology alert weekly report, which is reviewed by ED nurse case managers and cancer center … In this case, the hospital, ED, and Cancer Center leadership teams enthusiastically supported the program … their knowledge of the patient.3 The weekly report is reviewed by the ED case managers and cancer center

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40703/psn-pdf
    August 17, 2011 - Washington Hospital Center safety program seeks to catch 'near-misses.' August 17, 2011 Sun LH. … https://psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses This … https://psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44823/psn-pdf
    February 15, 2017 - US poison control center calls for infants 6 months of age and younger. … US Poison Control Center Calls for Infants 6 Months of Age and Younger. … https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger Pediatricians … https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger https://

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36592/psn-pdf
    May 08, 2018 - Anticoagulant safety takes center stage in 2007. May 8, 2018 ISMP Medication Safety Alert! … https://psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007 This article, which launches … https://psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33997/psn-pdf
    March 17, 2011 - 2011 https://psnet.ahrq.gov/issue/marylanddc-patient-safety-coalition The Maryland Patient Safety Center … The center is a collaboration of two organizations that have led safety/quality initiatives in Maryland … The center is a nonregulatory and statewide effort.

  12. Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. | PSNet

    psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
    May 26, 2021 - Johnson VA Medical Center in Clarksburg, West Virginia. … Haley VA Medical Center, Tampa, Florida. … Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center … 2020 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center

  13. Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. | PSNet

    psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
    July 26, 2023 - Roudebush VA Medical Center in Indianapolis, Indiana. … Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center … 2022 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center … Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center

  14. Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. | PSNet

    psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
    March 01, 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 … Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39982/psn-pdf
    January 17, 2012 - Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective … https://psnet.ahrq.gov/issue/hand-communications The Joint Commission Center for Transforming Healthcare … https://psnet.ahrq.gov/issue/hand-communications https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare

  16. Roadmap to Health Care Safety for Massachusetts. | PSNet

    psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
    June 15, 2016 - Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. … Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. … Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. … From the Same Author(s) Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center … Diagnostic Safety and Quality April 26, 2023 CHaMP: A model for building a center

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34006/psn-pdf
    August 15, 2018 - PULSE Center for Patient Safety Education & Advocacy. August 15, 2018 Wantagh, NY 11793-0353. … https://psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy PULSE is a nonprofit grassroots … https://psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy

  18. Training Catalog | PSNet

    psnet.ahrq.gov/training-catalog
    June 01, 2025 - (2) Association of periOperative Registered Nurses (AORN) (4) Betsy Lehman Center … Research and Quality (AHRQ) (1) Coursera (3) Duke University Health System Center … Patient Safety Authority (1) Prime Education (1) Quality Reporting Center … The Research Gate (TRG) (1) University of California, San Francisco Coordinating Center … Organization: University of California, San Francisco Coordinating Center

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38181/psn-pdf
    October 31, 2016 - PSO Privacy Protection Center. … https://psnet.ahrq.gov/issue/pso-privacy-protection-center This Web site supports AHRQ implementation … https://psnet.ahrq.gov/issue/pso-privacy-protection-center https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act

  20. Electronic Health Record (EHR) Safety and Usability: See What We Mean. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
    June 08, 2011 - MedStar Health National Center for Human Factors in Healthcare. … Twitter Linkedin Copy URL January 15, 2020 MedStar Health National Center … MedStar Health National Center for Human Factors in Healthcare. … Applying human factors engineering to address the telemetry alarm problem in a large medical center … Factors associated with workplace violence among healthcare workers in an academic medical center
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