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  1. Culture of Safety | PSNet

    psnet.ahrq.gov/primer/culture-safety
    September 07, 2019 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33569/psn-pdf
    September 07, 2019 - Readmissions and Adverse Events After Discharge September 7, 2019 Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge Background Being discharged from the hospital can be dangerous. A classic study found that nearly …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851568/psn-pdf
    July 31, 2023 - The heterogeneity of the US healthcare system leads to substantial variability in the criteria for admission

  4. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet

    psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
    August 01, 2012 - Cases Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads

  5. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
    November 16, 2022 - Sarah Mossburg: That leads me into the next thing that I would love to touch on, which is about why

  6. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet

    psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
    November 16, 2022 - Sarah Mossburg: That leads me into the next thing that I would love to touch on, which is about why

  7. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet

    psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
    February 01, 2019 - She leads the AMA's Accelerating Change in Medical Education initiative, which aims to promote innovation

  8. How Does Infection Prevention Fit Into a Safety Program? | PSNet

    psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
    March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? Susan S. Huang, MD, MPH | March 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Huang SS. How Does Infection Prevention Fit Into a Safety Program?. PSNet [interne…

  9. In Conversation with...Lucian Leape, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
    August 01, 2006 - In Conversation with...Lucian Leape, MD August 1, 2006  Also Read an Essay Citation Text: In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.In Conversation with...Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837784/psn-pdf
    August 05, 2022 - In Conversation With... Francoise Marvel, MD August 5, 2022 In Conversation With.. Francoise Marvel, MD. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-francoise-marvel-md Editor’s note: Francoise A. Marvel, MD, is an assistant professor of medicine within the Division of Cardiology at Joh…

  11. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-283
    March 15, 2021 - March 17, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  12. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-288
    April 28, 2021 - April 21, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-276
    January 29, 2021 - January 27, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-334
    March 31, 2022 - March 23, 2022 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  15. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-327
    February 23, 2022 - February 2, 2022 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  16. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
    February 26, 2025 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD October 1, 2011  Citation Text: In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49519/psn-pdf
    September 01, 2006 - Triple Handoff September 1, 2006 Vidyarthi A. Triple Handoff. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/triple-handoff Case Objectives Appreciate the prevalence of handoffs and sign out related errors. Understand the key elements of a safe and effective written and verbal sign out. List Kotter’s 8 st…

  18. Hidden Mystery | PSNet

    psnet.ahrq.gov/web-mm/hidden-mystery
    December 01, 2011 - SPOTLIGHT CASE Hidden Mystery Citation Text: Brunette DD. Hidden Mystery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  19. No News May Not Be Good News | PSNet

    psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
    December 07, 2009 - SPOTLIGHT CASE No News May Not Be Good News Citation Text: Moore CR. No News May Not Be Good News. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49852/psn-pdf
    February 01, 2019 - Triaging Interhospital Transfers February 1, 2019 Mueller SK. Triaging Interhospital Transfers. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/triaging-interhospital-transfers Case Objectives Recognize that transfer of patients between acute care hospitals is common. Realize that the interhospital transfer…
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