-
psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - Joint Commission on Accreditation
of Healthcare Organizations Web site.
-
psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - In response to some of the unintended negative consequences of PACS, many organizations have been
developing
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - used in
healthcare.20
• One well-studied example of a patient care checklist is the World Health
Organization … communication.42
44
Approaches to Improving Patient Safety: Medication Error
Reporting (1)
• The safest organizations
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - used in healthcare . 20 One well-studied example of a patient care checklist is the World Health Organization … significant increase in the use of closed-loop communication. 42 Medication error reporting The safest organizations
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.113_slideshow.ppt
January 01, 2006 - among health care providers and the general public
The Joint Commission on Accreditation of Healthcare Organizations
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - Spotlight Case July 2008
Spotlight Case
Emergency Error
1
2
Source and Credits
This presentation is based on the June 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Nicholas Symons, MBChB, MSc, Imperial College London
Editor, AHRQ WebM&M: Robe…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
March 01, 2012 - Spotlight Case July 2008
Spotlight Case
Postdischarge Follow-Up Phone Call
*
*
Source and Credits
This presentation is based on the March 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Michelle Mourad, MD, and Stephanie Rennke, MD; Divi…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Spotlight Case July 2008
Spotlight Case
Adolescent Diabetes:
A Routine Visit?
Source and Credits
This presentation is based on the February 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…
-
psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - The Wrongful Resuscitation
April 1, 2008
Teno JM. The Wrongful Resuscitation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrongful-resuscitation
The Case
An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee amputations, and
poor quality of life had previously been r…
-
psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - Safety In Dentistry
August 1, 2016
Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/safety-dentistry
Perspective
In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell
tortures Babe Levy (played by…
-
psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - Pathologic Mistake
March 1, 2013
Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/pathologic-mistake
The Case
A 32-year-old previously healthy woman experienced abdominal pain and bloating for 6 months. The
discomfort worsened with eating. After losing 15 pounds …
-
psnet.ahrq.gov/node/33677/psn-pdf
November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The
Problem and Solutions
November 1, 2008
Nicolle LE. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
Perspective
U…
-
psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Staggered Sensitivity Results
March 1, 2007
Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/staggered-sensitivity-results
The Case
A 60-year-old woman with squamous cell carcinoma of the glottis underwent laryngectomy, anterior neck
dissection, and pectoralis fla…
-
psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - Comanagement: Who's in Charge?
Citation Text:
Cheng HQ. Comanagement: Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
-
psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - Unfortunately, when you do nursing home research, turnover is just part of the organization. … Perspective
Patient Safety Events and the Role of Patient Safety Organizations
-
psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - Interview
In Conversation with Timothy Vogus about High Reliability Organization
-
psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Close
collaboration between HIT vendors, healthcare organizations, and funding agencies will be critical
-
psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - States hospitals.(1) In response to these disturbing data, accreditation bodies,
payers, nonprofit organizations
-
psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - health care providers and the general public.(15) The Joint
Commission on Accreditation of Healthcare Organizations
-
psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Err Is
Human observed, external reporting systems can help create an environment that encourages
organizations