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Showing results for "improved".

  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42061/psn-pdf
    October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. October 5, 2015 Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF. https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39417/psn-pdf
    August 06, 2016 - Safety Culture: Theory, Method and Improvement. August 6, 2016 Antonsen S. Burlington, VT: Ashgate; 2009. ISBN: 9780754676959. https://psnet.ahrq.gov/issue/safety-culture-theory-method-and-improvement This book describes the fundamentals of safety culture in the context of well-known incidents in high-risk industr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46576/psn-pdf
    October 25, 2017 - Curing our diagnostic disorder. October 25, 2017 Laposata M. The Pathologist. September 2017;(34):18-27. https://psnet.ahrq.gov/issue/curing-our-diagnostic-disorder Diagnostic improvement is gaining recognition as an important goal in health care. This magazine article reports on one pathologist's efforts to devel…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38423/psn-pdf
    September 08, 2010 - Heparin: improving treatment and reducing risk of harm. September 8, 2010 Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25. https://psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm This article explains safety challenges commonly associated w…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39693/psn-pdf
    July 21, 2010 - Learning accountability for patient outcomes. July 21, 2010 Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979. https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes This commentary discusses efforts to reduce central line blood stream infe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009 In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent s…

  8. In Conversation With… Hardeep Singh, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
    January 01, 2014 - In Conversation With… Hardeep Singh, MD, MPH December 1, 2013  Also Read an Essay Also Read an Essay Citation Text: In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867653/psn-pdf
    February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857061/psn-pdf
    November 27, 2023 - In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 Stanley J. In Conversation with.. Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-joa…

  11. 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 - In Conversation with Lucy Savitz about 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 Essay View more articles from the same authors. Citation Text: Savitz LA, S…

  12. 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 …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33604/psn-pdf
    December 15, 2024 - Pharmacist's Role in Medication Safety December 15, 2024 The Pharmacist's Role in Medication Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44287/psn-pdf
    September 21, 2023 - Patient safety in the operating room. September 21, 2023 Wahr JA. UpToDate. September 21, 2023. https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety The operating room is a high-risk environment influenced by culture, teamwork, and task complexity. This review provides an overv…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46448/psn-pdf
    September 27, 2017 - Simulation in Otolaryngology. September 27, 2017 Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036. https://psnet.ahrq.gov/issue/simulation-otolaryngology This special issue highlights areas in otolaryngology where simulation is being used to develop multidisciplinary team-based approaches…

  16. Mistake-proofing healthcare: why stopping processes may be a good start. | PSNet

    psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start
    March 14, 2022 - Commentary Mistake-proofing healthcare: why stopping processes may be a good start. Citation Text: Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. Copy Citation Forma…

  17. Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States. | PSNet

    psnet.ahrq.gov/issue/health-care-opinion-leaders-views-quality-and-safety-health-care-united-states
    April 12, 2006 - Book/Report Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States. Citation Text: Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States. Shea KK, Shih A, Davis K. New York, NY: The Commonwealth Fund…

  18. Health Care Leader Action Guide to Reduce Avoidable Readmissions. | PSNet

    psnet.ahrq.gov/issue/health-care-leader-action-guide-reduce-avoidable-readmissions
    March 14, 2018 - Book/Report Health Care Leader Action Guide to Reduce Avoidable Readmissions. Citation Text: Health Care Leader Action Guide to Reduce Avoidable Readmissions. Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Healt…

  19. Guide to Patient and Family Engagement: Environmental Scan Report. | PSNet

    psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
    August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…

  20. Complicated: medical missteps are not inevitable. | PSNet

    psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
    August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…
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