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Showing results for "operational".

  1. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
    November 01, 2011 - Spotlight Case July 2008 Spotlight Case Near Miss with Bedside Medications * * Source and Credits This presentation is based on the November 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33671/psn-pdf
    July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
    September 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case September 2004 Poor Prognosis? Source and Credits This presentation is based on the September 2004 AHRQ WebM&M Spotlight Case in Surgery See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Elizabeth B. Lamont, M…

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
    July 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case July 2004 Preventing Inappropriate Use of Novel Therapeutic Agents Source and Credits This presentation is based on the July 2004 AHRQ WebM&M Spotlight Case in Critical Care Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the W…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33648/psn-pdf
    March 01, 2007 - In Conversation with...Sorrel King March 1, 2007 In Conversation with..Sorrel King. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withsorrel-king Editor's Note: Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months because of medical errors during a hospita…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/human-factors-engineering 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 safe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety 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 …

  8. Disruptive and Unprofessional Behavior | PSNet

    psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
    September 15, 2024 - Disruptive and Unprofessional Behavior Citation Text: Disruptive and Unprofessional Behavior. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - Root Cause Analysis June 15, 2024 Root Cause Analysis. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/root-cause-analysis 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…

  10. In Conversation With… Richard Kronick, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
    February 01, 2014 - In Conversation With… Richard Kronick, PhD February 1, 2014  Also Read an Essay Citation Text: In Conversation With… Richard Kronick, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…

  11. Disclosure of Medical Error | PSNet

    psnet.ahrq.gov/perspective/disclosure-medical-error
    January 01, 2009 - Disclosure of Medical Error Allen Kachalia, MD, JD | January 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Kachalia A. Disclosure of Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837784/psn-pdf
    August 05, 2022 - In Conversation With... Francoise Marvel, MD August 5, 2022 In Conversation With.. Francoise Marvel, MD. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-francoise-marvel-md Editor’s note: Francoise A. Marvel, MD, is an assistant professor of medicine within the Division of Cardiology at Joh…

  13. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
    June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc June 1, 2016  Also Read an Essay Also Read an Essay Citation Text: In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle May 29, 2024 https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle Summary Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common catego…

  15. The Role of the Patient in Improving Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
    March 01, 2007 - The Role of the Patient in Improving Patient Safety Rosemary Gibson, MSc | March 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…

  16. Dangerous Shift | PSNet

    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - SPOTLIGHT CASE Dangerous Shift Citation Text: Patterson ES. Dangerous Shift. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

  17. Pseudo-obstruction But a Real Perforation | PSNet

    psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
    April 01, 2015 - SPOTLIGHT CASE Pseudo-obstruction But a Real Perforation Citation Text: Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …

  18. In Conversation with…Albert Wu, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
    March 24, 2025 - In Conversation with…Albert Wu, MD, MPH May 1, 2011  Citation Text: In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: …

  19. Novel Drug Misuse | PSNet

    psnet.ahrq.gov/web-mm/novel-drug-misuse
    September 30, 2010 - SPOTLIGHT CASE Novel Drug Misuse Citation Text: Angus DC, Milbrandt EB. Novel Drug Misuse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72835/psn-pdf
    March 10, 2021 - In Conversation With... Libby Hoy and Stephen Hoy March 10, 2021 In Conversation With.. Libby Hoy and Stephen Hoy. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy Editor’s Note: Libby Hoy, Patient Family Advisor (PFA), is the Founder and CEO of Patient Family Cente…
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