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  1. Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. | PSNet

    psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
    May 04, 2016 - Book/Report Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Citation Text: Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259. Copy…

  2. Rethinking Patient Safety. | PSNet

    psnet.ahrq.gov/issue/rethinking-patient-safety
    April 13, 2018 - Book/Report Rethinking Patient Safety. Citation Text: Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  3. Adverse Health Events in Minnesota: Annual Reports. | PSNet

    psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
    February 28, 2015 - Book/Report Adverse Health Events in Minnesota: Annual Reports. Citation Text: Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health. Copy Citation Save Save to your library Print Download PDF Share F…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49812/psn-pdf
    November 01, 2017 - Specimen Almost Lost November 1, 2017 Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/specimen-almost-lost The Case A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen. She was admitted to the medicine service for further evalu…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? September 1, 2006 Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33882/psn-pdf
    June 01, 2019 - Building a Safety Program Using Principles of Resilience Engineering June 1, 2019 Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering Persp…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49766/psn-pdf
    August 21, 2016 - Getting the (Right) Doctor, Right Away August 21, 2016 Gupta K, Khanna R. Getting the (Right) Doctor, Right Away. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away The Case A 57-year-old woman with a history of chronic obstructive pulmonary disease underwent hip surgery. Postop…

  8. Spotlight Case September 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
    September 01, 2003 - Spotlight Case September 2003 Spotlight Case September 2003 Infant Paralyzed for Intubation Before Airway Materials Ready Source and Credits This presentation is based on the Sept. 2003 AHRQ WebM&M Spotlight Case in Pediatrics See the full article at http://webmm.ahrq.gov CME credit is available through the …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33755/psn-pdf
    September 01, 2013 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety September 1, 2013 Singer SJ. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/what-weve-learned-ab…

  10. Update: Patient Engagement in Safety | PSNet

    psnet.ahrq.gov/perspective/update-patient-engagement-safety
    January 01, 2017 - Annual Perspective Update: Patient Engagement in Safety Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2018  View more articles from the same authors. Citation Text: Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. Rockvi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72695/psn-pdf
    February 03, 2021 - Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. February 3, 2021 Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. doi:10.1016/j.jss.2020.08.026. h…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858166/psn-pdf
    December 13, 2023 - Pay practices and safety organizing: evidence from hospital nursing units. December 13, 2023 Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392. https://psnet.ahrq.gov/issue/pay-practices-and-saf…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36427/psn-pdf
    December 22, 2010 - Adverse events detected by clinical surveillance on an obstetric service. December 22, 2010 Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83. https://psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45062/psn-pdf
    May 18, 2016 - Opioid Epidemic & Health IT May 18, 2016 Section 4. Health IT Playbook. Office of the National Coordinator for Health Information Technology. https://psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it Overdoses of opioid medications are considered an epidemic in the United States. This website provides ac…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44479/psn-pdf
    September 09, 2015 - Health literacy in primary care practice. September 9, 2015 Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. https://psnet.ahrq.gov/issue/health-literacy-primary-care-practice Limited health literacy can lead to patients misunderstanding care instruct…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45263/psn-pdf
    September 04, 2016 - PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. September 4, 2016 Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316-320. https://psnet.ahrq.gov/i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74011/psn-pdf
    October 27, 2021 - Dashboards for visual display of patient safety data: a systematic review. October 27, 2021 Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. https://psnet.ahrq.gov/issue/dash…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46374/psn-pdf
    August 30, 2017 - Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. August 30, 2017 Hamilton WL. https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction- perioperative-unit Miscommunication during care transitions can contribute to medical e…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45275/psn-pdf
    November 01, 2017 - Electronic tools to support medication reconciliation—a systematic review. November 1, 2017 Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068. https://psnet.ahrq.gov/issue/electronic-tools-s…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73507/psn-pdf
    July 21, 2021 - Systematic review of intraoperative anesthesia handoffs and handoff tools. July 21, 2021 Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. https://psnet.ahrq.gov/issue/systematic-…
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