-
psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Pregnancy-
Related Deaths: A Guide for Moving Maternal Mortality Review Committee Data to Action to help
organizations
-
psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Conclusion
There are four straightforward prevention strategies for healthcare organizations to consider
-
psnet.ahrq.gov/node/33859/psn-pdf
June 01, 2018 - I see this beginning to happen in medical
schools, residencies, medical and professional organizations
-
psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - in Medicine, which has formed a
Coalition that includes most of the major medical specialties and organizations
-
psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - Adoption Considerations Use by Others (Use By Other Organizations)
Clinical decision support systems
-
psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Transfer Process
A 2009 joint policy statement of best practices endorsed by multiple professional organizations
-
psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - assessment tool may facilitate implementation of systematic processes for identifying risk across healthcare organizations
-
psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Pregnancy-Related Deaths: A Guide for Moving Maternal Mortality Review Committee Data to Action to help organizations
-
psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - August 25, 2021
Pain management best practices from multispecialty organizations during
-
psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Rediscovering the Power of the Surgical M&M
Conference: The M+M Matrix
September 1, 2007
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
Perspective
There is a slumbe…
-
psnet.ahrq.gov/node/49764/psn-pdf
June 01, 2016 - Communication With Consultants
June 1, 2016
Cohn SL. Communication With Consultants. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/communication-consultants
The Case
A 30-year-old pregnant woman presented to the emergency department (ED) with nausea, headaches, and
fevers. Her laboratory studies were nota…
-
psnet.ahrq.gov/cme
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …
-
psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - increasingly used in healthcare.20 One well-studied example
of a patient care checklist is the World Health Organization … back-basics-checklists-aviation-and-healthcare
https://psnet.ahrq.gov//#20
https://psnet.ahrq.gov/issue/impact-world-health-organization-surgical-safety-checklist-patient-safety … significant increase in the use of closed-loop communication.
42
Medication error reporting
The safest organizations
-
psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - A dental team is much smaller, and usually the person in charge of the organization of care and the person
-
psnet.ahrq.gov/issue/fourth-cause-campaign
April 22, 2009 - 27, 2005
Strategies and tips for maximizing failure mode and effect analysis in your organization
-
psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
September 10, 2024 - December 5, 2007
Seven Leadership Leverage Points for Organization-Level Improvement
-
psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
September 23, 2020 - November 9, 2005
Development and expression of a high-reliability organization.
-
psnet.ahrq.gov/issue/medical-errors-impact-clinical-laboratories-and-other-critical-areas
March 06, 2005 - January 17, 2018
Becoming a high-reliability organization through shared learning of
-
psnet.ahrq.gov/issue/medical-errors-introduction-concepts
March 06, 2005 - January 17, 2018
Becoming a high-reliability organization through shared learning of
-
psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Health Literacy Improvement
(2)
Culture of Safety
(9)
Learning Organization