-
psnet.ahrq.gov/periodic-issue/periodic-issue-459
October 30, 2024 - In 2019, the Veterans Health Administration (VHA) implemented a high reliability organization (HRO) strategy
-
psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - average amount paid per claim.(14,15) Using in situ
simulation to detect errors in facility design, organization
-
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/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/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/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/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/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/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/perspective/safety-radiology
October 01, 2013 - pushback from the manufacturers who were concerned about the focus on these issues, but in the end the organization
-
psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - Related Resources
Perspective
High Reliability Organization
-
psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - They can also serve
as a means of sharing information and problem solving at all levels of the organization
-
psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - system interventions can be implemented, but they will require support from a hospital or health
care organization
-
psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - World Health Organization dedicates World Health Day to road safety. Inj Prev. 2004;10:67.
-
psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Mandates from groups such as the Leapfrog organization (19) stress the advantages of IT but do not
acknowledge
-
psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - 2023
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization
-
psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - measurement schema where a pain is characterized as the fifth vital sign, and accrediting and transparency organizations
-
psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - measurement schema where a pain is characterized as the fifth vital sign, and accrediting and transparency organizations
-
psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - I see this beginning to happen in medical schools, residencies, medical and professional organizations