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Showing results for "initiative".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73256/psn-pdf
    May 12, 2021 - Addiction treatment providers in Pa. face little state scrutiny despite harm to clients. May 12, 2021 Pattani A, Mahon E. Kaiser Health News.  April 30, 2021. https://psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients Systemic oversight weaknesses and lack of…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33933/psn-pdf
    March 02, 2011 - Patient safety and medical malpractice: a case study. March 2, 2011 Brennan TA, Mello MM. Patient safety and medical malpractice: a case study. Ann Intern Med. 2003;139(4):267-73. https://psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study This case study discusses the ongoing challenges in bala…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838638/psn-pdf
    September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47320/psn-pdf
    September 05, 2018 - Patient safety climate: a study of Southern California healthcare organizations. September 5, 2018 Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. https://psnet.ahrq.gov/issue/patient-safety…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47112/psn-pdf
    May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43062/psn-pdf
    September 04, 2016 - The relationship between patient safety culture and patient outcomes: a systematic review. September 4, 2016 DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058. https://psnet.ahrq.gov/issue/relat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46726/psn-pdf
    January 31, 2018 - Toolkit to Promote Safe Surgery. January 31, 2018 Rockville, MD: Agency for Healthcare Research and Quality; November 2017. https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery Preventing surgical complications including surgical site infections are a worldwide target for improvement. This toolkit builds on t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47847/psn-pdf
    July 10, 2024 - CHPSO Annual Reports. July 10, 2024 California Hospital Patient Safety Organization: Sacramento, CA; 2024. https://psnet.ahrq.gov/issue/chpso-2019-annual-report Patient Safety Organizations (PSOs) capture and analyze local data to inform learning among their 490 members. This report highlights 2023 trends, activit…
  9. 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, …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837979/psn-pdf
    August 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health.  August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44938/psn-pdf
    September 28, 2017 - Walking the tightrope: communicating overdiagnosis in modern healthcare. September 28, 2017 McCaffery KJ, Jansen J, Scherer LD, et al. Walking the tightrope: communicating overdiagnosis in modern healthcare. BMJ. 2016;352:i348. doi:10.1136/bmj.i348. https://psnet.ahrq.gov/issue/walking-tightrope-communicating-over…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73202/psn-pdf
    April 28, 2021 - An initiative to improve the management of clinically significant test results in a large health care
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60858/psn-pdf
    August 26, 2020 - Meds-to-Beds Programs Meds-to-Beds (M2B) is a unique quality improvement initiative aimed at preventing
  14. psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - July 14, 2010 Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus
  15. psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - 2021 Patient Safety Innovations Missouri Quality Initiative
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33871/psn-pdf
    December 22, 2018 - Maternal Safety December 22, 2018 Lyndon A. Maternal Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/maternal-safety Annual Perspective 2018 The Context of Maternal Safety Childbirth-related maternal health outcomes have been worsening for some time in the United States. After a dramatic reduc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49499/psn-pdf
    December 02, 2020 - An Outpatient 'Zebra' January 1, 2006 Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/outpatient-zebra The Case A 64-year-old man presented to the outpatient clinic with a chief complaint of left foot pain and numbness. His past medical history included lumbar disc diseas…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - PowerPoint Presentation Spotlight Case July 2003 Code Status Confusion webmm.ahrq.gov Source and Credits This presentation is based on the July 2003 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Bernard Lo, MD, Univers…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851869/psn-pdf
    July 31, 2023 - Building Capacity for Patient Safety July 31, 2023 Hoffman R, Mossburg S, Van CM. Building Capacity for Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/building-capacity-patient-safety In its 2019 report, Safer Together: A National Action Plan to Advance Patient Safety, the National Steer…
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Spotlight Case July 2008 Spotlight Case The Safety and Quality of Long Term Care * * Source and Credits This presentation is based on the September 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…

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