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Showing results for "improvements".

  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. In Conversation With… Eduardo Salas, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
    November 01, 2011 - track the overall outcomes of the program nationally as well as capture local stories of patient safety improvements—including

  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/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…

  5. 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…

  6. 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…

  7. 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…

  8. Surgical Site Infections | PSNet

    psnet.ahrq.gov/primer/surgical-site-infections
    December 15, 2024 - Surgical Site Infections Citation Text: Surgical Site Infections. 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…

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
    November 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case November 2005 Reconciling Doses Source and Credits This presentation is based on the November 2005 Spotlight Case in Emergency Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Frank Federico, RPh,…

  10. Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx Spotlight Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes Source and Credits • This presentation is based on the April 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/we…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37842/psn-pdf
    November 20, 2017 - An epistemology of patient safety research: a framework for study design and interpretation. November 20, 2017 Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One size does not fit all. Quality and Safety in Health Care. 2008;17(…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45880/psn-pdf
    June 29, 2017 - Diagnostic accuracy of GPs when using an early- intervention decision support system: a high-fidelity simulation. June 29, 2017 Kostopoulou O, Porat T, Corrigan D, et al. Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation. Br J Gen Pract. 2017;679(656):e…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45858/psn-pdf
    March 24, 2017 - From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. March 24, 2017 Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Quality Can Drive Accountability i…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40619/psn-pdf
    October 06, 2016 - Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. October 6, 2016 Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772. https://psnet.a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41481/psn-pdf
    September 26, 2012 - Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial. September 26, 2012 Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission national patient safety goals: a randomised trial. BMJ Qual Saf. 201…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46471/psn-pdf
    March 20, 2018 - Diagnostic errors in primary care pediatrics: Project RedDE. March 20, 2018 Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-red…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47152/psn-pdf
    October 12, 2018 - A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. October 12, 2018 Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. Simul Healthc. 2018;13(5):324-330…

  18. Patient as a Team Member in Clinical Care | PSNet

    psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
    March 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient as a Team Member in Clinical Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybraria…

  19. Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
    January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx Spotlight A Loss of Trust and a Missed Diagnosis Source and Credits • This presentation is based on the February 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.…

  20. 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…
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