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Total Results: 5,150 records

Showing results for "institution".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49698/psn-pdf
    December 01, 2013 - SNFs: Opening the Black Box December 1, 2013 Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/snfs-opening-black-box The Case An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a small bowel obstructio…
  2. psnet.ahrq.gov/primer/medication-administration-errors
    December 15, 2024 - Medication Administration Errors Citation Text: MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X…
  3. psnet.ahrq.gov/web-mm/its-sarah-not-stephen
    January 01, 2015 - SPOTLIGHT CASE It's Sarah, Not Stephen! Citation Text: Sarkar U. It's Sarah, Not Stephen!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNo…
  4. psnet.ahrq.gov/curated-library/diagnostic-error
    September 14, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Error  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Karen Cosby, AHRQ Date Created: May 8, …
  5. psnet.ahrq.gov/web-mm/code-status-confusion
    September 01, 2006 - SPOTLIGHT CASE Code Status Confusion Citation Text: Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…
  6. psnet.ahrq.gov/web-mm/discharge-fumbles
    September 09, 2009 - SPOTLIGHT CASE Discharge Fumbles Citation Text: Forster AJ. Discharge Fumbles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
  7. psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
    December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit Eduard E. Vasilevskis, MD; E. Wesley Ely, MD, MPH; Robert S. Dittus, MD, MPH | December 1, 2012  Also Read a Conversation View more articles from the same authors. …
  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
    January 01, 2021 - – The challenge of contacting an authorizing provider in a large academic institution, for example
  9. psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited
    March 04, 2015 - Study Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. Citation Text: van Walraven C, Jennings A, Wong J, et al. Influence of house-staff experience on teaching-hospital mortality: the "July phenomenon" revisited. J Hosp Med. 2011;6(7…
  10. psnet.ahrq.gov/issue/risks-related-patient-bed-safety
    July 19, 2023 - Commentary Risks related to patient bed safety. Citation Text: Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
  11. psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve-patient-safety
    July 24, 2017 - Study Quality improvement initiative to reduce serious safety events and improve patient safety culture. Citation Text: Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e…
  12. psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
    September 30, 2015 - Multi-use Website Paediatric International Patient Safety and Quality Community. Citation Text: Paediatric International Patient Safety and Quality Community. Paediatric International Patient Safety and Quality Community. 525 University Ave, Suite 630, Toronto, Ontario M5G 2L3, Canada. …
  13. psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report
    August 04, 2021 - Commentary User's manual for the IOM's 'Quality Chasm' report. Citation Text: Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…
  14. psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
    March 11, 2020 - Commentary I'm sorry: laws that support apologies in health care. Citation Text: Atkinson Smith M. Iʼm Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  15. psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
    October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents. Citation Text: Gray D, Williams S. From blaming to learning: re‐framing organisational learning from adverse incidents. Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295. Copy Citatio…
  16. psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
    September 28, 2022 - Commentary Social risk, health inequity, and patient safety. Citation Text: Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25. doi:10.1002/jhrm.21519. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…
  17. psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - Study Getting doctors to clean their hands: lead the followers. Citation Text: Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396. Copy Citation Format: DOI Go…
  18. psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
    June 24, 2010 - Commentary Implementation of patient centeredness to enhance patient safety. Citation Text: Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  19. psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  20. psnet.ahrq.gov/issue/reality-check-checklists
    April 21, 2015 - Commentary Classic Reality check for checklists. Citation Text: Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

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