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Showing results for "failures".

  1. Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. | PSNet

    psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascular-events
    May 12, 2021 - Book/Report Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. Citation Text: Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and …

  2. Human Error. | PSNet

    psnet.ahrq.gov/issue/human-error
    March 06, 2005 - Book/Report Classic Human Error. Citation Text: Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  3. National Center for Patient Safety (NCPS). | PSNet

    psnet.ahrq.gov/issue/national-center-patient-safety-ncps
    March 27, 2005 - Multi-use Website National Center for Patient Safety (NCPS). Citation Text: National Center for Patient Safety (NCPS). Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890. Copy Citation …

  4. The MacArthur Fellows Program: Peter Pronovost. | PSNet

    psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
    June 11, 2013 - Press Release/Announcement The MacArthur Fellows Program: Peter Pronovost. Citation Text: The MacArthur Fellows Program: Peter Pronovost. The John D. and Catherine T. MacArthur Foundation. Copy Citation Save Save to your library Print Download PDF …

  5. Complications: A Surgeon's Notes on an Imperfect Science. | PSNet

    psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
    January 13, 2010 - Book/Report Classic Complications: A Surgeon's Notes on an Imperfect Science. Citation Text: Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196. Copy Citation Save …

  6. Symposium on Simulation Science in Health and Medicine. | PSNet

    psnet.ahrq.gov/issue/symposium-simulation-science-health-and-medicine
    April 03, 2017 - Special or Theme Issue Symposium on Simulation Science in Health and Medicine. Citation Text: Symposium on Simulation Science in Health and Medicine. J Emerg Trauma Shock. 2010;3:348-394.    Copy Citation Save Save to your library Print …

  7. Algorithm that detects sepsis cut deaths by nearly 20 percent. | PSNet

    psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
    October 12, 2022 - Newspaper/Magazine Article Algorithm that detects sepsis cut deaths by nearly 20 percent. Citation Text: Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. Scientific American. August 1, 2022. Copy Citation Save Save to your library …

  8. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - Toolkit Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Citation Text: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…

  9. Medical Error Reporting System Could Boost Patient Safety. | PSNet

    psnet.ahrq.gov/issue/medical-error-reporting-system-could-boost-patient-safety
    December 14, 2022 - Newspaper/Magazine Article Medical Error Reporting System Could Boost Patient Safety. Citation Text: Medical Error Reporting System Could Boost Patient Safety. Ebright PR; Rapala K. Indianapolis, IN: Center for Urban Policy and the Environment, School of Public and Environmental Affa…

  10. Next Steps | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role4.html
    September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Next Steps Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Introduction The History of Patient Roles Impac…

  11. Patient engagement in patient safety: barriers and facilitators. | PSNet

    psnet.ahrq.gov/issue/patient-engagement-patient-safety-barriers-and-facilitators
    May 09, 2015 - Newspaper/Magazine Article Patient engagement in patient safety: barriers and facilitators. Citation Text: Patient engagement in patient safety: barriers and facilitators. Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47. Copy Citation Save …

  12. Care Compare. | PSNet

    psnet.ahrq.gov/issue/care-compare
    May 26, 2021 - Multi-use Website Care Compare. Citation Text: Care Compare. Centers for Medicare and Medicaid Services. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL J…

  13. Despite technology, verbal orders persist, read back is not widespread, and errors continue. | PSNet

    psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
    June 28, 2017 - Newspaper/Magazine Article Despite technology, verbal orders persist, read back is not widespread, and errors continue. Citation Text: Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…

  14. 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…

  15. Secret data on hospital inspections may soon become public. | PSNet

    psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
    January 30, 2019 - Newspaper/Magazine Article Secret data on hospital inspections may soon become public. Citation Text: Secret data on hospital inspections may soon become public. Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. Copy Citation Save Sav…

  16. A crisis of undiagnosed cancers is emerging in the pandemic’s second year. | PSNet

    psnet.ahrq.gov/issue/crisis-undiagnosed-cancers-emerging-pandemics-second-year
    November 30, 2022 - Newspaper/Magazine Article A crisis of undiagnosed cancers is emerging in the pandemic’s second year. Citation Text: A crisis of undiagnosed cancers is emerging in the pandemic’s second year. Eldeib D. ProPublica. May 4, 2021. Copy Citation Save Save to you…

  17. Hazards tied to medical records rush. | PSNet

    psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
    July 26, 2011 - Newspaper/Magazine Article Hazards tied to medical records rush. Citation Text: Hazards tied to medical records rush. Rowland C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

  18. Improving Diagnosis. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis
    November 28, 2018 - Special or Theme Issue Improving Diagnosis. Citation Text: Improving Diagnosis. Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  19. Dying for Care. | PSNet

    psnet.ahrq.gov/issue/dying-care
    January 18, 2023 - Special or Theme Issue Dying for Care. Citation Text: Dying for Care. Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…

  20. Medical Error. | PSNet

    psnet.ahrq.gov/issue/medical-error
    August 07, 2018 - Book/Report Medical Error. Citation Text: Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. Copy Citation Save Save to your library Print Download PDF …
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