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3481. Patient Safety During Hospital Discharge | PSNet
      psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
      April 01, 2018 - Team-based care coordination with inpatient and outpatient case managers, pharmacists, and visiting nurses … patient's room and said, "10 people are going to introduce themselves at discharge: the dietitian, the nurse

3482. In Conversation with...Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
      August 01, 2006 - So, we set out to interview anesthesiologists, residents, and nurse anesthetists, seeking to learn from

3483. Getting Into Patient Safety: A Personal Story | PSNet
      psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
      August 01, 2006 - So, we set out to interview anesthesiologists, residents, and nurse anesthetists, seeking to learn from

3484. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - preventable harm and we're going to measure that and hold you accountable for it, then at the unit level, the nurse

3485. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - Pharmacists, nurses, physicians, laboratory personnel, and members of the information systems department

3486. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
      psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
      February 01, 2003 - In many health care organizations in Florida, physicians and nurses are being told not to discuss among

3487. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care | PSNet
      psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
      February 24, 2022 - COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care Citation Text: Kalenderian E, Spallek H, Franklin A, et al. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department o…

3488. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
      December 01, 2014 - PowerPoint Presentation Spotlight A Stroke of Error This presentation is based on the December 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Kevin M. Barrett, MD, MSc, Consultant, Associate Professor of Neurology, Director, Neurohospitalist F…

3489. Responding to Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/responding-patient-safety-events
      October 18, 2023 - Responding to Patient Safety Events Citation Text: Shaikh U. Responding to Patient Safety Events. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

3490. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
      psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
      December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events Citation Text: Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…

3491. A Mid-Summer Fog | PSNet
      psnet.ahrq.gov/web-mm/mid-summer-fog
      September 29, 2017 - is the impression that these physicians are prone to mistakes or missteps that many physicians and nurses

3492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50756/psn-pdf
      December 18, 2019 - sufficient staff training and clear role designations for prescribing physicians, pharmacists, and nurses

3493. Team Training: Classroom Training vs. High-Fidelity Simulation | PSNet
      psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
      January 12, 2011 - direct cost of a 1-day session at the obstetrics simulator is $950 for attending physicians and $150 for nurses

3494. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
      psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
      October 30, 2024 - We have a peer support specialist, a nurse care coordinator, medical assistant, and physician assistant

3495. Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
      psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
      October 30, 2024 - We have a peer support specialist, a nurse care coordinator, medical assistant, and physician assistant

3496. Suicide Prevention | PSNet
      psnet.ahrq.gov/perspective/suicide-prevention
      March 24, 2025 - A nurse or a patient care attendant will have to check off that they have removed all these materials

3497. Meaningful Measurement in Patient and Family Engagement | PSNet
      psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
      March 10, 2021 - engagement as an active patient safety strategy, as an engaged person in my care, I can work with my nurses

3498. After-Visit Confusion | PSNet
      psnet.ahrq.gov/web-mm/after-visit-confusion
      August 21, 2007 - providers and patients alone is complex.( 1 ) When you include family members and other providers (e.g., nurses

3499. 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 - interprofessional training because so many other members of the professional team are involved in making diagnoses: nurses … professional organizations like the American Board of Internal Medicine and the American Association of Nurse

3500. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
      March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008  View more articles from the same authors. Citation Text: Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …