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Total Results: 4,007 records

Showing results for "intervention".

  1. Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet

    psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
    January 27, 2016 - February 10, 2012 Large scale organisational intervention to improve patient safety in … February 23, 2011 Multiple component patient safety intervention in English hospitals

  2. Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study. | PSNet

    psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
    July 08, 2008 - May 25, 2022 Importance of prevention and early intervention of adverse events in pediatric … Understanding factors that could influence patient acceptability of the use of the PINCER intervention

  3. In Conversation with...Allan Frankel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
    July 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006  Also Read an Essay Citation Text: In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.In Conversation with...Allan Frankel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …

  4. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

    psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
    September 24, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement Eric Thomas, Sarah Mossburg, Merton Lee | September 24, 2024  Also Read the Essay View more articles from the same authors. Citatio…

  5. In Conversation with…Eric G. Poon, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
    September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH September 1, 2008  Also Read an Essay Citation Text: In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…

  7. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…

  8. The Role of Bar Coding and Smart Pumps in Safety | PSNet

    psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
    September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN | September 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Rothschild JM, Keohane C. The Role of Bar Coding and Sm…

  9. Cybersecurity and How to Maintain Patient Safety | PSNet

    psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
    March 27, 2024 - Cybersecurity and How to Maintain Patient Safety Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Pelletreau B, Riggi J, Gale B…

  10. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet

    psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
    March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity Barbara Pelletreau, RN; John Riggi | March 27, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Pelletreau B, Riggi J. In Conversation with..Barbara Pe…

  11. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet

    psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
    August 01, 2009 - In Conversation with...Steven J. Spear, DBA, MS, MS August 1, 2009  Also Read an Essay Citation Text: In Conversation with..Steven J. Spear, DBA, MS, MS . PSNet [internet]. 2009.In Conversation with...Steven J. Spear, DBA, MS, MS . PSNet [internet]. Rockville (MD…

  12. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet

    psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
    July 30, 2020 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error Citation Text: Desai AN, Romano PS. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

  13. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet

    psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
    September 27, 2023 - SPOTLIGHT CASE Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations Citation Text: Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. Agency for Healthcare Research and Qu…

  14. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
    January 01, 2024 - Spotlight Spotlight Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis 1 Source and Credits This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Comment…

  15. The Evolution of Root Cause Analysis | PSNet

    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…

  16. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care | PSNet

    psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
    February 24, 2022 - COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care Citation Text: Kalenderian E, Spallek H, Franklin A, et al. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department o…

  17. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - SPOTLIGHT CASE Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis Citation Text: Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …

  18. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet

    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…

  19. Long-Term Care and the Response to COVID-19 | PSNet

    psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
    October 28, 2020 - Long-Term Care and the Response to COVID-19 October 28, 2020  Also Read the Conversation View more articles from the same authors. Citation Text: Popejoy LL, Crecelius CA, Fitall E, et al. Long-Term Care and the Response to COVID-19. PSNet [internet]. Rockville …

  20. Identifying Safety Events in the Prehospital Setting | PSNet

    psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
    May 16, 2022 - Identifying Safety Events in the Prehospital Setting May 16, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet]. Rockvi…
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