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Showing results for "improvements".

  1. TeamSTEPPS Core Curriculum. | PSNet

    psnet.ahrq.gov/issue/teamstepps-core-curriculum
    August 01, 2012 - Course Material/Curriculum TeamSTEPPS Core Curriculum. Citation Text: TeamSTEPPS Core Curriculum. Rockville, MD: Agency for Healthcare Research and Quality; July 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  2. Lost in the Black Hole | PSNet

    psnet.ahrq.gov/web-mm/lost-black-hole
    December 01, 2005 - Lost in the Black Hole Citation Text: Wachter R. Lost in the Black Hole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  3. A Mid-Summer Fog | PSNet

    psnet.ahrq.gov/web-mm/mid-summer-fog
    September 29, 2017 - A Mid-Summer Fog Citation Text: Braddock CH. A Mid-Summer Fog. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  4. Privacy Gone Awry | PSNet

    psnet.ahrq.gov/web-mm/privacy-gone-awry
    February 24, 2011 - Privacy Gone Awry Citation Text: Pauker SG, Pauker SP. Privacy Gone Awry. 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 PubM…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49872/psn-pdf
    August 08, 2019 - Spinal Epidural Abscess August 8, 2019 Lu Y, Salvador D. Spinal Epidural Abscess. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/spinal-epidural-abscess The Case A 30-year-old woman with a history of prior spine surgery presented to the emergency department with a few days of progressive low back pain. She…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49583/psn-pdf
    April 01, 2009 - Eptifibatide Epilogue April 1, 2009 Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue The Case A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute coronary syndrome. Serial testing for mark…

  7. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet

    psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
    June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices Citation Text: Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45918/psn-pdf
    May 24, 2017 - Applying human-centered design thinking to enhance safety in the OR. May 24, 2017 Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004. https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867450/psn-pdf
    January 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41401/psn-pdf
    January 09, 2018 - Understanding Patient Safety, Third Edition. January 9, 2018 Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. https://psnet.ahrq.gov/issue/understanding-patient-safety-third-edition The third edition of this widely read textbook, written by national leaders in patient safety, …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47557/psn-pdf
    November 14, 2018 - A Patient-Safe Future. November 14, 2018 Patient Safety Learning: London, UK; September 2018. https://psnet.ahrq.gov/issue/patient-safe-future This paper provides an analysis of the current status of patient safety in the United Kingdom. The report outlines existing challenges and strategies to drive system improv…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844792/psn-pdf
    January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47145/psn-pdf
    July 23, 2018 - The elusive and illusive quest for diagnostic safety metrics. July 23, 2018 Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. https://psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics Measur…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41438/psn-pdf
    January 03, 2017 - Implementing SBAR across a large multihospital health system. January 3, 2017 Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48111/psn-pdf
    July 10, 2019 - Medication Safety in Key Action Areas. July 10, 2019 Geneva, Switzerland: World Health Organization; 2019. https://psnet.ahrq.gov/issue/medication-safety-key-action-areas Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores key areas of concern that require act…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43898/psn-pdf
    February 11, 2015 - Special Section on Patient Safety and Quality in Healthcare. February 11, 2015 Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155. https://psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare Articles in this special issue explore patient safety from a sociotechnic…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46026/psn-pdf
    May 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40577/psn-pdf
    July 06, 2011 - Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. July 6, 2011 Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary preventio…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836871/psn-pdf
    April 06, 2022 - The spectrum of harm associated with modern medicine. April 6, 2022 Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664- 667. doi:10.1007/s11606-021-06997-x. https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine Interest in harm resulting from medical…
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