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  1. 2014 Guide to State Adverse Event Reporting Systems. | PSNet

    psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
    November 29, 2009 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … View More Related Resources Hospital Reporting Program: Annual Summary

  2. The hard talk: dealing with the disruptive physician. | PSNet

    psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
    April 24, 2018 - April 8, 2019 Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary.

  3. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. | PSNet

    psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
    July 08, 2016 - Available at Free full text Summary (PDF) Related news article Save Save to your … July 8, 2016 Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary

  4. Sentinel Event Alert. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert
    May 30, 2012 - sentinel event alerts to review selected incidents, determine the root causes involved, and provide a summary

  5. Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. | PSNet

    psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida
    January 24, 2024 - July 5, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination … April 5, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental

  6. Wristband Standardization Initiative. | PSNet

    psnet.ahrq.gov/issue/wristband-standardization-initiative
    January 08, 2020 - Toolkit Wristband Standardization Initiative. Citation Text: Wristband Standardization Initiative. Texas Hospital Association. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Co…

  7. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

    psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
    June 18, 2019 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary … Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  8. Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet

    psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
    July 13, 2022 - July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … January 24, 2024 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

  9. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. | PSNet

    psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record
    August 15, 2018 - May 20, 2009 Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary.

  10. Rural hospital information technology implementation for safety and quality improvement: lessons learned. | PSNet

    psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
    April 24, 2018 - Study Rural hospital information technology implementation for safety and quality improvement: lessons learned. Citation Text: Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49570/psn-pdf
    October 01, 2008 - Moreover, an EMR-generated after-visit summary, given to the patient after an ED visit or primary care … purchase acute-care instructions in multiple languages that can be integrated into an after-visit summary … prescribed (which happens up to 26% of the time according to one study [5]), a computer-generated summary … W Jr, Keckley PH; for Deloitte Center for Health Solutions. 2008 Survey of Health Care Consumers: Executive … Summary.

  12. The care transitions intervention: translating from efficacy to effectiveness. | PSNet

    psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness
    August 18, 2021 - February 3, 2011 Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle Summary … Elements include verification and resolution of incorrect counts; a brief summary of the procedure and … Gain buy-in from executive leadership. … found it essential to measure how the innovation was progressing via monitoring by local and national executive

  14. Plan aims to cut hospital deaths. | PSNet

    psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
    August 28, 2019 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  15. System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
    July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary … Summary UNC Health is a nonprofit healthcare system of more than 500 clinics and 16 hospitals in North … Patient Safety Innovations Rescue Improvement Conference Innovation Summary … Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary … Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  16. Cognitive Factors in Health Care. | PSNet

    psnet.ahrq.gov/issue/cognitive-factors-health-care
    November 19, 2014 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  17. AHRQ 2008 Annual Conference. | PSNet

    psnet.ahrq.gov/issue/ahrq-2008-annual-conference
    December 24, 2008 - Summary, Evidence Report/Technology Assessment.

  18. AHRQ 2009 Annual Conference. | PSNet

    psnet.ahrq.gov/issue/ahrq-2009-annual-conference
    December 24, 2008 - Summary, Evidence Report/Technology Assessment.

  19. To Err Is Human: Building a Safer Health System. | PSNet

    psnet.ahrq.gov/issue/err-human-building-safer-health-system
    July 08, 2016 - Available at Free full text Summary (PDF) Save Save to your library Print … May 1, 2015 Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary

  20. Conversations with...Lucian Leape, MD. | PSNet

    psnet.ahrq.gov/issue/conversations-withlucian-leape-md
    March 13, 2024 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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