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Total Results: 983 records

Showing results for "gaps".

961. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
     psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
     January 23, 2017 - Safety gaps in medical team communication: Results of quality improvement efforts in a cardiac catheterization

962. 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

963. Health Equity and Maternal Health | PSNet
     psnet.ahrq.gov/perspective/health-equity-and-maternal-health
     October 06, 2021 - of a UNC Health System-wide effort to look at the care of Spanish-speaking patients, to address the gaps

964. 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…

965. 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…

966. 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 …

967. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
     January 01, 2016 - framework is very valuable to improving care and also to research because it clearly identifies the gaps

968. What Have We Learned About Safe Inpatient Handovers? | PSNet
     psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
     March 01, 2011 - Hospitals Physicians Health Care Executives and Administrators Gynecology Discontinuities, Gaps

969. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
     psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
     March 27, 2024 - From a safety perspective, especially in Safety II , humans also help “mind the gaps” in complex systems

970. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
     psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
     March 27, 2024 - From a safety perspective, especially in Safety II , humans also help “mind the gaps” in complex systems

971. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867986/psn-pdf
     March 24, 2025 - In Conversation with Edwin Boudreaux about Suicide Prevention March 24, 2025 Boudreaux E, Gale B, Mossburg SE. In Conversation with Edwin Boudreaux about Suicide Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention Editor’s note: Edwin Boudre…

972. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
     December 22, 2020 - In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD December 22, 2020  Also Read the Essay Citation Text: In Conversation With.. Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD. PSNet [internet]. 2020.In Conversati…

973. The Media’s Role in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/medias-role-patient-safety
     April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcar…

974. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     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…

975. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     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…

976. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
     psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
     August 01, 2012 - SPOTLIGHT CASE The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Citation Text: Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

977. Identifying Safety Events in the Prehospital Setting | PSNet
     psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
     May 16, 2022 - Quality and Safety Professionals Emergency Medicine Emergency Nursing Discontinuities, Gaps

978. Patient and Family Roles in Safety | PSNet
     psnet.ahrq.gov/perspective/patient-and-family-roles-safety
     June 14, 2023 - cultivating a better understanding of the patient and family experience of the COVID-19 pandemic, including gaps

979. In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm | PSNet
     psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
     June 14, 2023 - cultivating a better understanding of the patient and family experience of the COVID-19 pandemic, including gaps

980. Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
     February 26, 2025 - Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Savitz LA, Sousane Z, Mossburg SE. Learning …