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Showing results for "evaluated".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33818/psn-pdf
    November 01, 2016 - What was remarkable about this program, and AHRQ was an early supporter of it and evaluated the work

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74691/psn-pdf
    January 01, 2021 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor- college-medicine Summary The Revised Safer Dx Instr…

  3. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…

  4. Editorial Team | PSNet

    psnet.ahrq.gov/Information/Editor
    May 23, 2025 - Browse Author Resources Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49774/psn-pdf
    November 01, 2016 - Don't Dismiss the Dangerous: Obstetric Hemorrhage November 1, 2016 Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage Case Objectives List the common causes of obstetric hemorrhage and the need for a unit-sta…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37242/psn-pdf
    September 12, 2016 - Failure-to-rescue: comparing definitions to measure quality of care. September 12, 2016 Silber JH, Romano PS, Rosen AK, et al. Failure-to-rescue: comparing definitions to measure quality of care. Med Care. 2007;45(10):918-25. https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care T…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37350/psn-pdf
    January 05, 2012 - How safe is my intensive care unit? Methods for monitoring and measurement. January 5, 2012 Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. https://psnet.ahrq.gov/issue/how-safe-my-intensive-care-un…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44198/psn-pdf
    July 01, 2016 - Safety and diagnostic accuracy of tumor biopsies in children with cancer. July 1, 2016 Interiano RB, Loh AHP, Hinkle N, et al. Safety and diagnostic accuracy of tumor biopsies in children with cancer. Cancer. 2015;121(7):1098-107. doi:10.1002/cncr.29167. https://psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42216/psn-pdf
    June 28, 2013 - Simulation for ward processes of surgical care. June 28, 2013 Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013. https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care This commentary describes one hospital…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35047/psn-pdf
    November 04, 2015 - Managing patients with identical names in the same ward. November 4, 2015 Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. https://psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward This case rep…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36157/psn-pdf
    September 29, 2010 - Adverse drug event reporting in intensive care units: a survey of current practices. September 29, 2010 Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices. Ann Pharmacother. 2006;40(7-8):1267-73. https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-int…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60547/psn-pdf
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020 Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety Introduction The Food and Drug Administration (FDA) plays a critical role in ensuring the …

  13. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
    July 01, 2008 - Spotlight Case July 2008 Spotlight Case July 2008 Dependence vs. Pain Source and Credits This presentation is based on the July 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Adam J. Gordon, MD, MPH University of Pittsburgh School of M…

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.
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