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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - ordering (that would allow tailoring orders to different clinical indications) and better testing of the integration
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psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - Respectful Management of Serious Clinical Adverse
Events. Second Edition.
September 19, 2016
Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement;
2011.
https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
This white paper e…
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Safety Officer for South Shore Health in South Weymouth, Massachusetts, where she is responsible for the integration
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - 27, 2024
WebM&M Cases
Culture Clash No More: Integration
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psnet.ahrq.gov/Information/Editor
funded by SAMHSA (Certified Community Behavioral Health – CCBHC; and Primary and Behavioral Health Care Integration-PBHCI
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psnet.ahrq.gov/node/47648/psn-pdf
February 27, 2019 - Comparing the outcomes of reporting and trigger tool
methods to capture adverse events in the emergency
department.
February 27, 2019
Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to
Capture Adverse Events in the Emergency Department. J Patient Saf. 2019;15(1):61…
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Behrhorst J, Gale B, Van CM. Th…
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Citation T…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Human Factors Engineering
Citation Text:
Human Factors Engineering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists
Citation Text:
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
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psnet.ahrq.gov/issue/hallmarks-quality-and-patient-safety-recommended-baccalaureate-competencies-and-curricular
November 27, 2023 - Newspaper/Magazine Article
Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care.
Citation Text:
Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricula…
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psnet.ahrq.gov/issue/hospitalinspectionsorg
February 24, 2025 - Database/Directory
HospitalInspections.org
Citation Text:
HospitalInspections.org Columbia, MO: Association of Health Care Journalists.
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Save to your library
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psnet.ahrq.gov/issue/medication-related-harm
August 14, 2024 - Book/Report
Medication Related Harm.
Citation Text:
Medication Related Harm. Health Services Safety Investigations Body. 2024-2025
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…
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - literacy, an acknowledgement that mutual understanding between patients and providers calls for the integration
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psnet.ahrq.gov/node/45023/psn-pdf
April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and
Employee Engagement, Third Edition.
April 17, 2018
Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-
third-edition
Lean methodology fo…
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - performance to reduce HAI events.( 13-16 ) In the face of widespread mandates for public reporting and integration
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - Complacency and bias in human use of automation: an attentional integration.
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psnet.ahrq.gov/issue/what-medications-does-your-patient-take-enhancing-medication-safety-outpatient-setting
January 08, 2020 - Commentary
What medications does your patient take? Enhancing medication safety in the outpatient setting.
Citation Text:
What medications does your patient take? Enhancing medication safety in the outpatient setting. Institute for Healthcare Improvement; IHI
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…
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - electronic exchange of data and e-prescribing to avoid errors and help with more communication and integration