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Showing results for "learned".

  1. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/computerised-clinical-decision-support-systems-improve-medication-safety-long-term-care-homes
    May 17, 2023 - Review Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. Citation Text: Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. BMJ Ope…

  2. 'Some worms are best left in the can'—should you hide medical errors? | PSNet

    psnet.ahrq.gov/issue/some-worms-are-best-left-can-should-you-hide-medical-errors
    April 12, 2017 - Commentary 'Some worms are best left in the can'—should you hide medical errors? Citation Text: 'Some worms are best left in the can'—should you hide medical errors? Weiss GG. Copy Citation Save Save to your library Print Download PDF Shar…

  3. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
    December 01, 2009 - Spotlight Case [MONTH] 2003 Spotlight Case Standard Deviations Source and Credits This presentation is based on the December 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: James E. Sabin, MD Harvard Medical School; Harvard Pilgrim Heal…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33798/psn-pdf
    January 01, 2015 - Accountability in Patient Safety January 1, 2015 Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/accountability-patient-safety Annual Perspective 2015 The tension between the no-blame culture espoused in the early years of the safety movement and …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854973/psn-pdf
    October 31, 2023 - Digital Health Literacy October 31, 2023 Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/digital-health-literacy Background As more people search for health information online, it is critical that they can obtain accurate health information and access he…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33603/psn-pdf
    September 15, 2024 - Surgical Site Infections September 15, 2024 Surgical Site Infections. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/surgical-site-infections 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 …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33871/psn-pdf
    December 22, 2018 - Maternal Safety December 22, 2018 Lyndon A. Maternal Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/maternal-safety Annual Perspective 2018 The Context of Maternal Safety Childbirth-related maternal health outcomes have been worsening for some time in the United States. After a dramatic reduc…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836812/psn-pdf
    March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33817/psn-pdf
    October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety October 1, 2016 Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety Perspective Background Ha…

  10. The Role of Health Literacy in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
    March 22, 2009 - The Role of Health Literacy in Patient Safety Michael S. Wolf, PhD, MPH; Stacy Cooper Bailey, MPH | March 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety…

  11. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head | PSNet

    psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
    March 27, 2024 - The lesson to be learned in this case is in follow-up care, which as noted above, is not guided by high-grade

  12. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet

    psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
    December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Essay View more articles from the same authors. Citation…

  13. The Ongoing Journey to Prevent Patient Falls | PSNet

    psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Dykes PC, Sousane Z, Mossb…

  14. In Conversation with…Carolyn Clancy, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
    September 01, 2005 - Having said that, we've also learned that taking a ‘just the facts' approach still means that you have

  15. A Loss of Trust and a Missed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - Dilemma June 1, 2012 Perspective What We've Learned

  16. In Conversation with… Michael Cohen, RPh, MS, ScD (hon) | PSNet

    psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
    April 01, 2006 - Can you share some of the lessons that you have learned through your work that are relevant to other

  17. In Conversation with…Pat Croskerry, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
    June 01, 2010 - departments, complex patients just disappear in the ICU or disappear into the morgue and you haven't really learned

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60865/psn-pdf
    August 31, 2020 - I learned about the development of a measuring tool that, at that point in time, nobody knew anything

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49825/psn-pdf
    April 01, 2018 - The provider learned that the patient was having symptoms concerning for unstable angina and determined

  20. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
    January 01, 2019 - Spotlight Spotlight "Do You Want Everything Done?": Clarifying Code Status Source and Credits • This presentation is based on the December 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus M…
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