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  1. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet

    psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 Innovation Contact …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851971/psn-pdf
    July 31, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-adhere-dietary-restricti…

  3. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet

    psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
    July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 22, 2020 Innovation Contact …

  4. In Conversation With… Jack Needleman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - In Conversation With… Jack Needleman, PhD September 1, 2012  Also Read an Essay Citation Text: In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Cochrane Database Syst Rev. 2013;(10):CD008574. [Free full text] 19. Jaman J, Marti?

  6. In Conversation With… Dave deBronkart | PSNet

    psnet.ahrq.gov/perspective/conversation-dave-debronkart
    June 01, 2014 - This meeting also saw the pledge by The Joint Commission to establish its sentinel events database and

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60722/psn-pdf
    February 06, 2023 - Cochrane Database Syst Rev. 2021;3(3):CD013705. [Free full text]  34.

  8. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - to define levels of perioperative risk of morbidity and mortality.7 • A prospective observational database

  9. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet

    psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
    September 27, 2023 - Cochrane Database Syst Rev . 2013;(10):CD008574. [ Free full text ] Jaman J, Martić K, Rasic N, Markulin

  10. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet

    psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
    June 01, 2014 - This meeting also saw the pledge by The Joint Commission to establish its sentinel events database and

  11. In Conversation With… Harlan Krumholz, MD, SM | PSNet

    psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
    April 01, 2018 - Cochrane Database Syst Rev. 2016;(1):CD000313. [go to PubMed] 10.

  12. Safety in Radiology | PSNet

    psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - I was looking at utilization of imaging and a very large database of national imaging rates, and I was

  13. The Role of Community Pharmacists in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
    October 24, 2021 - June 9, 2021 Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database

  14. AHRQ PSNet Webinar (pdf file)

    psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
    January 01, 2025 - AHRQ PSNet Webinar AHRQ PSNet Webinar Making Healthcare Safer (MHS) IV: Rapid Response Systems and Opioid Stewardship February 10, 2025 Agenda 2 • Logistics • Introduction to the Making Healthcare Safer (MHS) IV Reports • Report 1 – Rapid Response Systems ► Discussion ► PSNet Resources • Report 2 – Opioi…

  15. Preparing for Health Reform: The Federal Government and the Nursing Workforce | PSNet

    psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce Peter I. Buerhaus, PhD, RN | September 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Buerhaus P. Preparing for Health Reform: The Federal G…

  16. In Conversation with...James P. Bagian, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - The reports are not counting exercises—our database identifies where vulnerabilities lie.

  17. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - We can use decisions in past cases, which would be recorded in a database as a guidepost, or we can get

  18. In Conversation With… David Juurlink, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
    May 22, 2017 - It describes a database-drudging exercise at a Boston hospital that cannot possibly show the risk of

  19. Patient Safety During Hospital Discharge | PSNet

    psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
    April 01, 2018 - Cochrane Database Syst Rev. 2016;(1):CD000313. [go to PubMed] 10.

  20. Opioid Overdose as a Patient Safety Problem | PSNet

    psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - It describes a database-drudging exercise at a Boston hospital that cannot possibly show the risk of
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