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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - Root Cause Analysis June 15, 2024 Root Cause Analysis. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/root-cause-analysis PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…
  2. psnet.ahrq.gov/curated-library/rapid-response-systems
    September 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Rapid Response Systems  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 20…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
    July 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case July 2004 Preventing Inappropriate Use of Novel Therapeutic Agents Source and Credits This presentation is based on the July 2004 AHRQ WebM&M Spotlight Case in Critical Care Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the W…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33836/psn-pdf
    June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? June 1, 2017 Martin VK, Mirnateghi N, Khoshchehreh M. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? . PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed Per…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33610/psn-pdf
    April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) April 1, 2005 Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet Editorial Five year…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47328/psn-pdf
    January 01, 2020 - The program measures HAC rates by a composite Patient Safety Indicator (PSI90), which includes 10 specific
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60174/psn-pdf
    March 30, 2020 - Most notably, this third edition includes a chapter on cross-cutting topics that are not related to … , diagnostic errors, delirium, adverse drug events, and others.[5] This edition of the report also includes
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848107/psn-pdf
    April 26, 2023 - This perspective includes the contribution of Dr. … Graber’s pioneering work on diagnostic error in 2005, which includes an identification of systemic problems … Clinical decision making is a complex process that includes a variety of factors. … Clinician-centered misdiagnosis is only a part of overall diagnostic safety; the NASEM definition also includes … guidance that scales to particular needs at the level of individual practitioner whose scope of work includes
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863641/psn-pdf
    February 28, 2024 - It includes a welcome guide specific to the patients and family caregiver audience. … The website also includes new simulation-based training modules, which can be used as tools to help … The core TeamSTEPPS materials on the website begin with an Introduction, which includes an overview
  10. psnet.ahrq.gov/perspective/covid-19-and-built-environment
    June 30, 2021 - Water management, a required risk management program in healthcare settings, often includes environmental
  11. psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
    June 30, 2021 - Water management, a required risk management program in healthcare settings, often includes environmental
  12. psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009  Also Read an Essay Citation Text: In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.In Conversation with...Mark Chassin, MD, MPP, MPH . PSNet [internet]. Rockville (MD): A…
  13. psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
    January 01, 2018 - In Conversation With… Robert Hirschtick, MD January 1, 2018  Also Read an Essay Citation Text: In Conversation With… Robert Hirschtick, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837959/psn-pdf
    August 31, 2022 - Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy August 31, 2022 Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertio…
  15. psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
    February 01, 2013 - In Conversation With… Beverley H. Johnson February 1, 2013  Also Read an Essay Citation Text: In Conversation With… Beverley H. Johnson. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.…
  16. psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Relevant documentation includes the case history, physical examination, signed consent form, and pre-anesthesia … unlike verification for medication or imaging orders, the standard protocol for verifying procedures includes … established in the 1980s, IR has been transitioning to a more clinically focused care delivery model that includes … Global Consensus Statement Defining Interventional Radiology, the clinical scope and practice of IR includes
  17. psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
    September 01, 2017 - adequate data for further improvement—for instance, a daily monitoring report to the charge nurse that includes … Joint Commission recommends that each organization's: "process for effective hand off communication includes … Clinical content Includes everything on the data-information-knowledge continuum stored in the … Human–computer interface Enables unrelated entities to interact with the system and includes aspects
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33707/psn-pdf
    February 01, 2011 - Research and QI projects Course content includes (but not limited to): systems failure and medical … interventions in CQI framework and designing additional or new interventions Duration: 6 days Course includes … Duration: 20 days Course includes lectures from national experts and completion and reporting of … science, support to attend meetings, and bonuses for good performance Duration: 8 hours Program includes
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49732/psn-pdf
    May 01, 2015 - , sepsis always involves activation of the host inflammatory response and, in more serious states, includes … updated in 2013 by the Surviving Sepsis Campaign (SSC) and endorsed by multiple medical societies, includes … timely manner.(4) Based on an initial protocol performed by Rivers and colleagues (5), the bundle includes … UCSF Bundle Compliance and Mortality (Includes All Adult Inpatients and the Emergency Department).
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
    May 01, 2015 - initiated by an infection Sepsis always involves activation of the host inflammatory response and often includes … treatment with the "resuscitation bundle" The bundle, updated in the Surviving Sepsis Campaign in 2013, includes … www.ncbi.nlm.nih.gov/pubmed/23353941 12 Resuscitation Bundle Based on a NEJM study published in 2001, the bundle includes

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