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  1. High Reliability in Health Care. | PSNet

    psnet.ahrq.gov/issue/high-reliability-health-care
    May 06, 2015 - Measurement Tool/Indicator High Reliability in Health Care. Citation Text: High Reliability in Health Care. Joint Commission Center for Transforming Healthcare. Copy Citation Save Save to your library Print Download PDF Share Facebook T…

  2. When doctors make mistakes. | PSNet

    psnet.ahrq.gov/issue/when-doctors-make-mistakes-1
    May 01, 2013 - Newspaper/Magazine Article When doctors make mistakes. Citation Text: When doctors make mistakes. Chen PW. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  3. Simulation in Surgical Training and Practice. | PSNet

    psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
    February 15, 2012 - Special or Theme Issue Simulation in Surgical Training and Practice. Citation Text: Simulation in Surgical Training and Practice. Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918. Copy Citation Save Save to your library Print Download PDF …

  4. ISQua Fellowship Programme. | PSNet

    psnet.ahrq.gov/issue/isqua-fellowship-programme
    January 29, 2021 - Press Release/Announcement ISQua Fellowship Programme. Citation Text: ISQua Fellowship Programme. International Society for Quality in Health Care. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  5. AORN Position Statement on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/aorn-position-statement-patient-safety
    May 20, 2020 - Organizational Policy/Guidelines AORN Position Statement on Patient Safety. Citation Text: AORN Position Statement on Patient Safety. AORN J. 2022;115(5):454-457. doi:10.1002/aorn.13671. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  6. The best medicine for fixing the modern hospital. | PSNet

    psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
    February 06, 2008 - Newspaper/Magazine Article The best medicine for fixing the modern hospital. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 12, 2012 View more articles from the same auth…

  7. Safer Patients Network. | PSNet

    psnet.ahrq.gov/issue/safer-patients-network
    May 12, 2021 - Multi-use Website Safer Patients Network. Citation Text: Safer Patients Network. The Health Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39329/psn-pdf
    September 30, 2015 - Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. September 30, 2015 Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644. https://psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-chang…

  9. Special Issue on Teamwork. | PSNet

    psnet.ahrq.gov/issue/special-issue-teamwork
    March 23, 2022 - Special or Theme Issue Special Issue on Teamwork. Citation Text: Special Issue on Teamwork. Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.   Copy Citation Save Save to your library Print Download PDF Share Facebook …

  10. Drug shortages roundtable: minimizing the impact on patient care. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care
    April 26, 2023 - Commentary Drug shortages roundtable: minimizing the impact on patient care. Citation Text: Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. Copy Citation Format: DOI Google Scholar PubMed…

  11. Missed signals. | PSNet

    psnet.ahrq.gov/issue/missed-signals
    September 21, 2016 - Newspaper/Magazine Article Missed signals. Citation Text: Missed signals. Sanders L. New York Times Magazine. April 22, 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

  12. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-35
    December 30, 2014 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MC. Hosp Pharm. 2009;44(5):374-378. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Li…

  13. Patient Safety: A Perspective from Office Practice | PSNet

    psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
    May 01, 2009 - We also do a better job communicating vital safety information (medication and problem lists, allergies

  14. In Conversation with...Lucian Leape, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
    August 01, 2006 - finished a collaborative to implement safe practices here in Massachusetts: reconciling medications and communicating

  15. Getting Into Patient Safety: A Personal Story | PSNet

    psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
    August 01, 2006 - finished a collaborative to implement safe practices here in Massachusetts: reconciling medications and communicating

  16. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet

    psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
    November 30, 2023 - Providers should always be proactive and explicit in communicating their reasons for making different

  17. The Comprehensivist Model of Care: A Hospitalist's View | PSNet

    psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
    November 01, 2018 - December 19, 2014 Communicating in the "gray zone": perceptions about emergency physician-hospitalist

  18. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - PowerPoint Presentation Spotlight Case July 2003 Code Status Confusion webmm.ahrq.gov Source and Credits This presentation is based on the July 2003 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Bernard Lo, MD, Univers…

  19. CE/MOC Quizzes | PSNet

    psnet.ahrq.gov/cme
    February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851869/psn-pdf
    July 31, 2023 - Building Capacity for Patient Safety July 31, 2023 Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/building-capacity-patient-safety In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…
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