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psnet.ahrq.gov/node/35942/psn-pdf
July 16, 2018 - Graduate Programs in Healthcare Quality and Patient
Safety.
July 16, 2018
Center for Education in the Health Sciences, Northwestern University, Chicago, IL.
https://psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety
Northwestern University's Institute of Healthcare Studies offers an 18-mo…
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psnet.ahrq.gov/node/45424/psn-pdf
September 21, 2016 - Shift to Safety.
September 21, 2016
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/shift-safety
This initiative facilitates a patient safety approach that focuses on the roles of patients, clinicians, and
organizations. The website provides tools and resources to inform and engage individuals as l…
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE)
Collaborative Studies and Implements Methods to Prevent
Avoidable Cases of Hospital Associated VTE
April 7, 2022
https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-
implements-methods
Summary
Venous thromboembolism (…
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce
Peter I. Buerhaus, PhD, RN | September 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Buerhaus P. Preparing for Health Reform: The Federal G…
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Emergency Error
August 21, 2013
Symons NRA. Emergency Error. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/emergency-error
Case Objectives
State that emergency surgery is high risk and has high mortality.
Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of
…
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP
November 1, 2005
In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
Editor's Note: Dr. Berwick is President and Chief Executive Officer of the Institute for Healthcare
I…
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets
Citation Text:
McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX …
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Infused, Not Ingested
Citation Text:
Foley M. Infused, Not Ingested. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing
and Treating Delirium in the Intensive Care Unit
December 1, 2012
Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating
Delirium in the Intensive Care Unit. PSNet [internet]. 2012.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up
Robert M. Wachter, MD | June 1, 2012
View more articles from the same authors.
Citation Text:
Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. …
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - In Conversation With… Charles Vincent, MPhil, PhD
June 1, 2012
In Conversation With… Charles Vincent, MPhil, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
Editor's note: Charles Vincent, MPhil, PhD, a psychologist by training, is one of the world's leading p…
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - The Role of Graduate Medical Education (GME) in
Improving Patient Safety
February 1, 2010
Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
Perspec…
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psnet.ahrq.gov/node/39632/psn-pdf
May 20, 2016 - Medical Liability Reform & Patient Safety Initiative.
May 20, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate
medical liability …
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psnet.ahrq.gov/node/41819/psn-pdf
November 07, 2012 - Order from Chaos: Accelerating Care Integration.
November 7, 2012
Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012.
https://psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration
This report discusses the need for improved coordination and integration in patient car…
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psnet.ahrq.gov/node/35699/psn-pdf
November 18, 2011 - Improving the Reliability of Health Care.
November 18, 2011
Nolan T, Resar R, Haraden C, et al. Boston, MA: Institute for Healthcare Improvement; 2004.
https://psnet.ahrq.gov/issue/improving-reliability-health-care
This report shares a three-step model for applying reliability principles to health care. The element…
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psnet.ahrq.gov/node/40375/psn-pdf
August 08, 2014 - Coordination Between Emergency and Primary Care
Physicians.
August 8, 2014
Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR
Research Brief No. 3.
https://psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians
This report analyzes commu…
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psnet.ahrq.gov/node/41783/psn-pdf
October 24, 2012 - How-to Guide: Prevent Obstetrical Adverse Events.
October 24, 2012
Cambridge, MA: Institute for Healthcare Improvement; 2012.
https://psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
This guide highlights strategies to enhance the use of care bundles to prevent errors in obstetric care.
https://ps…
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psnet.ahrq.gov/node/42440/psn-pdf
July 24, 2013 - ISMP Long-Term Care Advise-ERR.
July 24, 2013
Horsham, PA; Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
This newsletter focuses on medication safety concerns that administrators, nurses, and other health care
workers may encounter while providing long-term ca…
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psnet.ahrq.gov/node/41581/psn-pdf
August 08, 2012 - How-to Guides: Improving Transitions from the Hospital
to Reduce Avoidable Rehospitalizations.
August 8, 2012
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
This series, developed in conjunct…
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psnet.ahrq.gov/node/40669/psn-pdf
August 27, 2013 - STate Action on Avoidable Rehospitalizations.
August 27, 2013
Institute for Healthcare Improvement. 2009 -2013.
https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care
and communication betwe…