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Showing results for "discussion".

  1. Force-Field Analysis | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/force-field-analysis
    January 01, 2023 - Force-Field Analysis Description A force-field analysis identifies the forces that either aid in or are detrimental to arriving at a desired outcome. A scenario plays out as a balance between two forces: one attempting to alter the current state and the other attempting to keep it the same. When these…

  2. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41
    December 30, 2014 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45222/psn-pdf
    June 08, 2016 - A program to prevent catheter-associated urinary tract infection in acute care. June 8, 2016 Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. New Engl J Med. 2016;374(22):2111-2119. doi:10.1056/NEJMoa1504906. https://psnet.ahrq.gov/issue/program-pr…

  4. Patient Safety During Perinatal and Neonatal Care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
    November 15, 2017 - Special or Theme Issue Patient Safety During Perinatal and Neonatal Care. Citation Text: Patient Safety During Perinatal and Neonatal Care. Am J Perinatol. 2012;29:1-70.  Copy Citation Save Save to your library Print Download PDF Share…

  5. Duke Center for Healthcare Safety and Quality. | PSNet

    psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
    June 01, 2016 - Multi-use Website Duke Center for Healthcare Safety and Quality. Citation Text: Duke Center for Healthcare Safety and Quality. Duke University Health System. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  6. Wrong site surgery: a critical incident analysis of a near miss. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
    June 15, 2024 - Commentary Wrong site surgery: a critical incident analysis of a near miss. Citation Text: Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-2):11-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  7. Why pay for mistakes? | PSNet

    psnet.ahrq.gov/issue/why-pay-mistakes
    July 20, 2011 - Newspaper/Magazine Article Why pay for mistakes? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 5, 2007 View more articles from the same authors. Recently, CMS ru…

  8. Buried answers. | PSNet

    psnet.ahrq.gov/issue/buried-answers
    May 11, 2005 - Newspaper/Magazine Article Buried answers. Citation Text: Buried answers. Dobbs D. New York Times. April 24, 2005. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46433/psn-pdf
    August 20, 2018 - Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. August 20, 2018 Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher emplo…

  10. Healthy Hearts of Michigan: HH4M Outreach & Engagement Workgroup Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/26-michigan-hh4m-outreach-charter.pdf
    August 01, 2021 - Healthy Hearts of Michigan: HH4M Outreach & Engagement Workgroup Charter HH4M Outreach & Engagement Workgroup Charter Purpose of this Workgroup/Committee: The Outreach & Engagement Workgroup is responsible for: • Outreach to and enrollment of 3 pilot practices starting August 1, 2021 (one each: Altarum, …

  11. Failure and rescue. | PSNet

    psnet.ahrq.gov/issue/failure-and-rescue
    September 28, 2017 - Newspaper/Magazine Article Failure and rescue. Citation Text: Failure and rescue. Gawande A. The New Yorker: News Desk. June 4, 2012. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48097/psn-pdf
    July 17, 2019 - Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. July 17, 2019 Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: The “Big Three” – vascular events, infections, and cancers. Diagnosis (Berl). …

  13. Medical Errors and Safety Systems. | PSNet

    psnet.ahrq.gov/issue/medical-errors-and-safety-systems
    March 19, 2008 - Special or Theme Issue Medical Errors and Safety Systems. Citation Text: Medical Errors and Safety Systems. Pearlman MD, ed. Clin Obstet Gynecol. 2010;53(3):471-585.   Copy Citation Save Save to your library Print Download PDF Share …

  14. Guideline Summary: Medication Safety. | PSNet

    psnet.ahrq.gov/issue/guideline-summary-medication-safety
    July 05, 2023 - Commentary Guideline Summary: Medication Safety. Citation Text: Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  15. Patient Safety Papers 4. | PSNet

    psnet.ahrq.gov/issue/patient-safety-papers-4
    November 10, 2010 - Special or Theme Issue Patient Safety Papers 4. Citation Text: Patient Safety Papers 4. Baker GR, ed. Healthc Q. 2009;12(Spec No Patient):1-198.   Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

  16. Patient Safety Papers 3. | PSNet

    psnet.ahrq.gov/issue/patient-safety-papers-3
    November 10, 2010 - Special or Theme Issue Patient Safety Papers 3. Citation Text: Patient Safety Papers 3. Baker GR, ed. Healthc Q. 2008;11:1-144.   Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedi…

  17. Clinical errors and medical negligence. | PSNet

    psnet.ahrq.gov/issue/clinical-errors-and-medical-negligence
    March 01, 2023 - Review Clinical errors and medical negligence. Citation Text: Oyebode F. Clinical errors and medical negligence. Med Princ Pract. 2013;22(4):323-33. doi:10.1159/000346296. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  18. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-20
    January 17, 2018 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR; Smetzer JL. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy UR…

  19. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-22
    June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR; Smetzer JL. Hosp Pharm. 2008;43(2):81-84. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  20. Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
    March 13, 2024 - Sentinel Event Alerts Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Citation Text: Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006. Copy Citation Format…
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