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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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 (…
  4. 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…
  5. Psn-Pdf (pdf file)

    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 …
  6. Psn-Pdf (pdf file)

    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…
  7. 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. Copy Citation Format: Google Scholar BibTeX …
  8. 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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  9. Psn-Pdf (pdf file)

    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…
  10. 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. …
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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 …
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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