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Showing results for "institution".

  1. A check-up for safety culture in "my patient care area." | PSNet

    psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
    December 22, 2010 - Tools/Toolkit A check-up for safety culture in "my patient care area." Citation Text: Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”. doi:10.1016/s1553-7250(07)33081-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  2. Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. | PSNet

    psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
    January 04, 2017 - Commentary Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Citation Text: Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Nadzam DM; Atkins PM; Waggoner DM; Shonk R. Co…

  3. Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
    August 08, 2007 - Book/Report Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Citation Text: Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254. C…

  4. Error reporting in organizations. | PSNet

    psnet.ahrq.gov/issue/error-reporting-organizations
    May 24, 2006 - Commentary Error reporting in organizations. Citation Text: Error reporting in organizations. Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  5. Update on Safety Culture | PSNet

    psnet.ahrq.gov/perspective/update-safety-culture
    January 22, 2020 - Update on Safety Culture Allan Frankel, MD, and Michael Leonard, MD | August 22, 2013  View more articles from the same authors. Citation Text: Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis Introduction Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…

  7. In Conversation With… Amy J. Starmer, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
    May 31, 2023 - I connected with Chris Landrigan and Ted Sectish, and we conducted a single-institution study aiming

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49793/psn-pdf
    May 01, 2017 - Hemolysis Holdup May 1, 2017 Lehman CM. Hemolysis Holdup. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hemolysis-holdup The Case A 72-year-old man with congestive heart failure due to nonischemic cardiomyopathy, stage 3 chronic kidney disease, atrial fibrillation, and type 2 diabetes mellitus presented t…

  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. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
    June 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case June 2004 The Wrong Shot: Error Disclosure Source and Credits This presentation is based on the June 2004 AHRQ WebM&M Spotlight Case in Pediatrics CME credit is available through the Web site See the full article at http://webmm.ahrq.gov Commentary by: Thomas H. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836878/psn-pdf
    April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022 Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/medias-role-patient-safety Brief History of the Media Influencing Patient Safety Despite studies raising questions about avoidable ha…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72836/psn-pdf
    January 26, 2021 - Meaningful Measurement in Patient and Family Engagement March 10, 2021 Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement Defining Patient and Family Engagement Pat…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33795/psn-pdf
    November 01, 2015 - Introducing the Redesigned AHRQ Patient Safety Network November 1, 2015 Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network Editorial It's hard to believe that it has been 15 years since th…

  14. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/845971
    January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Value and Patient Safety Curated Library Foundations Safety is the preservation of value. Vandeskog B. J Safety Res. 2024;89:105-115. Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety resea…

  15. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …

  16. Effects of work shift or shift length on radiation safety perception. | PSNet

    psnet.ahrq.gov/issue/effects-work-shift-or-shift-length-radiation-safety-perception
    August 23, 2023 - Study Effects of work shift or shift length on radiation safety perception. Citation Text: Effects of work shift or shift length on radiation safety perception. Moore QT, Bruno MA. Radiol Technol. 2023;94(6):409-418. Copy Citation Save Save to your library …

  17. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet

    psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

  18. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). | PSNet

    psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp
    January 02, 2017 - Commentary A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Citation Text: Pronovost P, King J, Holzmueller CG, et al. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Jt Comm J Qual Patient Saf. 2006;32(3):119-29. Copy Citation Forma…

  19. Errors and adverse events in otolaryngology. | PSNet

    psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
    October 27, 2010 - Review Errors and adverse events in otolaryngology. Citation Text: Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  20. Overview of progress on patient safety. | PSNet

    psnet.ahrq.gov/issue/overview-progress-patient-safety
    September 28, 2010 - Review Overview of progress on patient safety. Citation Text: Pronovost P, Holzmueller CG, Ennen CS, et al. Overview of progress in patient safety. Am J Obstet Gynecol. 2011;204(1):5-10. doi:10.1016/j.ajog.2010.11.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
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