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  1. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

  2. Using telehealth to revolutionize the speed of making rare disease diagnoses. | PSNet

    psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
    November 04, 2020 - Newspaper/Magazine Article Using telehealth to revolutionize the speed of making rare disease diagnoses. Citation Text: Using telehealth to revolutionize the speed of making rare disease diagnoses. Nothaft W, Moore G, Le Cam Y. STAT. August 27, 2020. Copy Citation Sav…

  3. Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. | PSNet

    psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
    June 10, 2018 - Newspaper/Magazine Article Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. Citation Text: Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. ISMP Medication Safety…

  4. The untold story of a cyberattack, a hospital and a dying woman. | PSNet

    psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
    August 25, 2021 - Newspaper/Magazine Article The untold story of a cyberattack, a hospital and a dying woman. Citation Text: The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020. Copy Citation Save Save to your library …

  5. Ensuring critical instruments and devices are appropriate for reuse. | PSNet

    psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
    February 17, 2021 - Newspaper/Magazine Article Ensuring critical instruments and devices are appropriate for reuse. Citation Text: Ensuring critical instruments and devices are appropriate for reuse. Quick Safety. February 14, 2022;(64):1-3. Copy Citation Save Save to your library …

  6. The Life and Death of Elizabeth Dixon: A Catalyst for Change. | PSNet

    psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
    November 16, 2022 - Book/Report The Life and Death of Elizabeth Dixon: A Catalyst for Change. Citation Text: The Life and Death of Elizabeth Dixon: A Catalyst for Change. Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. Copy Citation Save Save to your libr…

  7. HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. | PSNet

    psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
    September 14, 2022 - Book/Report HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. Citation Text: HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. Farnborough, UK: Healthcare Safety Invest…

  8. Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. | PSNet

    psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
    March 04, 2010 - Book/Report Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. Citation Text: Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022. Copy Citation Save Save to your library …

  9. Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. | PSNet

    psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats
    September 16, 2015 - Book/Report Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. Citation Text: Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15-0…

  10. AI may be on its way to your doctor’s office, but it’s not ready to see patients. | PSNet

    psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
    September 20, 2023 - Newspaper/Magazine Article AI may be on its way to your doctor’s office, but it’s not ready to see patients. Citation Text: AI may be on its way to your doctor’s office, but it’s not ready to see patients. Tahir D. KFF Health News. May 12, 2023. Copy Citation Save …

  11. Marcin, James | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/marcin-james
    January 01, 2024 - Marcin, James School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services (STARS) for Children with Special Health Care Needs Living in Rural and Underserved Communities - Final Report Citation Marcin J. School-Based Tele-Physiatry Assistance for Rehabil…

  12. Fifth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/fifth-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
    December 01, 2016 - Fifth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services Share to Facebook Share to X Share to WhatsApp Share to Email Print The U.S. Preventive Services Task Force (USPSTF or Task Force) has released it…

  13. The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. | PSNet

    psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-financial-loss
    July 18, 2018 - Webinar The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. Citation Text: The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. Cambridge, MA; CRICO Strategies: July 14, 2020. Copy Citation…

  14. WebAIRS Anesthesia Incident Reporting System. | PSNet

    psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
    November 10, 2011 - Multi-use Website WebAIRS Anesthesia Incident Reporting System. Citation Text: WebAIRS Anesthesia Incident Reporting System. Australian and New Zealand Tripartite Anaesthetic Data Committee. Copy Citation Save Save to your library Print Download PDF …

  15. Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. | PSNet

    psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
    February 06, 2018 - Book/Report Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Citation Text: Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. Copy Citation Save Save to your library …

  16. Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. | PSNet

    psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop
    September 26, 2023 - Meeting/Conference Proceedings Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. Citation Text: Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

  17. Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/y3mQMyN2Y8mxKvPPXjM6kV
    August 13, 2019 - Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer Clinical Summary: Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer Population Women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have…

  18. Rationing protective gear means checking on coronavirus patients less often. This can be deadly. | PSNet

    psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can-be-deadly
    September 16, 2020 - Newspaper/Magazine Article Rationing protective gear means checking on coronavirus patients less often. This can be deadly. Citation Text: Rationing protective gear means checking on coronavirus patients less often. This can be deadly. Kaplan J, Presser L, Miller M. ProPublica. April 10,…

  19. Polypharmacy. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-0
    October 09, 2013 - Special or Theme Issue Polypharmacy. Citation Text: Polypharmacy. Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  20. Medication reconciliation in the hospital: what, why, where, when, who and how? | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
    March 05, 2013 - Commentary Medication reconciliation in the hospital: what, why, where, when, who and how? Citation Text: Medication reconciliation in the hospital: what, why, where, when, who and how? Fernandes O; Shojania KG. Copy Citation Save Save to your library Pr…
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