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Total Results: 5,150 records

Showing results for "institutional".

2901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39389/psn-pdf
      January 03, 2017 - Shaping systems for better behavioral choices: lessons learned from a fatal medication error. January 3, 2017 Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(4):152-163. https://psnet.ahrq.gov/is…

2902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47570/psn-pdf
      December 05, 2018 - An electronic health record–based real-time analytics program for patient safety surveillance and improvement. December 5, 2018 Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff (Millwood). 2018;37(11):1805-181…

2903. Safety as You Go from Hospital to Home. | PSNet
      psnet.ahrq.gov/issue/safety-you-go-hospital-home
      November 23, 2016 - Fact Sheet/FAQs Safety as You Go from Hospital to Home. Citation Text: Safety as You Go from Hospital to Home. National Patient Safety Foundation; NPSF Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

2904. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
      October 01, 2013 - PowerPoint Presentation Spotlight Case It's Sarah, not Stephen! 1 This presentation is based on the October 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Urmimala Sarkar, MD, MPH, University of California at San Francisco Editor, AHRQ WebM&…

2905. Handoffs and Transitions | PSNet
      psnet.ahrq.gov/perspective/handoffs-and-transitions
      February 01, 2007 - Annual Perspective Handoffs and Transitions Niraj Sehgal, MD, MPH | January 22, 2014  View more articles from the same authors. Citation Text: Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…

2906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49632/psn-pdf
      July 01, 2011 - A Seasonal Care Transition Failure July 1, 2011 Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure The Case A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine resident—for routine follow-up…

2907. Are Two Insulin Pumps Better Than One? | PSNet
      psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
      March 01, 2005 - Are Two Insulin Pumps Better Than One? Citation Text: Cook CB. Are Two Insulin Pumps Better Than One?. 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 EndN…

2908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33751/psn-pdf
      January 01, 2014 - Strengthening the Business Case for Patient Safety May 1, 2013 Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety Perspective After more than a decade in the national spotlight, the problem of pati…

2909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49523/psn-pdf
      November 01, 2006 - Urinary Retention Dilemma November 1, 2006 Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma The Case Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy (BPH) and urinary hesitancy returned to th…

2910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49694/psn-pdf
      October 01, 2013 - Are You Mrs. A? An Issue of Identification Over Telephone October 1, 2013 Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone The Case Mr. A was a 78-year-old man admitted with non-ST elevation…

2911. Point-of-care Mixup: 1 Shot Turns Into 3 | PSNet
      psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
      February 14, 2024 - Point-of-care Mixup: 1 Shot Turns Into 3 Citation Text: Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3…

2912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73335/psn-pdf
      May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition Error May 26, 2021 Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error The Case A 4-year-old (former 33-week premature) boy with a …

2913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33782/psn-pdf
      March 01, 2015 - Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? March 1, 2015 Scott IA. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program Perspective Much…

2914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33632/psn-pdf
      April 01, 2006 - In Conversation with… Michael Cohen, RPh, MS, ScD (hon) April 1, 2006 In Conversation with… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about your background and how…

2915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49815/psn-pdf
      December 01, 2017 - Over-the-Counter Oversight December 1, 2017 Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/over-counter-oversight The Case A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although portions of his skin we…

2916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49711/psn-pdf
      June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of Patient Wandering June 1, 2014 Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering Case Objectives Define patie…

2917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33816/psn-pdf
      October 01, 2016 - In Conversation With… Richard Platt, MD, MSc October 1, 2016 In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc Editor's note: Dr. Platt is Professor and Chair of the Harvard Medical School Department of Population Medicine. He…

2918. Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes | PSNet
      psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
      February 26, 2025 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 29, 2023 Innovation Co…

2919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74253/psn-pdf
      January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January 12, 2022 Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/patient…

2920. Critical Opportunity Lost | PSNet
      psnet.ahrq.gov/web-mm/critical-opportunity-lost
      February 17, 2017 - Critical Opportunity Lost Citation Text: Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…