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9961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50844/psn-pdf
      January 29, 2020 - Improving Patient Safety and Team Communication through Daily Huddles January 29, 2020 Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles Background Communicat…

9962. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
      May 01, 2009 - Spotlight Case July 2008 Spotlight Case Delirium or Dementia? Source and Credits This presentation is based on the May 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James L. Rudolph, MD, SM Editor, AHRQ WebM&M: Robert Wachter, MD Sp…

9963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33851/psn-pdf
      January 01, 2017 - The Weekend Effect January 1, 2017 Ranji SR. The Weekend Effect. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/weekend-effect Annual Perspective 2017 Introduction Anyone who has spent time in a hospital as a patient or staff member may recognize that the availability of services and personnel can va…

9964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33627/psn-pdf
      February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events February 1, 2006 Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events Perspective You pull into a parking space, swing open the car door, and ar…

9965. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
      December 01, 2014 - PowerPoint Presentation Spotlight A Stroke of Error This presentation is based on the December 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Kevin M. Barrett, MD, MSc, Consultant, Associate Professor of Neurology, Director, Neurohospitalist F…

9966. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
      November 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case November 2005 Reconciling Doses Source and Credits This presentation is based on the November 2005 Spotlight Case in Emergency Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Frank Federico, RPh,…

9967. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
      February 01, 2017 - PowerPoint Presentation Spotlight The Hazards of Distraction: Ticking All the EHR Boxes * Source and Credits This presentation is based on the February 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Anthony C. Easty, PhD, Adjunct Pr…

9968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50699/psn-pdf
      November 26, 2019 - Patient Safety in Frail Older Patients November 26, 2019 Wald HL, Hall KK, Fitall E. Patient Safety in Frail Older Patients. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/patient-safety-frail-older-patients Background Older patients are at a particular risk of experiencing a patient safety event. Stud…

9969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD October 6, 2021 In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd Editor’s Note: Alison Stuebe, MD, MSc, is a…

9970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk December 18, 2024 Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/importance-following-saf…

9971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49759/psn-pdf
      May 01, 2016 - Falling Through the Crack (in the Bedrails) May 1, 2016 Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails Case Objectives Review the epidemiology of patient falls and associated injuries in the hospital set…

9972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73102/psn-pdf
      July 01, 2022 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use March 31, 2021 https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail- community-dwelling Summary Care management staff (such …

9973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72614/psn-pdf
      March 01, 2021 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Originally published on December 22, 2020 Last updated on December 23, 2020 https://psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads- improved-outcomes Summary Multidisciplinary tea…

9974. Patient Safety Primers | PSNet
      psnet.ahrq.gov/Primers
      April 01, 2021 - Patient Safety Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. …

9975. Patient Safety Innovations Exchange | PSNet
      psnet.ahrq.gov/node/60000
      January 01, 2021 - Patient Safety Innovations Exchange The Patient Safety Innovations Exchange highlights important innovations that can lead to improvements in patient safety. It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations, including those that improve patient safety. While available …

9976. Healthcare 411. Mistake proofing the health care environment. | PSNet
      psnet.ahrq.gov/issue/healthcare-411-mistake-proofing-health-care-environment
      October 12, 2011 - Government Resource Healthcare 411. Mistake proofing the health care environment. Citation Text: Agency for Healthcare Quality and Research; AHRQ Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy …

9977. Brief for the American Hospital Association and Federation of American Hospitals as Amici Curiae Supporting Respondents, Southern Baptist Hospital of Florida, Inc. v. Jean Charles, Jr. No. 16-1446. July 6, 2017. | PSNet
      psnet.ahrq.gov/issue/brief-american-hospital-association-and-federation-american-hospitals-amici-curiae-supporting
      October 24, 2022 - Legislation/Case Law Brief for the American Hospital Association and Federation of American Hospitals as Amici Curiae Supporting Respondents, Southern Baptist Hospital of Florida, Inc. v. Jean Charles, Jr. No. 16-1446. July 6, 2017. Citation Text: American Hospital Association and Federa…

9978. QualityTools™. | PSNet
      psnet.ahrq.gov/issue/qualitytoolstm
      April 25, 2018 - Database/Directory QualityTools™. Citation Text: Agency for Healthcare Research and Quality; AHRQ Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Agency for …

9979. Primers
      psnet.ahrq.gov/primers
      April 01, 2021 - Patient Safety Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. …

9980. Minor mistakes, deadly results. | PSNet
      psnet.ahrq.gov/issue/minor-mistakes-deadly-results
      April 02, 2008 - Newspaper/Magazine Article Minor mistakes, deadly results. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 8, 2012 View more articles from the same authors. This magazine article discu…