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Showing results for "effort".

  1. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet

    psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
    January 29, 2021 - Language barriers are a frequent impediment to providing safe care and every effort must be made to communicate

  2. Elopement | PSNet

    psnet.ahrq.gov/web-mm/elopement
    July 14, 2010 - Adequate communication of such an event across the entire organization is essential so that a concerted effort

  3. May I Have Another?—Medication Error | PSNet

    psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
    March 01, 2009 - solution must involve the entire continuum of prescribing and dispensing medication, as well as an effort

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items

  5. Telehealth and Patient Safety During the COVID-19 Response | PSNet

    psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Finally, in the effort to maximize use of telehealth services and minimize the risk of patient exposure … Over the last 5 years or so, we’ve really made an additional effort to leverage our remote medicine experiences

  6. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - If it is grassroots, it is a smaller effort. … would probably be the same list I made for you in 2003, which is sobering because we’ve put so much effort

  7. Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - If it is grassroots, it is a smaller effort. … would probably be the same list I made for you in 2003, which is sobering because we’ve put so much effort

  8. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-318
    November 30, 2021 - The effort anchors on the Zero Suicide initiative to address unique challenges presented by the Indian

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46233/psn-pdf
    September 24, 2017 - Cutting-edge efforts in surgical patient safety. September 24, 2017 Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719- 720. doi:10.1001/jamasurg.2017.0858. https://psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety Implementation science examines me…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43773/psn-pdf
    May 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. May 1, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34659/psn-pdf
    April 07, 2010 - Leading change: why transformation efforts fail. April 7, 2010 Kotter JP. Harvard Bus Rev  1995;73(2);59-67. https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail Kotter, a professor at Harvard Business School, outlines the eight stages of a successful change process, as well a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42774/psn-pdf
    May 28, 2015 - Patient safety in plastic surgery: identifying areas for quality improvement efforts. May 28, 2015 Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10.1097/SAP.0b013e318297791e. https:…

  13. 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 …

  14. The Manitoba Institute for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/manitoba-institute-patient-safety
    March 06, 2005 - Multi-use Website The Manitoba Institute for Patient Safety. Citation Text: The Manitoba Institute for Patient Safety; MIPS. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

  15. 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…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73151/psn-pdf
    April 14, 2021 - Could Efforts to Fight the Coronavirus Lead to Overuse of Antibiotics? April 14, 2021 Issue Brief. Washington DC: Pew Charitable Trust; March 2021. https://psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics Antibiotic overuse is a contributor to nosocomial infection. This report discusse…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837707/psn-pdf
    July 20, 2022 - Who killed patient safety? July 20, 2022 Hemmelgarn C, Hatlie MJ, Sheridan S, et al. Who killed patient safety? J Patient Saf Risk Manage. 2022;27(2):56-58. doi:10.1177/25160435221077778. https://psnet.ahrq.gov/issue/who-killed-patient-safety This commentary, authored by patients and families who have experienced …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46892/psn-pdf
    June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. June 13, 2018 Rockville, MD: Agency for Healthcare Research and Quality; June 2018. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-prelim…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41821/psn-pdf
    November 07, 2012 - Death of a boy prompts new medical efforts nationwide. November 7, 2012 Dwyer J. New York Times. October 25, 2012. https://psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide Reporting on the death of a boy due to a missed diagnosis of infection, this newspaper article discusses solutions being a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45769/psn-pdf
    December 21, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. December 21, 2016 Rockville, MD: Agency for Healthcare Research and Quality; December 2016. https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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