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  1. In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
    February 26, 2025 - In Conversation With… Tejal K. Gandhi, MD, MPH April 1, 2014  Citation Text: In Conversation With… Tejal K. Gandhi, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citatio…

  2. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
    February 01, 2017 - PowerPoint Presentation Spotlight The Hazards of Distraction: Ticking All the EHR Boxes * Source and Credits This presentation is based on the February 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Anthony C. Easty, PhD, Adjunct Pr…

  3. Surgical Site Infections | PSNet

    psnet.ahrq.gov/primer/surgical-site-infections
    December 15, 2024 - Surgical Site Infections Citation Text: Surgical Site Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73905/psn-pdf
    October 06, 2021 - Health Equity and Maternal Health October 6, 2021 Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/health-equity-and-maternal-health Redefining Maternal Safety Maternal safety refers to the safety of a person during pregnancy, childb…

  5. Duty Hours and Patient Safety | PSNet

    psnet.ahrq.gov/primer/duty-hours-and-patient-safety
    June 15, 2024 - Duty Hours and Patient Safety Citation Text: Duty Hours and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
    January 01, 2020 - Boarding • Consequences of ED crowding and boarding are well established: – Patients (e.g. mortality, readmission

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - At the time of readmission, she was essentially bedbound, unable to transfer to a chair or her wheelchair

  8. Are We Getting Better at Measuring Patient Safety? | PSNet

    psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
    November 10, 2015 - relatively robust set of outcome and process measures exists (e.g., 30-day risk-adjusted mortality and readmission

  9. Interdisciplinary teamwork | PSNet

    psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
    September 15, 2025 - The majority of studies have chosen length of stay, complications, readmission, or mortality rates as

  10. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet

    psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
    February 01, 2023 - Lab Value (normal range) Pre-Procedure Day of Procedure Day After Procedure Readmission (day after discharge

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866217/psn-pdf
    July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives July 10, 2024 Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety Initiatives. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33815/psn-pdf
    September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72737/psn-pdf
    February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates February 9, 2021 https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data- driven-decision Summary The team at Geisinger sought to develop a…

  14. Measuring and Responding to Deaths From Medical Errors | PSNet

    psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
    April 01, 2008 - Annual Perspective Measuring and Responding to Deaths From Medical Errors Sumant Ranji, MD | March 22, 2016  View more articles from the same authors. Citation Text: Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. Rockville…

  15. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 26, 2025 Innovation Contact …

  16. Topics | PSNet

    psnet.ahrq.gov/topics-0
    March 03, 2025 - Topics Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Featured Topics in Patient Safety Updated Date: March 3, 2025 …

  17. In Conversation With… Linda Aiken, PhD, RN | PSNet

    psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
    March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN March 1, 2018  Also Read an Essay Citation Text: In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  18. Missed Nursing Care: A Key Measure for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73103/psn-pdf
    March 31, 2021 - attention away from a festering abscess in the rectal region, likely delaying proper evaluation and readmission

  20. Peripheral IV in Too Long | PSNet

    psnet.ahrq.gov/web-mm/peripheral-iv-too-long
    September 15, 2011 - Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission
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