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Total Results: 3,295 records

Showing results for "gaps".

  1. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet

    psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
    April 01, 2009 - pressure to fix the problems of medical errors and poor quality; on the other hand, there are often major gaps

  2. In Conversation With… Jane Brice, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
    May 01, 2019 - Transport Health Care Providers Information Professionals Emergency Medicine Discontinuities, Gaps

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60722/psn-pdf
    February 06, 2023 - Although these data sources do not provide identical information, due to gaps and lags in data capture

  4. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Safety gaps in medical team communication: Results of quality improvement efforts in a cardiac catheterization

  5. In Conversation With… Harlan Krumholz, MD, SM | PSNet

    psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
    April 01, 2018 - Hospitals Health Care Providers Facility and Group Administrators Medicine Discontinuities, Gaps

  6. Safety in Radiology | PSNet

    psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - Radiation exposure from CT scans: how to close our knowledge gaps, monitor and safeguard exposure—proceedings

  7. The Role of Community Pharmacists in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
    October 24, 2021 - Most errors are related to system gaps, not individual providers, so constant reassessment of the processes

  8. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet

    psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
    December 31, 2024 - provided by consultants to ensure that all available clinical data are considered. 26 Communication gaps

  9. Rediscovering the Power of the Surgical M&M Conference: The M M Matrix | PSNet

    psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
    September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix Leo A. Gordon, MD | September 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74149/psn-pdf
    January 07, 2022 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings January 7, 2022 Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/multiple-missed-opportu…

  11. Making Just Culture a Reality: One Organization's Approach | PSNet

    psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - Making Just Culture a Reality: One Organization's Approach Alison H. Page, MS, MHA | October 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [in…

  12. A Stroke of Error | PSNet

    psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - SPOTLIGHT CASE A Stroke of Error Citation Text: Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  13. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings | PSNet

    psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
    May 26, 2021 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings Citation Text: Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

  14. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet

    psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
    May 01, 2008 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? Josh Peterson, MD, MPH | May 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Peterson JF. Integrating Multiple Medication Decision …

  15. Preparing for Health Reform: The Federal Government and the Nursing Workforce | PSNet

    psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
    September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce Peter I. Buerhaus, PhD, RN | September 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Buerhaus P. Preparing for Health Reform: The Federal G…

  16. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet

    psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
    September 01, 2017 - November 11, 2020 Fighting a common enemy: a catalyst to close intractable safety gaps

  17. How Does Health Care Simulation Affect Patient Care? | PSNet

    psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
    August 01, 2018 - The performance gaps that we saw in the study were similar to what has been reported in closed claims

  18. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
    October 06, 2021 - of a UNC Health System-wide effort to look at the care of Spanish-speaking patients, to address the gaps

  19. In Conversation with…Vineet Arora, MD, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
    March 01, 2011 - Hospitals Physicians Health Care Executives and Administrators Educators Discontinuities, Gaps

  20. In Conversation With… Matthew Weinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - The performance gaps that we saw in the study were similar to what has been reported in closed claims
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