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Showing results for "defining".

  1. IV push medications survey results—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
    December 12, 2018 - Newspaper/Magazine Article IV push medications survey results—part 1 and part 2. Citation Text: IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. Copy Citation Save …

  2. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
    December 01, 2012 - Spotlight Case July 2008 Spotlight Case The Lung Nodule That Refused To Grow * * Source and Credits This presentation is based on the December 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Alex A. Balekian, MD, MSHS, Keck School of Med…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867845/psn-pdf
    February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary February 26, 2025 https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation- summary Summary This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…

  4. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 26, 2025 Innovation Contact …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33715/psn-pdf
    July 01, 2011 - Becoming a Patient Safety Organization July 1, 2011 Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization Perspective While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story …

  6. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - Defining diagnosis as a process allows them to apply all the things they know about how to improve processes

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867651/psn-pdf
    February 26, 2025 - Safety I, Safety II, and the New Views of Safety February 26, 2025 Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety Background and Context Safety I and Safety II (Safety I/II) are not safety method…

  8. Safety I, Safety II, and the New Views of Safety | PSNet

    psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
    October 02, 2024 - Safety I, Safety II, and the New Views of Safety Citation Text: Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX E…

  9. Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? | PSNet

    psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement
    November 25, 2020 - Commentary Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? Citation Text: Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improveme…

  10. Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis. | PSNet

    psnet.ahrq.gov/issue/think-twice-effects-diagnostic-accuracy-returning-case-reflect-upon-initial-diagnosis
    June 08, 2022 - Study Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis. Citation Text: Mamede S, Hautz WE, Berendonk C, et al. Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis. Acad Med. 2…

  11. Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. | PSNet

    psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-prescribing-american-society-parenteral-and
    February 17, 2015 - Commentary Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. Citation Text: Guenter P, Boullata JI, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Pare…

  12. Use of electronic health records in US hospitals. | PSNet

    psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
    February 17, 2011 - Meeting/Conference Proceedings Use of electronic health records in US hospitals. Citation Text: Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  13. Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
    September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

  14. Utilizing pharmacy students in transitions-of-care services. | PSNet

    psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
    October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…

  15. Exploring the concept of medication discrepancy within the context of patient safety to improve population health. | PSNet

    psnet.ahrq.gov/issue/exploring-concept-medication-discrepancy-within-context-patient-safety-improve-population
    November 18, 2020 - Review Exploring the concept of medication discrepancy within the context of patient safety to improve population health. Citation Text: Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population h…

  16. Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. | PSNet

    psnet.ahrq.gov/issue/pragmatic-insights-patient-safety-priorities-and-intervention-strategies-ambulatory-settings
    January 06, 2018 - Commentary Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. Citation Text: Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient…

  17. Hospital autopsy: endangered or extinct? | PSNet

    psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
    November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  18. Associations between safety culture and employee engagement over time: a retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time-retrospective-analysis
    July 01, 2017 - Study Associations between safety culture and employee engagement over time: a retrospective analysis. Citation Text: Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7.…

  19. Understanding situation awareness in nursing work: a hybrid concept analysis. | PSNet

    psnet.ahrq.gov/issue/understanding-situation-awareness-nursing-work-hybrid-concept-analysis
    October 20, 2021 - Study Understanding situation awareness in nursing work: a hybrid concept analysis. Citation Text: Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e318245…

  20. Promoting health care safety through training high reliability teams. | PSNet

    psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams
    January 06, 2018 - Commentary Promoting health care safety through training high reliability teams. Citation Text: Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. Copy Citation Format: …
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