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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50927/psn-pdf
    February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837958/psn-pdf
    December 01, 2021 - EMS Perils from Hospital Overcrowding August 31, 2022 Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding The Case A 71-year-old man with a history of postoperative septic knee arthritis (status: post-intravenous…
  3. psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
    October 01, 2008 - Identifying Adverse Events Not Present on Admission: Can We Do It? James M. Naessens, ScD | October 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Naessens JM. Identifying Adverse Events Not Present on Admission: Can W…
  4. psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
    December 01, 2006 - Establishing a Safety Culture: Thinking Small Timothy J. Hoff, PhD | December 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. Rockville (MD): Age…
  5. psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
    January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care Paul E. Plsek, MS | January 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Plsek PE. Innovation and Lean Thinking: Mutuall…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
  7. psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…
  8. psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
    January 01, 2015 - In Conversation With… Mark Graban, MS, MBA January 1, 2015  Also Read an Essay Citation Text: In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015…
  9. psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
    December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006  Also Read an Essay Citation Text: In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…
  10. psnet.ahrq.gov/issue/apology-medical-practice-emerging-clinical-skill
    October 25, 2006 - Commentary Apology in medical practice: an emerging clinical skill. Citation Text: Lazare A. Apology in medical practice: an emerging clinical skill. JAMA. 2006;296(11):1401-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  11. psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
    March 28, 2018 - Review Fall-related injuries in acute care: reducing the risk of harm. Citation Text: Hook ML, Winchel S. Fall-related injuries in acute care: reducing the risk of harm. Medsurg Nurs. 2006;15(6):370-7, 381. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  12. psnet.ahrq.gov/issue/interview-jerry-gurwitz
    August 11, 2010 - Award Recipient An interview with Jerry Gurwitz. Citation Text: Gurwitz JH. An interview with Jerry Gurwitz. Interview by David Bates. Jt Comm J Qual Patient Saf. 2006;32(12):667-671. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  13. psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
    February 15, 2017 - Commentary A systems approach to error prevention in medicine. Citation Text: Wieman TJ, Wieman EA. A systems approach to error prevention in medicine. J Surg Oncol. 2004;88(3):115-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…
  14. psnet.ahrq.gov/issue/how-does-law-recognize-and-deal-medical-errors
    March 17, 2021 - Commentary How does the law recognize and deal with medical errors? Citation Text: Merry A. How does the law recognize and deal with medical errors? J R Soc Med. 2009;102(7):265-71. doi:10.1258/jrsm.2009.09k029. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  15. psnet.ahrq.gov/issue/evaluation-healthcare-safety-climate-measurement-tool
    August 08, 2018 - Study Evaluation of a healthcare safety climate measurement tool. Citation Text: Turnberg W, Daniell W. Evaluation of a healthcare safety climate measurement tool. J Safety Res. 2008;39(6):563-8. doi:10.1016/j.jsr.2008.09.004. Copy Citation Format: DOI Google Scholar PubM…
  16. psnet.ahrq.gov/issue/patient-safety-mindful-meaningful-and-fulfilling
    October 20, 2021 - Commentary Patient safety: mindful, meaningful, and fulfilling. Citation Text: Winokur SC, Beauregard KJ. Patient safety: mindful, meaningful, and fulfilling. Front Health Serv Manage. 2005;22(1):17-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…
  17. psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
    January 22, 2014 - Commentary A process for analysis of sentinel events due to health care–associated infection. Citation Text: Carrico R, Ramírez J. A process for analysis of sentinel events due to health care-associated infection. Am J Infect Control. 2007;35(8):501-7. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
    November 16, 2022 - Commentary Cultural transformation toward patient safety: one conversation at a time. Citation Text: Moore ML, Putman PA. Cultural transformation toward patient safety: one conversation at a time. Nurs Admin Q. 2008;32(2):102-108. doi:10.1097/01.NAQ.0000314538.36865.09. Copy Citation…
  19. psnet.ahrq.gov/issue/improving-risk-management-lame-excuses-principled-practice
    April 05, 2006 - Commentary Improving risk management: from lame excuses to principled practice. Citation Text: Paté-Cornell E, Cox LA. Improving risk management: from lame excuses to principled practice. Risk Anal. 2014;34(7):1228-39. doi:10.1111/risa.12241. Copy Citation Format: DOI Googl…
  20. psnet.ahrq.gov/issue/engineering-risk-analysis-hospital-oxygen-supply-system
    July 23, 2014 - Commentary Engineering risk analysis of a hospital oxygen supply system. Citation Text: Deleris LA, Yeo GL, Seiver A, et al. Engineering risk analysis of a hospital oxygen supply system. Med Decis Making. 2006;26(2):162-72. Copy Citation Format: Google Scholar PubMed BibT…

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