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psnet.ahrq.gov/issue/tips-safer-surgery
December 22, 2021 - Fact Sheet/FAQs
Tips for Safer Surgery.
Citation Text:
Tips for Safer Surgery. Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality; 2006.
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psnet.ahrq.gov/issue/teamwork-and-communication
February 06, 2019 - Special or Theme Issue
Teamwork and Communication.
Citation Text:
Teamwork and Communication. Pa Patient Saf Advis. June 2010;7(suppl 2):1-16.
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - Susan Haas : It was from several experiences that I had.
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - In Conversation With… John Halamka, MD, MS
May 1, 2018
In Conversation With… John Halamka, MD, MS. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
Editor's note: Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical
School, Chief Information …
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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—I. The Dana-Farber Cancer Institute Experience
May 1, 2005
Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber
Cancer Institute Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/organizat…
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Maternal Safety
December 22, 2018
Lyndon A. Maternal Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/maternal-safety
Annual Perspective 2018
The Context of Maternal Safety
Childbirth-related maternal health outcomes have been worsening for some time in the United States. After
a dramatic reduc…
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Adverse Events, Near Misses, and Errors
Citation Text:
Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - PowerPoint Presentation
Spotlight Case July 2003
Code Status Confusion
webmm.ahrq.gov
Source and Credits
This presentation is based on the July 2003
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Bernard Lo, MD, Univers…
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - drug allergies, current
cardiopulmonary status, co-administered medications, and the patient’s prior experiences
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - In Conversation With… Mark Graban, MS, MBA
January 1, 2015
Also Read an Essay
Citation Text:
In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015…
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care
Paul E. Plsek, MS | January 1, 2015
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Plsek PE. Innovation and Lean Thinking: Mutuall…
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - In Conversation with...Geri Amori, PhD
December 1, 2010
Also Read an Essay
Citation Text:
In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.In Conversation with...Geri Amori, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - hospitals, it is rare that staff are monitoring vital signs or are standing at the bedside when a patient experiences
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psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment
June 15, 2012 - Study
Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers.
Citation Text:
Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Abil…
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - Interprofessional collaboration within fluid teams: community nurses' experiences with palliative home … hospital-at-home and 30-day postacute transitional care program with clinical outcomes and patient experiences
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - Interprofessional collaboration within fluid teams:
community nurses' experiences with palliative home … hospital-at-home and 30-day
postacute transitional care program with clinical outcomes and patient experiences
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - Strengthening the Business Case for Patient Safety
Peter K. Lindenauer, MD, MSc | May 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. …
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - Lived experiences of
family members of patients with severe COVID-19 who died in intensive care units
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psnet.ahrq.gov/node/49820/psn-pdf
February 01, 2018 - Care transition experiences of spousal caregivers: from a geriatric
rehabilitation unit to home.
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - August 1, 2018
"We're not taken seriously": describing the experiences of perceived discrimination