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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49851/psn-pdf
    January 01, 2019 - One Bronchoscopy, Two Errors January 1, 2019 Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors The Case A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic respiratory failure…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33630/psn-pdf
    March 01, 2006 - Team Training: Classroom Training vs. High-Fidelity Simulation March 1, 2006 Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulation. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation Point–Counterpoint Editor's Note…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33629/psn-pdf
    March 01, 2006 - What Does Simulation Add to Teamwork Training? March 1, 2006 Gaba DM. What Does Simulation Add to Teamwork Training? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training Editor's Note: In these point–counterpoint articles, Drs. Pratt and Sachs of Beth Israel Deacones…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33582/psn-pdf
    September 15, 2024 - Detection of Safety Hazards September 15, 2024 Detection of Safety Hazards. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/detection-safety-hazards PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient s…
  5. psnet.ahrq.gov/primer/detection-safety-hazards
    March 30, 2022 - Detection of Safety Hazards Citation Text: Detection of Safety Hazards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
  6. psnet.ahrq.gov/primer/individual-clinician-performance-issues
    March 15, 2025 - Individual Clinician Performance Issues Citation Text: Individual Clinician Performance Issues. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
  7. integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/engaging-and-educating
    January 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33600/psn-pdf
    June 16, 2024 - Patient Safety 101 June 16, 2024 Patient Safety 101. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-safety-101 PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in…
  9. www.ahrq.gov/ncepcr/tools/public-reporting/guide3.html
    June 01, 2017 - Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-3-public-reporting.pdf
    June 01, 2010 - Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion an…
  11. digital.ahrq.gov/sites/default/files/docs/TRANSCRIPT%20OF%20LEVERAGING%20HEALTH%20INFORMATION%20TECHNOLOGY%20FOR%20PATIENT%20EMPOWERMENT_1.pdf
    April 08, 2010 - So can you talk a little bit about your experiences working with the industry or in developing the systems
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47674/psn-pdf
    December 19, 2018 - Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018 Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a coproduced family centered communication programme: multicenter before and af…
  13. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
    January 01, 2023 - Murphy Diagram Description Murphy diagrams are based on the premise that "if something can go wrong, it will go wrong." They are similar to other analysis methods such as fault trees as they analyze errors based on the potential causes of those errors. The diagrams utilize eight categories of behav…
  14. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/balanced-scorecard
    January 01, 2023 - Balanced Scorecard Description A balanced scorecard provides a way to look at an organization from four perspectives by developing benchmarks and collecting and analyzing data relative to those perspectives. The four perspectives are: 1) financial, 2) customer, 3) internal business processes, an…
  15. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pert-chart
    January 01, 2023 - Program Evaluation and Review Technique Chart Acronym PERT Also Known As PERT Chart Description Program evaluation and review technique (PERT) charts are useful when managing a project. It is used to streamline project planning and scheduling. The method is particularly useful when…
  16. digital.ahrq.gov/ahrq-funded-projects/holomua-project-improving-patient-hand-offs-hawaii
    January 01, 2023 - Holomua Project-Improving Patient Hand-Offs in Hawaii Project Description Project Details - Completed Grant Number P20 HS015248 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grant…
  17. psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
    July 18, 2024 - Press Release/Announcement Preventing accidents and injuries in the MRI suite. Citation Text: Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39084/psn-pdf
    March 05, 2010 - The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. March 5, 2010 Calzavacca P, Licari E, Tee A, et al. The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes--a follow-up study. Resu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41223/psn-pdf
    March 21, 2012 - High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. March 21, 2012 Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Health Aff (Millwood). 2012;31(3):5…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47082/psn-pdf
    July 02, 2019 - Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. July 2, 2019 Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Ra…