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Showing results for "coordinator".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851462/psn-pdf
    July 19, 2023 - Broken Trust: Making Patient Safety More than Just a Promise. July 19, 2023 Manchester, UK: Parliamentary and Health Service Ombudsman; June 2023. ISBN: 9781528642446. https://psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise Lack of accountability for systemic contributions to failure degr…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867237/psn-pdf
    December 04, 2024 - Morbidity and mortality: delays in my patient’s cancer care. December 4, 2024 Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. https://psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care Sy…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35301/psn-pdf
    December 01, 2022 - Guiding Principles to Achieve Continuity in Medication Management. December 1, 2022 Department of Health and Aged Care. Canberra ACT: Commonwealth of Australia; 2022. ISBN 978-1- 76007-471-5. https://psnet.ahrq.gov/issue/guiding-principles-achieve-continuity-medication-management Originally published in 2005, the…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847734/psn-pdf
    April 19, 2023 - Patient safety tools for primary care. April 19, 2023 Domdera J. Fam Pract Manag. 2023;30(2):24-28. https://psnet.ahrq.gov/issue/patient-safety-tools-primary-care A large segment of patients receives outpatient care. This commentary suggests that high-reliability concepts be applied in the primary care environment…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845658/psn-pdf
    June 08, 2023 - Simulation Articles of Influence. June 8, 2023 Society for Simulation in Healthcare. 2017-2023. https://psnet.ahrq.gov/issue/simulation-articles-influence Simulation can be used to reveal teamwork coordination gaps and latent factors that contribute to failure. This article collection has been curated by experts i…

  6. Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet

    psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
    October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids Save Save to your library Print Download PDF Share Facebook Twitte…

  7. Ambulatory Care Safety | PSNet

    psnet.ahrq.gov/primer/ambulatory-care-safety
    December 15, 2024 - Ambulatory Care Safety Citation Text: Ambulatory Care Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. Fatigue among clinicians and the safety of patients. | PSNet

    psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
    November 15, 2018 - Study Classic Fatigue among clinicians and the safety of patients. Citation Text: Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med. 2002;347(16):1249-1255. Copy Citation Format: Google Schola…

  9. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
    March 09, 2022 - Study Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. Citation Text: Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropria…

  10. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. | PSNet

    psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-england-retrospective
    November 13, 2019 - Study Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. Citation Text: Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note …

  11. Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us
    August 04, 2021 - Study Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. Citation Text: Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medicat…

  12. Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. | PSNet

    psnet.ahrq.gov/issue/measuring-impact-medication-related-interventions-30-day-readmission-rates-skilled-nursing
    July 29, 2020 - Study Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. Citation Text: Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facili…

  13. “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet

    psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
    February 26, 2025 - of Medicine, UCSF Division of General Internal Medicine, SFGH Interpersonal Violence Prevention Coordinator

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72837/psn-pdf
    September 01, 2022 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Originally published on March 11, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder- improves-maternal-and Summary Project…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72611/psn-pdf
    December 23, 2020 - Improving Diagnosis in Medicine Act of 2020. December 23, 2020 116th Congress 2d session. December 10, 2020. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020 The strengthening of diagnostic error research and processes can strategically ensure lasting diagnostic improvement. The ‘‘Improving Diagn…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39023/psn-pdf
    November 19, 2018 - Pediatric Readiness in the Emergency Department. November 19, 2018 Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459. https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department This revised set of gu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47983/psn-pdf
    May 01, 2019 - Health systems and hospitals in pursuit of high reliability. May 1, 2019 Cheney C. HealthLeaders Media. April 17, 2019. https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability This news article describes how a 19-hospital health system successfully applied high reliability principles to …

  18. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx Spotlight The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Source and Credits • This presentation is based on the November 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahr…

  19. Upcoming online events | PSNet

    psnet.ahrq.gov/training-catalog/upcoming-online-events-0
    Upcoming online events Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization University of California, San Francisco Coordinating Center For Diagnostic Excellence …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34626/psn-pdf
    August 13, 2018 - National Patient Safety Agency (NPSA). August 13, 2018 National Patient Safety Agency. https://psnet.ahrq.gov/issue/national-patient-safety-agency-npsa The National Patient Safety Agency was created in 2001 to coordinate efforts across the United Kingdom in reporting and learning from mistakes and problems. In Apr…
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