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Showing results for "learned".

5841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865296/psn-pdf
      March 27, 2024 - National Patient Safety Goals March 27, 2024 Shaikh U. National Patient Safety Goals. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/national-patient-safety-goals Background Despite the development and publication of effective and evidence-based strategies to enhance patient safety and reduce preventable h…

5842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33561/psn-pdf
      September 15, 2024 - Never Events September 15, 2024 Never Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/never-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Backg…

5843. In Conversation With… Beverley H. Johnson | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
      February 01, 2013 - In Conversation With… Beverley H. Johnson February 1, 2013  Also Read an Essay Citation Text: In Conversation With… Beverley H. Johnson. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.…

5844. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet
      psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
      May 26, 2021 - I learned root-cause analysis when I was the Director of Clinical Services at MedStar (Mobile Healthcare

5845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33792/psn-pdf
      September 01, 2015 - In Conversation With… Eric J. Topol, MD September 1, 2015 In Conversation With… Eric J. Topol, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-eric-j-topol-md Editor's note: Eric J. Topol, MD, is Director of Scripps Translational Science Institute, Professor of Genomics at The Scripps …

5846. Tough Call: Addressing Errors From Previous Providers | PSNet
      psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
      July 17, 2024 - SPOTLIGHT CASE Tough Call: Addressing Errors From Previous Providers Citation Text: Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy…

5847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865411/psn-pdf
      March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy March 27, 2024 Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…

5848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74691/psn-pdf
      January 01, 2021 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor- college-medicine Summary The Revised Safer Dx Instr…

5849. System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
      July 23, 2024 - the health screening innovation. 3 They held meetings to share screening scripts with providers, who learned

5850. Fumbled Handoff | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff
      September 01, 2006 - April 30, 2014 Project BOOST implementation: lessons learned.

5851. Wrong Route for Nutrients | PSNet
      psnet.ahrq.gov/web-mm/wrong-route-nutrients
      September 04, 2010 - But just to be sure, the LPN checked with the registered nurse (RN) in charge and learned that the daughter's

5852. Workaround Error | PSNet
      psnet.ahrq.gov/web-mm/workaround-error
      October 30, 2024 - May 8, 2017 Developing a quality and safety curriculum for fellows: lessons learned from

5853. Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes | PSNet
      psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
      February 26, 2025 - Caring beyond health care: lessons learned from a community-based partnership to reduce hospital readmission

5854. The Wild West: Patient Safety in Office-Based Anesthesia | PSNet
      psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
      April 01, 2003 - January 12, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

5855. Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/medication-overdose
      September 01, 2011 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned

5856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837658/psn-pdf
      July 08, 2022 - Root cause analyses of transfers of skilled nursing facility patients to acute hospitals: lessons learned

5857. Making Do | PSNet
      psnet.ahrq.gov/web-mm/making-do
      September 05, 2018 - In general, it is a safe, easily learned procedure that has excellent surgical outcomes.( 1,2 ) Initially

5858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74242/psn-pdf
      January 07, 2022 - She tried localizing the Magseed as well as the expected Technetium-99 radiotracer dye, but quickly learned

5859. Is the Admission Drug Dose Too Low? | PSNet
      psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
      September 01, 2011 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned

5860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33701/psn-pdf
      October 01, 2010 - WHO surgical checklist embraced human factors principles, which helped user perception, they later learned