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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50615/psn-pdf
    October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR October 30, 2019 Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr The Case  Two male patients of similar age arrived at the same …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49667/psn-pdf
    October 01, 2012 - Many of the steps and techniques described above fall under the field of medication safety engineering
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
    February 01, 2017 - PowerPoint Presentation Spotlight The Hazards of Distraction: Ticking All the EHR Boxes * Source and Credits This presentation is based on the February 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Anthony C. Easty, PhD, Adjunct Pr…
  4. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
    June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
  5. psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Ci…
  6. psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…
  7. psnet.ahrq.gov/web-mm/hold-tpa
    July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall … December 1, 2010 Perspective How Does Infection Prevention
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49427/psn-pdf
    January 01, 2004 - team members to the task at hand and enable them to "speak up" or challenge something that seems to fallPrevention of similar events may depend on our ability to adopt more effective human-factors-oriented
  9. psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
    October 30, 2024 - Behavioral health may not fall within traditional funding and reimbursement mechanisms within your facility … July 23, 2024 Patient Safety Innovations Suicide Prevention
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49802/psn-pdf
    August 01, 2017 - addressed through a thorough understanding of the barriers to adherence.(16) Sometimes a process will fall … Perioperative management of antithrombotic therapy: Antithrombotic Therapy and Prevention of Thrombosis
  11. psnet.ahrq.gov/web-mm/cultural-dimensions-depression
    September 01, 2018 - After the fall of Saigon in 1975, many refugees—estimated at more than 500,000—came to the United States … 2022 Shared understanding of resilient practices in the context of inpatient suicide prevention
  12. psnet.ahrq.gov/perspective/patient-safety-primary-care
    January 31, 2020 - . [2] Important services delivered by primary care clinicians include health promotion and disease prevention … referrals to ensure they are carried out in a timely way will likely minimize the number of patients who “fall
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50927/psn-pdf
    February 21, 2020 - disease.[2] Important services delivered by primary care clinicians include health promotion and disease prevention … referrals to ensure they are carried out in a timely way will likely minimize the number of patients who “fall
  14. psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
    May 01, 2013 - measures, it's pretty hard to measure diagnostic errors for example, and some of the other issues that fall … from Medicare's Inpatient Quality Reporting (IQR) program, including process measures focused on the prevention … In 2014, the program will expand to include the prevention of catheter-associated urinary tract infection … The impact of computerized physician order entry on medication error prevention.
  15. psnet.ahrq.gov/web-mm/elopement
    July 14, 2010 - These protocols should include assessment and prevention procedures to reduce the risk of harm for patients … Miscarriage June 1, 2003 WebM&M Cases Another Fall
  16. psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
    January 18, 2023 - January 4, 2012 A randomized trial of a multifactorial strategy to prevent serious fall
  17. psnet.ahrq.gov/periodic-issue/periodic-issue-457
    September 25, 2024 - Fall F, Hu YY, Walker S, et al.
  18. psnet.ahrq.gov/periodic-issue/periodic-issue-349
    July 08, 2022 - commonly reported events, followed by Medication Error, Complication of Procedure/Treatment/Test, and Fall
  19. psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
    September 07, 2019 - Improving Patient Safety and Team Communication through Daily Huddles Citation Text: Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citatio…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49772/psn-pdf
    October 01, 2016 - Lane-Fall MB, Beidas RS, Pascual JL, et al.

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