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1501. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
      psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
      July 01, 2004 - July 10, 2024 View More Related Resources Just what the doctor

1502. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
      psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
      February 26, 2025 - November 15, 2023 Just what the doctor ordered: missed ordering of venous thromboembolism

1503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - in the use of PPE and infection control principles and practices, and a supportive workplace safety culture … the use of health IT to improve safety for both patients and providers, and strengthening the safety culture … Lastly, the field is just beginning to understand the burden for patients with prolonged symptoms related … weaknesses so that all critical components of the system will be better prepared for the future, not just

1504. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
      psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
      October 30, 2024 - Elizabeth Salisbury-Afshar:  I'll just say at the onset, there are some really cool pilot programs pushing … Elizabeth Salisbury-Afshar: Harm reduction is not just the services we offer, it’s how we work with … Sarah Mossburg:  You just spoke to how clinicians on the inpatient side can integrate some harm reduction … That education should happen across the entire system, not just for the prescribers.  … Annual Perspective Ensuring Patient and Workforce Safety Culture

1505. Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
      psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
      October 30, 2024 - Elizabeth Salisbury-Afshar:  I'll just say at the onset, there are some really cool pilot programs pushing … Elizabeth Salisbury-Afshar: Harm reduction is not just the services we offer, it’s how we work with … Sarah Mossburg:  You just spoke to how clinicians on the inpatient side can integrate some harm reduction … That education should happen across the entire system, not just for the prescribers.  … Annual Perspective Ensuring Patient and Workforce Safety Culture

1506. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - June 12, 2024 Creating a just culture in the perioperative setting.

1507. Technical Expert Panel | PSNet
      psnet.ahrq.gov/Information/Panel
      January 01, 2012 - Under her leadership, CANDOR (Communications AND Optimal Resolution) and Just Culture were spread across

1508. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - incorrect assumption that the radiologist saw both ovaries as well as an additional fluid collection, but just … July 5, 2017 An anesthesiology department leads culture change at a hospital system level

1509. In Conversation With… Richard Kronick, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
      February 01, 2014 - We have made extensive progress in changing the culture in hospitals and other health care institutions … Recent estimates are around 20 million fewer people uninsured than just a few years ago. … Is that just a compelling and easy to understand story?

1510. Unexplained Apnea Under Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
      December 01, 2005 - Just before the surgical incision was made, 50 mcg of Fentanyl was administered. … June 22, 2009 Organizational culture: an important context for addressing and improving

1511. E-prescribing: E for error? | PSNet
      psnet.ahrq.gov/web-mm/e-prescribing-e-error
      February 03, 2021 - The clinic had just implemented electronic prescribing—the ability to electronically transmit a new prescription … October 21, 2020 An intervention to increase situational awareness and the Culture of

1512. Anemia and Delayed Colon Cancer Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
      July 21, 2020 - anticoagulation, he should have undergone further testing to evaluate for occult GI bleeding rather than just … Patient and visitor aggression in healthcare: a survey exploring organisational safety culture

1513. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
      psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
      December 14, 2022 - intention is a broad definition, including people, knowledge, equipment, physical spaces, protocols, culture … including all the components of socio-technical systems, the physical environment, the protocols, the culture … We just concluded awarding a series of Diagnostic Centers of Excellence grants that specifically solicited

1514. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
      psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
      December 14, 2022 - intention is a broad definition, including people, knowledge, equipment, physical spaces, protocols, culture … including all the components of socio-technical systems, the physical environment, the protocols, the culture … We just concluded awarding a series of Diagnostic Centers of Excellence grants that specifically solicited

1515. Annual Perspective: Topics in Medication Safety | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
      April 27, 2022 - The report recommended transitioning to a “Just Culture” in nursing school programs.

1516. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - These transitions are not just between physical locations, but between providers with different procedural … December 3, 2008 Effect of a central call center on employee perceptions of safety culture

1517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49846/psn-pdf
      November 01, 2018 - been given clear instructions on what to do in situations that feel extremely uncomfortable, if even just

1518. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
      July 10, 2024 - measures that allow you to look at all different aspects of data and the actual outcome, rather than just … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting.

1519. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … measures that allow you to look at all different aspects of data and the actual outcome, rather than just

1520. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - View More Related Resources WebM&M Cases I Just