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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42812/psn-pdf
    August 02, 2016 - Healthcare Practitioner’s Vaccine Error Reporting Form. August 2, 2016 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form This form collects data on errors and concerns associated with vaccines as part of a national reporting program tracking…
  2. www.ahrq.gov/nursing-home/resources/what-matters-toolkit.html
    February 01, 2021 - "What Matters" to Older Adults? Resource:  "What Matters" to Older Adults?  (PDF, 2.17 MB)  The toolkit is intended to serve as a resource for multidisciplinary care teams, including, but not limited to physicians, nurses, physician assistants, medical assistants, social workers, chaplains, nurse navigators, …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34733/psn-pdf
    November 19, 2015 - Out of the Crisis. November 19, 2015 Deming WE. Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering Study, 1986. ISBN: 9780911379013. https://psnet.ahrq.gov/issue/out-crisis Deming believes that American companies need to transform their method of management to engage and compete…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863762/psn-pdf
    March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week Webinar. March 6, 2024 Institute for Healthcare Improvement. March 14, 2024. https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44007/psn-pdf
    April 01, 2015 - Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. April 1, 2015 Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern healthcare. 2015;45(3):18-20. https://psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-pa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44115/psn-pdf
    June 03, 2015 - An approach to assessing patient safety in hospitals in low-income countries. June 3, 2015 Lindfield R, Knight A, Bwonya D. An approach to assessing patient safety in hospitals in low-income countries. PLoS One. 2015;10(3):e0121628. doi:10.1371/journal.pone.0121628. https://psnet.ahrq.gov/issue/approach-assessing-…
  7. www.ahrq.gov/evidencenow/heart-health/aspirin/stroke.html
    September 01, 2018 - Aspirin, Heart Disease, and Stroke Pamphlet: American Stroke Association Resource title: Aspirin, Heart Disease, and Stroke . Resource description: This patient education booklet explains how heart attack and stroke happen, and the potential risks and benefits of aspirin in prevention and treatment. Docu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40646/psn-pdf
    July 27, 2011 - Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. July 27, 2011 Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647. https://psnet.ahrq.gov/issue/engineering…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33703/psn-pdf
    November 01, 2010 - Are We Getting Better at Measuring Patient Safety? November 1, 2010 Rosen AK. Are We Getting Better at Measuring Patient Safety? PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety Perspective The past decade has witnessed unprecedented interest in patient safe…
  10. psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - SPOTLIGHT CASE Double Trouble Citation Text: Gurwitz JH. Double Trouble. 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 t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49531/psn-pdf
    March 01, 2007 - Failure to Report March 1, 2007 Spath P. Failure to Report. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/failure-report Case Objectives List common causes of medical errors. Appreciate the magnitude of underreporting of adverse events. List the common barriers to reporting adverse events and near misses…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33729/psn-pdf
    May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety May 1, 2012 Sharek PJ. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-pa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854848/psn-pdf
    October 31, 2023 - Delay in Malignancy Diagnosis Reflects Systemic Failures October 31, 2023 Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures The Case A 32-year-old man presented to the hospital with…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33663/psn-pdf
    September 15, 2008 - Implementing a Patient Safety Program at a Large National Health System January 1, 2008 Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system Perspectiv…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33841/psn-pdf
    September 01, 2017 - In Conversation With… Andrew Gettinger, MD September 1, 2017 In Conversation With… Andrew Gettinger, MD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md Editor's note: Dr. Gettinger is the Chief Medical Information Officer and the Executive Director of the Office of Cli…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33654/psn-pdf
    August 01, 2007 - In Conversation with...James L. Reinertsen, MD August 1, 2007 In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md Editor's Note: James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting firm …
  17. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
    June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 16) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…
  18. psnet.ahrq.gov/web-mm/emergency-error
    January 18, 2013 - SPOTLIGHT CASE Emergency Error Citation Text: Symons NRA. Emergency Error. 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 EndNote 7 XML Endnote…
  19. www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - Implementation Guide for the CANDOR Process Communication and Optimal Resolution Toolkit Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4b_pdi02-pressureulcer-bestpractices.pdf
    January 01, 2012 - Selected Best Practices and Suggestions for Improvement Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4b Selected Best Practices and Suggestions for Improvement PDI 02: Pressure Ulcer Why focus on pressure ulcers in children? • Although childre…