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  1. Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. | PSNet

    psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
    November 15, 2023 - Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 7, 2021 Innovation…

  2. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet

    psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 Innovation Contact …

  3. Ambulatory Care Safety | PSNet

    psnet.ahrq.gov/primer/ambulatory-care-safety
    December 15, 2024 - Ambulatory Care Safety Citation Text: Ambulatory Care 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 PubMedId RIS …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851869/psn-pdf
    July 31, 2023 - Building Capacity for Patient Safety July 31, 2023 Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/building-capacity-patient-safety In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…

  5. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
    February 01, 2018 - PowerPoint Presentation Spotlight Signout Fallout 1 Source and Credits This presentation is based on the February 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
    July 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Weighing in on Surgical Safety * * Source and Credits This presentation is based on the July 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33657/psn-pdf
    September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix September 1, 2007 Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix Perspective There is a slumbe…

  8. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
    January 01, 2009 - Spotlight Case July 2008 Spotlight Case January 2009 To Transfer or Not to Transfer Source and Credits This presentation is based on the January 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jesse M. Pines, MD, MBA, MSCE University o…

  9. Administering just the diluent or one of two vaccine components leaves patients unprotected. | PSNet

    psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
    May 07, 2018 - Newspaper/Magazine Article Administering just the diluent or one of two vaccine components leaves patients unprotected. Citation Text: Administering just the diluent or one of two vaccine components leaves patients unprotected. ISMP Medication Safety Alert! Acute care edition. May 22, 20…

  10. An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England | PSNet

    psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
    March 17, 2011 - Book/Report An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Citation Text: An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…

  11. Medication errors. | PSNet

    psnet.ahrq.gov/issue/medication-errors
    August 21, 2018 - Commentary Medication errors. Citation Text: Medication errors. Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy UR…

  12. National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. | PSNet

    psnet.ahrq.gov/issue/national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare
    March 23, 2012 - Book/Report National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. Citation Text: National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 19…

  13. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/840940
    March 22, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality PSNet How-to Videos Curated Library All Library Content Optimizing PSNet Search for Patient Safety Resources February 15, 2024 Optimizing PSNet Search for Patient Safety Resources PSNet has over 17,000 patient safety resources available - d…

  14. Declaration to Advance Patient Safety. | PSNet

    psnet.ahrq.gov/issue/declaration-advance-patient-safety
    July 12, 2017 - Book/Report Declaration to Advance Patient Safety. Citation Text: Declaration to Advance Patient Safety. National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. Copy Citation Save Save to your library Pri…

  15. IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. | PSNet

    psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
    January 09, 2019 - Measurement Tool/Indicator Classic IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Citation Text: IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…

  16. Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
    March 25, 2020 - Book/Report Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Citation Text: Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Washington DC; National Quality Forum: Octobe…

  17. Just a Cup of Tea – an Introduction to the SEIPS Framework. | PSNet

    psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
    January 31, 2018 - Audiovisual Presentation Just a Cup of Tea – an Introduction to the SEIPS Framework. Citation Text: Just a Cup of Tea – an Introduction to the SEIPS Framework. Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023. Copy Citation …

  18. Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. | PSNet

    psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
    June 24, 2020 - Newspaper/Magazine Article Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. Citation Text: Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. O'Donnell J. USA Today. September 8, 2020 …

  19. Polypharmacy. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-0
    October 09, 2013 - Special or Theme Issue Polypharmacy. Citation Text: Polypharmacy. Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  20. Addressing Medical Gaslighting to Improve Maternal Health—Together. | PSNet

    psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
    August 17, 2022 - Toolkit Addressing Medical Gaslighting to Improve Maternal Health—Together. Citation Text: Addressing Medical Gaslighting to Improve Maternal Health—Together. Oregon Patient Safety Commission: 2023. Copy Citation Save Save to your library Print Downloa…
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