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4801. Patient Safety and Incident Management Toolkit. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit
      December 04, 2016 - Toolkit Patient Safety and Incident Management Toolkit. Citation Text: Patient Safety and Incident Management Toolkit. Edmonton, AB: Canadian Patient Safety Institute. June 2015. Copy Citation Save Save to your library Print Download PDF Share …

4802. Improving Patient Safety Through Simulation Research: Funded Projects. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects
      December 24, 2008 - Government Resource Improving Patient Safety Through Simulation Research: Funded Projects. Citation Text: Improving Patient Safety Through Simulation Research: Funded Projects. Agency for Healthcare Quality and Research; AHRQ. Copy Citation Save Save to your l…

4803. Health Care–Associated Infections. | PSNet
      psnet.ahrq.gov/issue/health-care-associated-infections
      December 24, 2008 - Government Resource Health Care–Associated Infections. Citation Text: Health Care–Associated Infections. Agency for Healthcare Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

4804. Medical Liability Reform & Patient Safety Initiative. | PSNet
      psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
      December 24, 2008 - Government Resource Medical Liability Reform & Patient Safety Initiative. Citation Text: Medical Liability Reform & Patient Safety Initiative. Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Download PDF …

4805. Health-care industry agrees on patient safety rules. | PSNet
      psnet.ahrq.gov/issue/health-care-industry-agrees-patient-safety-rules
      August 17, 2016 - Newspaper/Magazine Article Health-care industry agrees on patient safety rules. Citation Text: Health-care industry agrees on patient safety rules. Landro L. Copy Citation Save Save to your library Print Download PDF Share Facebook …

4806. The biggest mistake doctors make. | PSNet
      psnet.ahrq.gov/issue/biggest-mistake-doctors-make
      October 09, 2013 - Newspaper/Magazine Article The biggest mistake doctors make. Citation Text: The biggest mistake doctors make. Landro L. Wall Street Journal. November 17, 2013. Copy Citation Save Save to your library Print Download PDF Share Facebook…

4807. Hospital-Acquired Condition Reduction Program (HACRP). | PSNet
      psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program
      May 26, 2021 - Multi-use Website Hospital-Acquired Condition Reduction Program (HACRP). Citation Text: Hospital-Acquired Condition Reduction Program (HACRP). QualityNet. Centers for Medicare and Medicaid Services. Copy Citation Save Save to your library Print Download …

4808. In Conversation with…John Banja, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
      February 01, 2006 - In Conversation with…John Banja, PhD February 1, 2006  Also Read an Essay Citation Text: In Conversation with…John Banja, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Ci…

4809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33804/psn-pdf
      March 03, 2016 - In Conversation With… Paul McGann, MD March 1, 2016 In Conversation With… Paul McGann, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS). He…

4810. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/848754
      January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …

4811. In Conversation With… Paul McGann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
      July 10, 2024 - In Conversation With… Paul McGann, MD March 1, 2016  Citation Text: In Conversation With… Paul McGann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …

4812. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
      January 01, 2009 - Spotlight Case July 2008 Spotlight Case January 2009 To Transfer or Not to Transfer Source and Credits This presentation is based on the January 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jesse M. Pines, MD, MBA, MSCE University o…

4813. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
      February 01, 2018 - PowerPoint Presentation Spotlight Signout Fallout 1 Source and Credits This presentation is based on the February 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…

4814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836812/psn-pdf
      March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …

4815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857060/psn-pdf
      November 27, 2023 - The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety Introduction Nurses are a li…

4816. Shake Well | PSNet
      psnet.ahrq.gov/web-mm/shake-well
      September 01, 2006 - Shake Well Citation Text: Flynn EA. Shake Well. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

4817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33825/psn-pdf
      January 01, 2017 - Rethinking Root Cause Analysis January 1, 2016 Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis Annual Perspective 2016 Introduction Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…

4818. Check the Bags | PSNet
      psnet.ahrq.gov/web-mm/check-bags
      January 03, 2017 - Check the Bags Citation Text: Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

4819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49631/psn-pdf
      July 01, 2011 - Patient Safety and Adherence to Self-Administered Medications July 1, 2011 Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications The Case A 30-year-o…

4820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - Right Electrocardiogram, Wrong Patient March 25, 2020 Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient The Cases Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…