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3861. AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition. | PSNet
      psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-0
      May 26, 2010 - Toolkit AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition. Citation Text: Brega AG, Barnard J, Mabachi NM, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2015. AHRQ Publication No. 15-0023-EF. Copy Citation Save Save to yo…

3862. Understanding and Improving Everyday Work in Healthcare. | PSNet
      psnet.ahrq.gov/issue/understanding-and-improving-everyday-work-healthcare
      May 13, 2020 - International Meeting/Conference Understanding and Improving Everyday Work in Healthcare. Citation Text: Clinical Human Factors Group. May 16, 2023, 9:00 AM--12:30 PM (eastern). Copy Citation Save Save to your library Print Share Facebook Tw…

3863. AHRQ EPC Program Grand Rounds - Making Healthcare Safer. | PSNet
      psnet.ahrq.gov/issue/ahrq-epc-program-grand-rounds-making-healthcare-safer
      December 16, 2015 - United States Meeting/Conference AHRQ EPC Program Grand Rounds - Making Healthcare Safer. Citation Text: Agency for Healthcare Research and Quality Evidence-based Practice Center and the  Scientific Resource Center. April 29, 2024, 12:00-2:00 PM (eastern) Copy Citation …

3864. Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training. | PSNet
      psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
      June 05, 2024 - International Meeting/Conference Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training. Citation Text: Armstrong Institute for Patient Safety and Quality. May 9-10, 2024, 8:00 AM - 12:00 PM (eastern).  Copy Citation Save Save to your library…

3865. Diagnostic errors in medicine: a case of neglect. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-medicine-case-neglect
      July 15, 2015 - Study Diagnostic errors in medicine: a case of neglect. Citation Text: Graber ML. Diagnostic errors in medicine: a case of neglect. Jt Comm J Qual Patient Saf. 2005;31(2):106-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

3866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49711/psn-pdf
      June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of Patient Wandering June 1, 2014 Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering Case Objectives Define patie…

3867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49707/psn-pdf
      April 01, 2014 - CYP450 Drugs: Expect the Unexpected April 1, 2014 Gonzalez CJ. CYP450 Drugs: Expect the Unexpected. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected The Case A 42-year-old man with acquired immunodeficiency syndrome (AIDS) (CD4 count 198), hip dystocia, and generalized anxiety …

3868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33685/psn-pdf
      May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA May 1, 2009 In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba Editor's note: William B. Weeks, MD, MBA, is Associate Professor of Psychiatry and of Community and Family M…

3869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33751/psn-pdf
      January 01, 2014 - Strengthening the Business Case for Patient Safety May 1, 2013 Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety Perspective After more than a decade in the national spotlight, the problem of pati…

3870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49407/psn-pdf
      July 01, 2003 - Bleeding Risk July 1, 2003 Crowther MA. Bleeding Risk. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/bleeding-risk The Case A frail 78-year-old woman fell at home and fractured her left hip. Her past medical history included atrial fibrillation, hypertension, coronary artery disease, and stroke. The surgi…

3871. Health Care Worker Presenteeism: A Challenge for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
      November 03, 2015 - Health Care Worker Presenteeism: A Challenge for Patient Safety Julia E. Szymczak, PhD | October 1, 2017  View more articles from the same authors. Citation Text: Szymczak JE. Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet]. Rockvi…

3872. Patient Safety 101 | PSNet
      psnet.ahrq.gov/primer/patient-safety-101
      January 16, 2025 - Patient Safety 101 Citation Text: Patient Safety 101. 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 PubMedId RIS D…

3873. Building a Safety Program Using Principles of Resilience Engineering | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
      October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019  View more articles from the same authors. Citation Text: Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…

3874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49632/psn-pdf
      July 01, 2011 - A Seasonal Care Transition Failure July 1, 2011 Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure The Case A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine resident—for routine follow-up…

3875. Patient Safety in Home Dialysis | PSNet
      psnet.ahrq.gov/perspective/patient-safety-home-dialysis
      April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021  Also Read the Conversation View more articles from the same authors. Citation Text: Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

3876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33805/psn-pdf
      April 01, 2016 - That program was piloted in the fall in Chicago, and it worked extremely well with the first groups.

3877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33822/psn-pdf
      January 01, 2017 - trying to lift someone out of bed without assistance and they're heavy and you hurt your back, and they fall

3878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33668/psn-pdf
      May 01, 2008 - RW: It's interesting that, if you go through that list, it seems that where things might fall apart is

3879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33774/psn-pdf
      December 01, 2014 - Then some of these tools, either through Internet or mobile phone programs, can fall on fertile ground

3880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50392/psn-pdf
      September 01, 2019 - (Although aspirationally you can make the same argument there should never be a fall, there should never