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  1. Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx Spotlight When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Source and Credits • This presentation is based on the September 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psne…

  2. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
    December 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case December 2007 Elopement Source and Credits This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Debra Gerardi, RN, MPH, JD Creighton University School of Law Ed…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866841/psn-pdf
    September 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary September 23, 2024 https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and- intervention-innovation Summary UNC Health is a nonprofit healthcare system of more than 500 clinics and…

  4. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
    August 01, 2015 - PowerPoint Presentation Spotlight Privacy or Safety? 1 This presentation is based on the July/August 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John D. Halamka, MD, MS, Beth Israel Deaconess Medical Center; and Deven McGraw, JD, MPH, LLM…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33749/psn-pdf
    April 01, 2013 - Are Residency Duty Hour Rules Improving Patient Safety? April 1, 2013 Fletcher KE, Reed DA. Are Residency Duty Hour Rules Improving Patient Safety? PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety Perspective Introduction The Accreditation Council f…

  6. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Measurement of Patient Safety Citation Text: Measurement of Patient Safety. 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 Pu…

  7. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet

    psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
    November 25, 2020 - SPOTLIGHT CASE Some Patients Can't Wait: Improving Timeliness of Emergency Department Care Citation Text: Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865660/psn-pdf
    April 24, 2024 - Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. April 24, 2024 Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety culture: an unbalanced panel study. BMJ Lead. 2024;8(8):335-339. doi:10.113…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41371/psn-pdf
    May 29, 2012 - Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. May 29, 2012 DOHERTY CAROLE, STAVROPOULOU CHARITINI. Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Soc Sci …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74099/psn-pdf
    January 01, 2022 - Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. November 24, 2021 Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety a…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43309/psn-pdf
    August 02, 2015 - Wrong-side thoracentesis: lessons learned from root cause analysis. August 2, 2015 Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learne…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60641/psn-pdf
    July 01, 2020 - Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. July 1, 2020 Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035471. doi:10.1136/bmjopen-2019-035471.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73294/psn-pdf
    January 01, 2022 - Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. May 19, 2021 Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Patient Saf. 2022;18(2):e463-e469. doi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41796/psn-pdf
    January 18, 2013 - Retained surgical items: a problem yet to be solved. January 18, 2013 Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026. https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-so…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61057/psn-pdf
    October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report October 28, 2020 Washington DC; National Quality Forum: October 6, 2020. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error- measurement-considerations With input…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847048/psn-pdf
    April 05, 2023 - Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. April 5, 2023 Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementation of a communication and optima…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72820/psn-pdf
    March 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. March 10, 2021 Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative re…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838138/psn-pdf
    September 21, 2022 - Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care. September 21, 2022 Thiruchelvam K, Byles J, Hasan SS, et al. Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care. Res Soci…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837595/psn-pdf
    June 29, 2022 - Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. June 29, 2022 Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. Explor Res Clin Soc…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838246/psn-pdf
    October 05, 2022 - The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. October 5, 2022 Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. J…
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