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Showing results for "institution".

  1. Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet

    psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
    February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …

  2. Large-scale Coordination: Health Care. | PSNet

    psnet.ahrq.gov/issue/large-scale-coordination-health-care
    August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…

  3. Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. | PSNet

    psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
    March 10, 2021 - Newspaper/Magazine Article Classic Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. Citation Text: Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…

  4. Error reduction through team leadership: applying aviation's CRM model in the OR. | PSNet

    psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
    September 25, 2013 - Commentary Error reduction through team leadership: applying aviation's CRM model in the OR. Citation Text: Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. Copy Citation Format: …

  5. Applying the Toyota Production System: using a patient safety alert system to reduce error. | PSNet

    psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
    June 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …

  6. Organising a manuscript reporting quality improvement or patient safety research. | PSNet

    psnet.ahrq.gov/issue/organising-manuscript-reporting-quality-improvement-or-patient-safety-research
    May 11, 2011 - Commentary Organising a manuscript reporting quality improvement or patient safety research. Citation Text: Holzmueller CG, Pronovost P. Organising a manuscript reporting quality improvement or patient safety research. BMJ Qual Saf. 2013;22(9):777-85. doi:10.1136/bmjqs-2012-001603. Co…

  7. Reducing surgical complications. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-complications
    January 03, 2018 - Commentary Reducing surgical complications. Citation Text: Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  8. How Do Providers Recover From Errors? | PSNet

    psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
    May 22, 2024 - SPOTLIGHT CASE How Do Providers Recover From Errors? Citation Text: West CP. How Do Providers Recover From Errors?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar Bi…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49712/psn-pdf
    June 01, 2014 - May I Have Another?—Medication Error June 1, 2014 Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/may-i-have-another-medication-error The Case A 40-year-old man was admitted to the hospital after having a seizure. Upon admission, the patient, a pharmacology-tra…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49552/psn-pdf
    January 01, 2008 - How Do Providers Recover From Errors? January 1, 2008 West CP. How Do Providers Recover From Errors? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors Case Objectives Describe the provider-specific prevalence of medical errors. Appreciate the impact of medical errors on care pr…

  11. Eptifibatide Epilogue | PSNet

    psnet.ahrq.gov/web-mm/eptifibatide-epilogue
    March 04, 2011 - Eptifibatide Epilogue Citation Text: Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861880/psn-pdf
    January 31, 2024 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) January 31, 2024 https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication- program-reduce-medical Summary Medica…

  13. Another Fall | PSNet

    psnet.ahrq.gov/web-mm/another-fall
    June 01, 2010 - as education of staff, review and modification of medications (especially psychotropic medications), institution

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49392/psn-pdf
    April 01, 2003 - education of staff, review and modification of medications (especially psychotropic medications), institution

  15. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet

    psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
    November 01, 2012 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages Citation Text: Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49518/psn-pdf
    August 01, 2006 - It's All in the Syringe August 1, 2006 Weingart SN. It's All in the Syringe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/its-all-syringe The Case A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his diabetes management. The patient admitted not taking his medications…

  17. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
    February 01, 2016 - PowerPoint Presentation Spotlight Robotic Surgery: Risks vs. Rewards 1 Source and Credits This presentation is based on the February 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Tara Kirkpatrick, MD, and Chad LaGrange, MD, Univer…

  18. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet

    psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
    January 06, 2016 - Commentary Towards high-reliability organising in healthcare: a strategy for building organisational capacity. Citation Text: Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…

  19. Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. | PSNet

    psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and
    July 01, 2016 - Commentary Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. Citation Text: Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in …

  20. National Nursing Home COVID Action Network. | PSNet

    psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
    October 23, 2019 - Multi-use Website National Nursing Home COVID Action Network. Citation Text: National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. Copy Citation Save Save to your library Print Download P…
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