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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43171/psn-pdf
    May 14, 2014 - Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. May 14, 2014 Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493. https://psnet.ahrq.gov/issue/fool-me-twice-dela…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37679/psn-pdf
    June 12, 2008 - Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. June 12, 2008 Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. Am J Obstet Gynecol. 2008;198(6):622.e1-7. doi:10.1016/j.ajog.2008.01.039. https…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42984/psn-pdf
    February 26, 2014 - Delivering the truth: challenges and opportunities for error disclosure in obstetrics. February 26, 2014 Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3). doi:10.1097/aog.0000000000000130. https://psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-e…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853980/psn-pdf
    September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. Specialty Pharmacy Continuum. September 15, 2023. https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency identification (RFID) devices are being used to improve processes in the…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43165/psn-pdf
    May 07, 2014 - Disrespectful behaviors—part 1 and part 2. May 7, 2014 ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4. https://psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2 The first article of this series reports the results of a survey investigating disruptive beh…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60805/psn-pdf
    August 12, 2020 - A blueprint for leadership during COVID-19. August 12, 2020 Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage. 2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f. https://psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19 These authors discuss the effect of the C…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60553/psn-pdf
    June 03, 2020 - Using social and behavioural science to support COVID- 19 pandemic response. June 3, 2020 Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-471. doi:10.1038/s41562-020-0884-z. https://psnet.ahrq.gov/issue/using-social-an…

  8. Conclusion | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
    May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Conclusion Previous Page   Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (CUSP) Measurement…

  9. The "Never Antibiotics" Diagnoses: Acute Bronchitis | Agency for Healthcare Research and Quality

    www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/bronchitis.html
    November 01, 2022 - The "Never Antibiotics" Diagnoses: Acute Bronchitis After viewing or presenting this presentation, viewers will be able to— Diagnose acute bronchitis. Manage patients with acute bronchitis without antibiotics. Effectively communicate the time course of acute bronchitis to patients. The Never Ant…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42504/psn-pdf
    August 14, 2014 - The effect of an organizational network for patient safety on safety event reporting. August 14, 2014 Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/0163278713491267. https://psnet.ahrq.gov/iss…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50909/psn-pdf
    February 19, 2020 - Time to take hearing loss seriously. February 19, 2020 Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003. https://psnet.ahrq.gov/issue/time-take-hearing-loss-seriously The authors of this narrative review…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73447/psn-pdf
    June 30, 2021 - Errors in adult trauma resuscitation: a systematic review. June 30, 2021 Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. https://psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review Trauma …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34737/psn-pdf
    November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems Failure. November 19, 2015 Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure This video, produced by the Partnership for Patient Safety and the Harvard …

  14. Media Options for a Health Care Quality Report | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/distribute/media/index.html
    February 01, 2016 - Media Options for a Health Care Quality Report What medium will you use to convey information about quality to your audience? The most common media are print and Web. Mass media such as radio or television are also options, but only for certain sponsors and certain kinds of information. Each of these media has …

  15. Incorporating health information technology into workflow redesign. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/citation/redesign
    January 01, 2023 - Incorporating health information technology into workflow redesign. Citation Carayon P, Karsh B-T, Cartmill RS, et al. Incorporating health information technology into workflow redesign - summary report. (Prepared by the Center for Quality and Productivity Improvement, University of Wisconsin–Madison,…

  16. Improving Care in a Rural Region with Consolidated Imaging - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-care-rural-region-consolidated-imaging/final-report
    January 01, 2023 - Improving Care in a Rural Region with Consolidated Imaging - Final Report Citation Coleman R. Improving Care in a Rural Region with Consolidated Imaging - Final Report. (Prepared by Maine Medical Center under Grant No. UC1 HS015328). Rockville, MD: Agency for Healthcare Research and Quality, 2008. …

  17. Coleman, Robert | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/coleman-robert
    January 01, 2023 - Coleman, Robert Improving Care in a Rural Region with Consolidated Imaging - Final Report Citation Coleman R. Improving Care in a Rural Region with Consolidated Imaging - Final Report. (Prepared by Maine Medical Center under Grant No. UC1 HS015328). Rockville, MD: Agency for…

  18. In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA | PSNet

    psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
    June 30, 2021 - Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications

  19. COVID-19 and the Built Environment | PSNet

    psnet.ahrq.gov/perspective/covid-19-and-built-environment
    June 30, 2021 - Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications

  20. Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
    October 01, 2023 - note review and recall of recent "at-risk" visits.76 Patients and families identify breakdowns in communications
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