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Total Results: 2,396 records

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  1. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet

    psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
    March 27, 2024 - Planning can save a huge amount in terms of safety, operations, financial losses—the list goes on.

  2. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - and safety culture are too often treated as things that can be accomplished and then crossed off the list

  3. Cybersecurity and How to Maintain Patient Safety | PSNet

    psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
    March 27, 2024 - Planning can save a huge amount in terms of safety, operations, financial losses—the list goes on.

  4. Opioid Overdose as a Patient Safety Problem | PSNet

    psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - Opioids are also associated with a long list of other adverse effects besides respiratory depression.

  5. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet

    psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - events—unsolicited patient complaints, disciplinary action by medical boards, and malpractice claims—belong on this list

  6. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - and safety culture are too often treated as things that can be accomplished and then crossed off the list

  7. Health Equity and Maternal Health | PSNet

    psnet.ahrq.gov/perspective/health-equity-and-maternal-health
    October 06, 2021 - We don't have a list of interventions for people to do more things.

  8. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - List conservative and non-conservative measures to manage a CSF leak to prevent serious complications

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…

  10. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…

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

    psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
    June 01, 2010 - In Conversation with…Pat Croskerry, MD, PhD June 1, 2010  Also Read an Essay Citation Text: In Conversation with…Pat Croskerry, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.…

  12. African Partnerships for Patient Safety: Lessons Learned | PSNet

    psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
    December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned Shams B. Syed, MD, MPH | December 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [intern…

  13. EHR Copy and Paste and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
    January 01, 2018 - EHR Copy and Paste and Patient Safety Shannon M. Dean, MD | January 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Dean SM. EHR Copy and Paste and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867986/psn-pdf
    March 24, 2025 - In Conversation with Edwin Boudreaux about Suicide Prevention March 24, 2025 Boudreaux E, Gale B, Mossburg SE. In Conversation with Edwin Boudreaux about Suicide Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention Editor’s note: Edwin Boudre…

  16. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet

    psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
    November 13, 2024 - Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 Innovation …

  17. In Conversation With… Mark L. Graber, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - We are hopeful that each of the parties involved in diagnosis—and it's a long list of stakeholders that

  18. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - We are hopeful that each of the parties involved in diagnosis—and it's a long list of stakeholders that

  19. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet

    psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
    December 01, 2012 - Delirium has been proposed to be included on the Medicare no pay list, that is, they were proposing that

  20. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - There is no consensus about what should be on that high-risk list that requires active tracking.
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