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  1. psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
    November 13, 2024 - Levels of care:  Leads the effort to designate levels of care for obstetrics and neonatology in hospitals
  2. psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
    May 16, 2022 - In Conversation With... Remle P. Crowe, PhD May 16, 2022  Also Read the Essay Citation Text: In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.In Conversation With... Remle P. Crowe, PhD . PSNet [internet]. Rockville (MD): Agency for Healthcare …
  3. 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…
  4. psnet.ahrq.gov/web-mm/all-history
    February 28, 2011 - February 1, 2006 WebM&M Cases A Costly Colonoscopy Leads
  5. psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
    February 01, 2019 - She leads the AMA's Accelerating Change in Medical Education initiative, which aims to promote innovation
  6. psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
    December 01, 2006 - This different way of looking at culture change leads us to inject new behaviors and practices into things
  7. psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
    December 01, 2006 - This different way of looking at culture change leads us to inject new behaviors and practices into things
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60220/psn-pdf
    April 29, 2020 - Implicit Biases, Interprofessional Communication, and Power Dynamics April 29, 2020 Sanchez ES, Tran-Reina M, Ackerman-Barger K, et al. Implicit Biases, Interprofessional Communication, and Power Dynamics. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/implicit-biases-interprofessional-communication-and-pow…
  9. psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
    May 01, 2009 - Patient Safety: A Perspective from Office Practice Richard J. Baron, MD | May 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. Rockville (MD…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74120/psn-pdf
    November 30, 2021 - Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care November 30, 2021 Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/culture-clash-no-mo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks! March 27, 2024 Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
  12. AHRQ PSNet Webinar (pdf file)

    psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
    January 01, 2025 - AHRQ PSNet Webinar AHRQ PSNet Webinar Making Healthcare Safer (MHS) IV: Rapid Response Systems and Opioid Stewardship February 10, 2025 Agenda 2 • Logistics • Introduction to the Making Healthcare Safer (MHS) IV Reports • Report 1 – Rapid Response Systems ► Discussion ► PSNet Resources • Report 2 – Opioid …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867428/psn-pdf
    December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…
  14. psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
    May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA May 1, 2009  Also Read an Essay Citation Text: In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
  15. psnet.ahrq.gov/home
    August 04, 2021 - Promoting Patient Safety. Search Apply Advanced Search Search Tips AHRQ’s Patient Safety Network (PSNet) features a collection of the latest news and resources on patient safety, innovations and toolkits , opportunities for free CME and trainings . The p…
  16. psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
    July 02, 2019 - Review A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Citation Text: Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…
  17. psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional
    July 22, 2020 - Study From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. Citation Text: Cochran GL, Klepser DG, Morien M, et al. From physician intent to the pharmacy label: prevalence and description o…
  18. psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
    March 10, 2021 - Review Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. Citation Text: Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…
  19. psnet.ahrq.gov/issue/distinguishing-high-performing-low-performing-hospitals-severe-maternal-morbidity-focus
    June 01, 2022 - Study Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. Citation Text: Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on q…
  20. psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
    February 06, 2019 - Study Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. Citation Text: Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients…

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