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  1. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
    August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024  Also Read the Essay View more arti…

  2. Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018171-arora-final-report-2013.pdf
    January 01, 2013 - Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology - Final Report Grant Final Report Grant ID: R18HS18171 Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology Inclusive Project Da…

  3. Update on the Methods of the U.S. Preventive Services Task Force: Insufficient Evidence (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/inevidup.pdf
    September 01, 2009 - Update on the Methods of the U.S. Preventive Services Task Force: Insufficient Evidence Annals of Internal Medicine Academia and Clinic Update on the Methods of the U.S. Preventive Services Task Force: Insufficient Evidence Diana B. Petitti, MD, MPH; Steven M. Teutsch, MD; Mary B. Barton, MD, MPP; George F. Saway…

  4. Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - Application of Safety-II Principles Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: …

  5. In Conversation With… Dave deBronkart | PSNet

    psnet.ahrq.gov/perspective/conversation-dave-debronkart
    June 01, 2014 - In Conversation With… Dave deBronkart June 1, 2014  Also Read an Essay Citation Text: In Conversation With… Dave deBronkart. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Ci…

  6. 003-Ss-Antimicrobial-Prophylaxis-Part-2-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Antimicrobial Prophylaxis: Part 2, Beyond the Basics SAY: This pr…

  7. A Conceptual Model for Disclosure of Medical Errors (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
    January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

  8. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
    March 01, 2004 - The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium 33 The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium Nancy Pratt, Kelly Vo, Theodore G. Ganiats, Matthew B. Weinger Abstract In response to the Agency for Healthca…

  9. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
    January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement Patient Monitors in Critical Care: Lessons for Improvement Frank A. Drews, PhD Abstract Unexpected incidents are common in intensive care medicine. One means of detecting, diagnosing, and treating these events is use of physiologic displays that sho…

  10. The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Becker_3.pdf
    January 09, 2008 - The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place The Potential of Hand-held Assistive Technology to Improve Safety for Elder Adults Aging in Place Shirley Ann Becker, PhD, MS; Frank M. Webbe, PhD Abstract Objective: We report on the first in-home test of “Buddy…

  11. Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
    December 01, 2009 - Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record Current efforts to improve the efficiency and quality of medical care while decreasing costs involve improving…

  12. Patients Take a Bite of Prevention Apple with Web-based Interactive Personal Health Record (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/SuccessStory_Krist_7312012.pdf
    July 01, 2011 - Patients Take a Bite of Prevention Apple with Web-based Interactive Personal Health Record                                                                                       9HRQ HE9LTH INFORM9TION TECHNOLOGY 1 9MBUL9TORY S9FETY 9ND QU9LITY • PCC Patients Take a Bite of Prevention Apple with Web!based …

  13. Developing and Testing Quality Measures for Interoperable Electronic Health Records (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/final-kaushal-story-7-6-12.pdf
    June 16, 2021 - Developing and Testing Quality Measures for Interoperable Electronic Health Records 1 AHRQ Health Information Technology Ambulatory Safety and Quality | EQM Developing and Testing Quality Measures for Interoperable Electronic Health Records Traditionally, clinical quality measures have been assessed through ei…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33735/psn-pdf
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective At any point in time, …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - Application of Safety-II Principles August 28, 2024 Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/application-safety-ii-principles Traditional approaches to patient safety have often been reactive rather than proactive, seeki…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33827/psn-pdf
    February 01, 2017 - New Insights About Team Training From a Decade of TeamSTEPPS February 1, 2017 Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps Perspective Ten years ago, the Ag…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33848/psn-pdf
    December 01, 2017 - The Evolution of Patient Safety in Surgery December 1, 2017 Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery Perspective In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49488/psn-pdf
    August 21, 2005 - PCA Overdose August 21, 2005 Doyle JD. PCA Overdose. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/pca-overdose The Case A 49-year-old woman underwent an uneventful total abdominal hysterectomy bilateral salpingo- oophorectomy. Postoperatively, the patient complained of severe pain and received intravenou…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33815/psn-pdf
    September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49701/psn-pdf
    February 01, 2014 - An Easily Forgotten Tube February 1, 2014 Ousey K. An Easily Forgotten Tube. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/easily-forgotten-tube The Case A 45-year-old man was admitted to the intensive care unit (ICU) for acute liver failure secondary to alcohol abuse. His illness was complicated by acute…
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