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Showing results for "discussions".

  1. From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. | PSNet

    psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
    May 06, 2015 - Special or Theme Issue From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. Citation Text: From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(su…

  2. Medicare penalizes dozens of hospitals it also gives five stars. | PSNet

    psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
    March 03, 2021 - Newspaper/Magazine Article Medicare penalizes dozens of hospitals it also gives five stars. Citation Text: Medicare penalizes dozens of hospitals it also gives five stars. Rau J. Kaiser Health News. February 8, 2022.  Copy Citation Save Save to your library…

  3. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). | PSNet

    psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp
    January 02, 2017 - Commentary A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Citation Text: Pronovost P, King J, Holzmueller CG, et al. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Jt Comm J Qual Patient Saf. 2006;32(3):119-29. Copy Citation Forma…

  4. Many people of color worry good health care is tied to their appearance. | PSNet

    psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
    September 20, 2023 - Newspaper/Magazine Article Many people of color worry good health care is tied to their appearance. Citation Text: Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023 Copy Citation Save Save to y…

  5. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
    November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Oakbrook Terrace, IL: The Joint Commission; September 2010. …

  6. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
    May 24, 2016 - Book/Report Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Citation Text: Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Carroll JS, R…

  7. Taking risky business out of the MRI suite. | PSNet

    psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
    September 12, 2016 - Newspaper/Magazine Article Taking risky business out of the MRI suite. Citation Text: Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. Copy Citation Format: …

  8. How nursing homes’ worst offenses are hidden from the public. | PSNet

    psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
    September 22, 2021 - Newspaper/Magazine Article How nursing homes’ worst offenses are hidden from the public. Citation Text: How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021. Copy Citation Save …

  9. Public reporting of surgical outcomes: surgeons, hospitals, or both? | PSNet

    psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
    April 05, 2013 - Commentary Public reporting of surgical outcomes: surgeons, hospitals, or both? Citation Text: Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815. Copy Citation Format: DOI Google Scholar Pu…

  10. Defending a "never event." | PSNet

    psnet.ahrq.gov/issue/defending-never-event
    February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  11. Between a rock and a hard place: disclosing medical errors. | PSNet

    psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
    October 19, 2022 - Commentary Between a rock and a hard place: disclosing medical errors. Citation Text: Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin Chem. 2006;52(9):1809-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  12. The Basics of FMEA. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/basics-fmea-2nd-edition
    October 23, 2013 - Book/Report Classic The Basics of FMEA. 2nd ed. Citation Text: The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773. Copy Citation Save Save to your library Print …

  13. The frustrating case of incident-reporting systems. | PSNet

    psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
    June 22, 2022 - Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  14. Disclosure after adverse medical outcomes: a multidimensional challenge. | PSNet

    psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
    October 12, 2005 - Study Emerging Classic Disclosure after adverse medical outcomes: a multidimensional challenge. Citation Text: Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. Copy Citation …

  15. FDA public health notification: unretrieved device fragments. | PSNet

    psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
    June 02, 2021 - Press Release/Announcement FDA public health notification: unretrieved device fragments. Citation Text: FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008. Copy Ci…

  16. TRUST: the 5 rights of the second victim. | PSNet

    psnet.ahrq.gov/issue/trust-5-rights-second-victim
    September 12, 2012 - Commentary TRUST: the 5 rights of the second victim. Citation Text: Denham CR. TRUST. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236917.02321.fd. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  17. Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. | PSNet

    psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
    August 21, 2019 - Book/Report Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Citation Text: Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …

  18. Human reliability analysis: a critique and review for managers. | PSNet

    psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
    November 21, 2021 - Review Human reliability analysis: a critique and review for managers. Citation Text: French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008. Copy Citation Format: DOI Go…

  19. Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. | PSNet

    psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9…

  20. Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. | PSNet

    psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
    May 21, 2014 - Book/Report Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Citation Text: Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870. Copy …
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