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Showing results for "identifying".

  1. Wrong site surgery: a critical incident analysis of a near miss. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
    June 15, 2024 - Commentary Wrong site surgery: a critical incident analysis of a near miss. Citation Text: Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-2):11-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  2. National Healthcare Safety Network. | PSNet

    psnet.ahrq.gov/issue/national-healthcare-safety-network-0
    April 06, 2022 - Multi-use Website National Healthcare Safety Network. Citation Text: National Healthcare Safety Network. Centers for Disease Control and Prevention. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840173/psn-pdf
    November 16, 2022 - Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. November 16, 2022 Barrett TW, Garland NM, Freeman CL, et al. Ann Emerg Med. 2022;80(3):235-242.  https://psnet.ahrq.gov/innovation/catching-those-who-fall-thr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45600/psn-pdf
    September 01, 2018 - Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? September 1, 2018 Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Based Weights for the AHRQ Patien…

  5. Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
    March 13, 2024 - Sentinel Event Alerts Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Citation Text: Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006. Copy Citation Format…

  6. Hospital infections hard to gauge. | PSNet

    psnet.ahrq.gov/issue/hospital-infections-hard-gauge
    July 20, 2011 - Newspaper/Magazine Article Hospital infections hard to gauge. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 28, 2010 View more articles from the same authors. This ne…

  7. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-13
    November 26, 2018 - Special or Theme Issue Patient Safety. Citation Text: Patient Safety. Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40165/psn-pdf
    December 29, 2014 - Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. December 29, 2014 Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2011;23(2):182-6. doi:10.1093/in…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74120/psn-pdf
    November 30, 2021 - Protecting the patient’s safety in this case involved identifying and implementing measures to protect

  10. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet

    psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
    April 01, 2010 - would be responsible for (i) implementing a comprehensive plan for measurement and reporting, (ii) identifying

  11. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet

    psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - Identifying errors and near-miss events can be challenging.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836976/psn-pdf
    April 27, 2022 - passive stretch of the compartment should prompt investigation for possible compartment syndrome.20 Identifying

  13. The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Behrhorst J, Gale B, Van CM. Th…

  14. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
    February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation T…

  15. In Conversation with...James P. Bagian, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - Identifying errors and near-miss events can be challenging.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33588/psn-pdf
    March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events March 15, 2025 Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events PSNet primers are regu…

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
    November 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case November 2003 The Missing Suction Tip Source and Credits This presentation is based on the Nov. 2003 AHRQ WebM&M Spotlight Case in Surgery See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Eric J. Thomas, MD,…

  18. System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
    July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2024 View more articles from the same…

  19. Listen to the Family | PSNet

    psnet.ahrq.gov/web-mm/listen-family
    April 15, 2015 - Listen to the Family Citation Text: Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  20. Update on Safety Culture | PSNet

    psnet.ahrq.gov/perspective/update-safety-culture
    January 22, 2020 - Update on Safety Culture Allan Frankel, MD, and Michael Leonard, MD | August 22, 2013  View more articles from the same authors. Citation Text: Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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