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AHRQ: Agency for Healthcare Research and Quality

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39167/psn-pdf
    February 16, 2011 - Quality and Safety in Medicine. February 16, 2011 Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.   https://psnet.ahrq.gov/issue/quality-and-safety-medicine This collection of articles highlights efforts to improve quality and safety in academic health centers by establishing teamwork initiat…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40240/psn-pdf
    November 14, 2011 - Quality of Anesthesia Care.  November 14, 2011 Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.   https://psnet.ahrq.gov/issue/quality-anesthesia-care This special issue includes articles discussing safety in anesthesiology practice as well as quality improvement innovations. https://psnet.ahrq.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43314/psn-pdf
    August 15, 2018 - ISQua Fellowship Programme. August 15, 2018 International Society for Quality in Health Care. https://psnet.ahrq.gov/issue/isqua-fellowship-programme This announcement highlights a peer learning initiative that builds on existing programs and interdisciplinary networks to develop participants' understanding about …

  4. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet

    psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety Sara J. Singer, MBA, PhD | March 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Singer SJ. Our Maturing Understanding of Safety C…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39906/psn-pdf
    July 08, 2013 - Safe Site Invasive Procedure—Non-Operating Room. July 8, 2013 Institute for Clinical Systems Improvement. https://psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room This protocol is designed to protect against wrong-site incidents in ambulatory care and to improve team communication and patient e…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35170/psn-pdf
    October 07, 2016 - Center for Patient Safety. October 7, 2016 Missouri State Medical Association; Missouri Hospital Association; Primaris https://psnet.ahrq.gov/issue/center-patient-safety The Missouri Center for Patient Safety is dedicated to improving patient safety in Missouri by applying evidence-based methods and best practices…

  7. Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates | PSNet

    psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
    October 30, 2024 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 9, 2021 …

  8. Hold the tPA | PSNet

    psnet.ahrq.gov/web-mm/hold-tpa
    July 29, 2020 - Hold the tPA Citation Text: Fagan SC. Hold the tPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  9. Individual Clinician Performance Issues | PSNet

    psnet.ahrq.gov/primer/individual-clinician-performance-issues
    March 15, 2025 - Individual Clinician Performance Issues Citation Text: Individual Clinician Performance Issues. 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 X…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33671/psn-pdf
    July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …

  11. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
    January 01, 2020 - Spotlight Spotlight “This is the wrong patient’s blood!”: Evaluating a Near-Miss Wrong Transfusion Event Source and Credits • This presentation is based on the January 2020 AHRQ WebM&M Spotlight Case • Commentary by: Sarah Barnhard MD o Medical Director of Transfusion Services at UC-Davis Health o Editors in …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836876/psn-pdf
    May 16, 2022 - Identifying Safety Events in the Prehospital Setting May 16, 2022 Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting Introduction Measuring and monitoring patient safety in …

  13. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet

    psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
    September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Citation Text: Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar Bib…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42871/psn-pdf
    September 13, 2016 - Diagnosis. September 13, 2016 Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter. ISSN: 2194-802X. https://psnet.ahrq.gov/issue/diagnosis This journal offers multidisciplinary research and commentary covering such topics as diagnostic error, clinical reasoning, and …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40669/psn-pdf
    August 27, 2013 - STate Action on Avoidable Rehospitalizations. August 27, 2013 Institute for Healthcare Improvement. 2009 -2013. https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care and communication betwe…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39940/psn-pdf
    December 14, 2016 - Quality and Safety in Women's Health Care. Second Edition. December 14, 2016 Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. Washington, DC: American College of Obstetricians and Gynecologists; 2010. ISBN: 9781934946930. https://psnet.ahrq.gov/issue/quality-and-safety-womens-he…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35447/psn-pdf
    November 02, 2005 - Training health care professionals for patient safety. November 2, 2005 Clancy CM. https://psnet.ahrq.gov/issue/training-health-care-professionals-patient-safety Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy summarizes the Agency's research and training activities in teamwork, medical e…

  18. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet

    psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
    July 08, 2022 - encourage exclusive use of non-latex products in latex-allergic patients could be engineered with potential improved

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33796/psn-pdf
    January 01, 2016 - In Conversation With… Mark L. Graber, MD January 1, 2016 In Conversation With… Mark L. Graber, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-mark-l-graber-md Editor's note: Dr. Graber is a Senior Fellow at RTI International and Professor Emeritus of Medicine at the State University o…

  20. Medication Errors. | PSNet

    psnet.ahrq.gov/issue/medication-errors-0
    October 03, 2012 - Special or Theme Issue Medication Errors. Citation Text: Medication Errors. Brit J Clin Pharmacol. 2009;67:589-695. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
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