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  1. In Conversation With… Linda Aiken, PhD, RN | PSNet

    psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - create this business case to finally get the attention of nonclinical management, we're working on the idea

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33796/psn-pdf
    January 01, 2016 - Is it just a matter of you writing them a letter saying we think this would be a good idea, or somehow

  3. Missed Nursing Care: A Key Measure for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - create this business case to finally get the attention of nonclinical management, we're working on the idea

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73643/psn-pdf
    August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay August 25, 2021 https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled- nursing Summary ECHO-Care Transitions (ECHO-CT) intends to ensure cont…

  5. In Conversation with...Diane Rydrych, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - It's a little bit surprising that the hospitals would have been on board from the get go with the idea

  6. Failure to Rescue | PSNet

    psnet.ahrq.gov/primer/failure-rescue
    September 15, 2024 - Background and Theory The concept of failure-to-rescue (FTR) captures the idea that many complications

  7. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet

    psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
    October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 25, 2021 Innova…

  8. Weekly Resource | PSNet

    psnet.ahrq.gov/periodic-issue/weekly-resource
    March 25, 2025 - March 12, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  9. Medical Scribes and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
    August 01, 2019 - Once we started having a scribe for physicians, the idea that we were going to take away the scribe was … Any idea of how the patients accept this?

  10. In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA | PSNet

    psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
    June 30, 2021 - The whole idea is to keep the patient safe and sterile and protect them from the people and environment … KH: I like this idea of the architecture being an adjunct to providing the care.

  11. COVID-19 and the Built Environment | PSNet

    psnet.ahrq.gov/perspective/covid-19-and-built-environment
    June 30, 2021 - The whole idea is to keep the patient safe and sterile and protect them from the people and environment … KH: I like this idea of the architecture being an adjunct to providing the care.

  12. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet

    psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
    March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety Sara J. Singer, MBA, PhD | September 1, 2013  View more articles from the same authors. Citation Text: Singer SJ. What We've Learned About Leveraging Leadership a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49649/psn-pdf
    March 01, 2012 - Cultural Dimensions of Depression March 1, 2012 Kinzie DJ. Cultural Dimensions of Depression. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/cultural-dimensions-depression The Case A 55-year-old Vietnamese man was admitted to a general medicine ward with vague complaints of inability to breathe and swallow…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? September 1, 2006 Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33687/psn-pdf
    August 01, 2009 - Workarounds and Resiliency on the Front Lines of Health Care August 1, 2009 Tucker AL. Workarounds and Resiliency on the Front Lines of Health Care. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care Perspective Frontline health care providers are challen…

  16. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
    January 01, 2020 - • In this case, the ICU team had one idea about what the patient’s goals of care were, and when the

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49859/psn-pdf
    April 01, 2019 - The idea of finding a noncombustible delivery system for nicotine as a substitute for smoking has been

  18. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet

    psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
    March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…

  19. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - One clinical program starts, and then others in the organization may see that it’s a good idea and follow … 2008 and was sunsetted in 2019. 6,7 It was a group of 16 delivery systems that came together with the idea

  20. Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - One clinical program starts, and then others in the organization may see that it’s a good idea and follow … 2008 and was sunsetted in 2019. 6,7 It was a group of 16 delivery systems that came together with the idea
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