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  1. Too Many Cooks Spotlight Pdf (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - Spotlight Too Many Cooks in the Kitchen Source and Credits • This presentation is based on the August 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Richard P. Dutton, MD, MBA o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34871/psn-pdf
    February 09, 2011 - Educational levels of hospital nurses and surgical patient mortality. February 9, 2011 Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-morta…

  3. Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. | PSNet

    psnet.ahrq.gov/issue/taking-charge-your-healthcare-your-path-being-empowered-patient
    May 24, 2017 - Toolkit Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. Citation Text: Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. Chicago, IL: Consumers Advancing Patient Safety; 2009. Copy Citation Save Save to your libr…

  4. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
    November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

  5. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. | PSNet

    psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
    December 12, 2014 - Study Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Citation Text: Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings. Health …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49743/psn-pdf
    September 01, 2015 - Dual Therapy Debacle September 1, 2015 Kayser SR. Dual Therapy Debacle. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/dual-therapy-debacle The Case An elderly man with a history of arthritis, benign prostatic hypertrophy with urinary obstruction, hyperlipidemia, obesity, and a long history of tobacco use …

  7. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx Spotlight Code Status vs. Care Status Source and Credits • This presentation is based on the December 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Rebe…

  8. Economic evaluation of the impact of medication errors reported by US clinical pharmacists. | PSNet

    psnet.ahrq.gov/issue/economic-evaluation-impact-medication-errors-reported-us-clinical-pharmacists
    February 02, 2011 - Organizational culture: an important context for addressing and improving hospital to community patient … discharge.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60611/psn-pdf
    June 24, 2020 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing June 24, 2020 Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk…

  10. Good for You, Good for Us, Good for Everybody. | PSNet

    psnet.ahrq.gov/issue/good-you-good-us-good-everybody
    October 20, 2021 - Book/Report Good for You, Good for Us, Good for Everybody. Citation Text: Good for You, Good for Us, Good for Everybody. Ridge K. London, England: Crown Copyright; 2021. September 22, 2021. Copy Citation Save Save to your library Print Download PDF …

  11. DRESSed for Failure | PSNet

    psnet.ahrq.gov/web-mm/dressed-failure
    September 01, 2011 - DRESSed for Failure Citation Text: Abramson EL, Kaushal R. DRESSed for Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853239/psn-pdf
    September 06, 2023 - In their own words: safety and quality perspectives from families of hospitalized children with medical complexity. September 6, 2023 Mauskar S, Ngo T, Haskell H, et al. In their own words: safety and quality perspectives from families of hospitalized children with medical complexity. J Hosp Med. 2023;18(9):777-786…

  13. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  14. Medication Reconciliation: Whose Job Is It? | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
    May 01, 2018 - SPOTLIGHT CASE Medication Reconciliation: Whose Job Is It? Citation Text: Poon EG. Medication Reconciliation: Whose Job Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Googl…

  15. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet

    psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
    November 01, 2017 - Study Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. Citation Text: Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the U…

  16. How Can Health Care Organizations Become More Health Literate?: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/how-can-health-care-organizations-become-more-health-literate-workshop-summary
    October 08, 2014 - Book/Report How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Citation Text: How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Pra…

  17. Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. | PSNet

    psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
    February 11, 2015 - Book/Report Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. Citation Text: Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277. Copy Citation …

  18. Failure to Latch | PSNet

    psnet.ahrq.gov/web-mm/failure-latch
    November 27, 2012 - Failure to Latch Citation Text: Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  19. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - January 8, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49543/psn-pdf
    September 01, 2007 - Medication Reconciliation: Whose Job Is It? September 1, 2007 Poon EG. Medication Reconciliation: Whose Job Is It? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it Case Objectives Appreciate the prevalence and impact of medication discrepancies at times of transition in …
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