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8141. In Conversation With… Susan Smith, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-smith-md
      August 01, 2019 - We thought about whether we could measure the complexity of dictation and documentation to allocate scribes … Identification and Prioritization of Health IT Patient Safety Measures.

8142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33644/psn-pdf
      December 01, 2006 - Establishing a Safety Culture: Thinking Small December 1, 2006 Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small Perspective Safety cultures are the holy grail in any risky industry. Like all holy grails, th…

8143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50931/psn-pdf
      February 26, 2020 - Timely diagnosis of esophageal perforation February 26, 2020 Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation The Case  A man with mixed connective tissue disease on low-dose prednisone and methotrexate pre…

8144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49730/psn-pdf
      April 01, 2015 - Transition to Nowhere April 1, 2015 Farrell TW. Transition to Nowhere. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transition-nowhere The Case A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension, and chronic kidney disease was admitted to the hospital …

8145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49404/psn-pdf
      June 01, 2003 - Not a Miscarriage June 1, 2003 Learman LA. Not a Miscarriage. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/not-miscarriage The Case A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…

8146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50393/psn-pdf
      September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet September 1, 2019 Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet Perspective Progress in any field requires scholarship and dissem…

8147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33761/psn-pdf
      February 01, 2014 - Interruptions and Distractions in Health Care: Improved Safety With Mindfulness February 1, 2014 Beyea SC. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulne…

8148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33602/psn-pdf
      March 15, 2025 - Individual Clinician Performance Issues March 15, 2025 Individual Clinician Performance Issues. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/individual-clinician-performance-issues PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…

8149. Computerized Provider Order Entry and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
      January 01, 2014 - Annual Perspective Computerized Provider Order Entry and Patient Safety Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…

8150. Topics | PSNet
      psnet.ahrq.gov/topics-0
      March 03, 2025 - Topics Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Featured Topics in Patient Safety Updated Date: March 3, 2025 …

8151. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - As a healthcare system, we have a lot of external objective measures of high performance in safety, such … Still, underneath those objective measures, we saw inconsistent performance and recurrent safety events

8152. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
      August 01, 2012 - work in nursing homes has revolved around assessing quality: what makes a quality nursing home and measures … something called Nursing Home Compare, and that compares staffing levels, deficiency citations, and quality measures

8153. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - As a healthcare system, we have a lot of external objective measures of high performance in safety, such … Still, underneath those objective measures, we saw inconsistent performance and recurrent safety events

8154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45206/psn-pdf
      October 17, 2017 - Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and … Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and … /psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops- measures-and … not be a crucial component of programs to reduce HAIs; second, survey results may not be an accurate measure … ://psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and

8155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45352/psn-pdf
      September 01, 2018 - Because public reporting programs measure hospital performance using averages or rankings of observed … determined the gap between the best possible performance a hospital might achieve on quality and safety measures … and its actual performance on those measures as publicly reported by the Centers for Medicare and Medicaid

8156. Medical Scribes and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
      August 01, 2019 - Identification and Prioritization of Health IT Patient Safety Measures. … We thought about whether we could measure the complexity of dictation and documentation to allocate scribes

8157. Getting to the Root of the Matter | PSNet
      psnet.ahrq.gov/web-mm/getting-root-matter
      September 01, 2005 - medications (indication, dose, interactions) as well as other non-medication-related patient safety measures … In the case of vasopressors, standard dosing scales that attempt to prevent overdoses should be programmed

8158. In Conversation With… Beverley H. Johnson | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
      February 01, 2013 - The Joint Commission have disseminated materials to motivate and inform patients and families about measures

8159. In Conversation with...Eric Coleman, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
      December 01, 2007 - something interesting about the fundamental role of measurement: that there are no real performance measures … If performance measures suddenly materialized and showed that we really stink at moving information from … hospitals to skilled nursing facilities or to home, what's the magic in those measures? … value of having community-wide or even nationwide quality measurements and public reporting of those measures … measure of their transition experience.

8160. Care Transitions | PSNet
      psnet.ahrq.gov/perspective/care-transitions
      December 01, 2007 - working with the American College of Physicians and other organizations to develop care transition measures … something interesting about the fundamental role of measurement: that there are no real performance measures … If performance measures suddenly materialized and showed that we really stink at moving information from … hospitals to skilled nursing facilities or to home, what's the magic in those measures? … measure of their transition experience.