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Showing results for "evaluated".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35120/psn-pdf
    November 03, 2015 - Clinical impact associated with corrected results in clinical microbiology testing. November 3, 2015 Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93. https://psnet.ahrq.gov/issue/clinical-impact-associate…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50720/psn-pdf
    December 04, 2019 - Flu shot mix-up at Oklahoma facility leaves 10 hospitalized December 4, 2019 The Associated Press. NBC News. November 8, 2019. https://psnet.ahrq.gov/issue/flu-shot-mix-oklahoma-facility-leaves-10-hospitalized Patients at residential care facilities are particularly vulnerable to harm from medication errors. This …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35214/psn-pdf
    June 24, 2009 - Using clinical simulation to teach patient safety in an acute/critical care nursing course. June 24, 2009 Henneman EA, Cunningham H. Using clinical simulation to teach patient safety in an acute/critical care nursing course. Nurse Educ. 2005;30(4):172-177. https://psnet.ahrq.gov/issue/using-clinical-simulation-tea…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35177/psn-pdf
    June 23, 2009 - Narrativizing errors of care: critical incident reporting in clinical practice. June 23, 2009 Iedema R, Flabouris A, Grant S, et al. Narrativizing errors of care: critical incident reporting in clinical practice. Soc Sci Med. 2006;62(1):134-44. https://psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incide…

  5. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …

  6. In Conversation With… Paul McGann, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
    July 10, 2024 - In Conversation With… Paul McGann, MD March 1, 2016  Citation Text: In Conversation With… Paul McGann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33804/psn-pdf
    March 03, 2016 - In Conversation With… Paul McGann, MD March 1, 2016 In Conversation With… Paul McGann, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS). He…

  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - Spotlight Spotlight A Case of Mistaken Capacity: Why a Thorough Psychosocial History Can Improve Care Source and Credits • This presentation is based on the March 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Katrina Pasao, MD…

  9. 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. | PSNet

    psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
    May 19, 2021 - Commentary 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. Citation Text: Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…

  10. Long-term reduction in adverse drug events: an evidence-based improvement model. | PSNet

    psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
    August 28, 2024 - Study Long-term reduction in adverse drug events: an evidence-based improvement model. Citation Text: Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. Copy Citation …

  11. Failure mode and effects analysis outputs: are they valid? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
    November 25, 2009 - Study Failure mode and effects analysis outputs: are they valid? Citation Text: Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. Copy Citation Format: DOI Google Scho…

  12. Breast cancer missed at screening; hindsight or mistakes? | PSNet

    psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes
    November 15, 2023 - January 29, 2020 Why Current Breast Pathology Practices Must Be Evaluated.

  13. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta
    September 22, 2021 - March 23, 2012 Why Current Breast Pathology Practices Must Be Evaluated.

  14. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet

    psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - October 4, 2011 Why Current Breast Pathology Practices Must Be Evaluated.

  15. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. | PSNet

    psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.

  16. Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. | PSNet

    psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
    January 19, 2012 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.

  17. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - December 27, 2014 Why Current Breast Pathology Practices Must Be Evaluated.

  18. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. | PSNet

    psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.

  19. Delayed or missed diagnosis of cervical spine injuries. | PSNet

    psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
    May 05, 2010 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.

  20. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
    October 04, 2011 - June 18, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
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