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  1. Radiation Oncology Incident Learning System. | PSNet

    psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
    April 22, 2020 - Multi-use Website Radiation Oncology Incident Learning System. Citation Text: Radiation Oncology Incident Learning System. American Society for Radiation Oncology and American Association of Physicists in Medicine. Copy Citation Save Save to your library Pri…

  2. Health IT Safety Center Roadmap. | PSNet

    psnet.ahrq.gov/issue/health-it-safety-center-roadmap
    June 29, 2016 - Government Resource Health IT Safety Center Roadmap. Citation Text: Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. Copy Citation Save Save to your library P…

  3. Managing risk during transition to new ISO tubing connector standards. | PSNet

    psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
    December 23, 2016 - Sentinel Event Alerts Managing risk during transition to new ISO tubing connector standards. Citation Text: Managing risk during transition to new ISO tubing connector standards. Sentinel Event Alert. August 20, 2014;(53):1-6. Copy Citation Save Save to your libra…

  4. Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-addressing-culture-conditions-and-values-help-people-work-safely
    October 18, 2017 - Book/Report Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. Citation Text: Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. Woodward, S. 1st ed. New York, NY: Taylor & Francis Group; Sept…

  5. Building a high-reliability organization: one system's patient safety journey. | PSNet

    psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
    November 23, 2005 - Commentary Building a high-reliability organization: one system's patient safety journey. Citation Text: Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

  6. Meltdown: Why Our Systems Fail and What We Can Do About It. | PSNet

    psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
    March 09, 2016 - Book/Report Meltdown: Why Our Systems Fail and What We Can Do About It. Citation Text: Meltdown: Why Our Systems Fail and What We Can Do About It. Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632. Copy Citation Save Save to your lib…

  7. Sterile compounding tragedy is a symptom of a broken system on many levels. | PSNet

    psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
    February 13, 2019 - Newspaper/Magazine Article Sterile compounding tragedy is a symptom of a broken system on many levels. Citation Text: Sterile compounding tragedy is a symptom of a broken system on many levels. ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.   Copy C…

  8. Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. | PSNet

    psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
    June 10, 2018 - Newspaper/Magazine Article Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. Citation Text: Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. ISMP Medication Safety Alert! Acute care edition. July 26, 2007. Copy …

  9. Positive Patient Identification. | PSNet

    psnet.ahrq.gov/issue/positive-patient-identification
    June 19, 2024 - Book/Report Positive Patient Identification. Citation Text: Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. Copy Citation Save Save to your library …

  10. USP initiatives for the safe use of medical gases. | PSNet

    psnet.ahrq.gov/issue/usp-initiatives-safe-use-medical-gases
    July 20, 2022 - Newspaper/Magazine Article USP initiatives for the safe use of medical gases. Citation Text: USP initiatives for the safe use of medical gases. Zaidi K; Curry PD Jr; Becker SC. Pharm Tech. 2005. 29(11) Copy Citation Save Save to your library Print Do…

  11. TeamSTEPPS: the patient safety tool that needs to be implemented. | PSNet

    psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
    February 14, 2024 - Commentary TeamSTEPPS: the patient safety tool that needs to be implemented. Citation Text: Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002. Copy Citation Format: DOI Google S…

  12. A comprehensive grassroots model for statewide safety improvement. | PSNet

    psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
    February 25, 2009 - Commentary A comprehensive grassroots model for statewide safety improvement. Citation Text: Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677. Copy Citation Format: G…

  13. Quality indicators to detect pre-analytical errors in laboratory testing. | PSNet

    psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
    December 21, 2016 - Commentary Quality indicators to detect pre-analytical errors in laboratory testing. Citation Text: Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8. Copy Citation Format: Google Scholar PubMed BibTeX E…

  14. Patient and family advisory councils. The Massachusetts experience. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
    December 19, 2012 - Newspaper/Magazine Article Patient and family advisory councils. The Massachusetts experience. Citation Text: Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. Copy Citation Save Save to y…

  15. Exhibits 59 to 61 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh59-61.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 59 to 61 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

  16. Exhibit 18. Counts of identified organisms by procedure | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh18.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 18. Counts of identified organisms by procedure Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary …

  17. Exhibit 12. Data for Algorithm | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh12.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 12. Data for Algorithm Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administrati…

  18. Exhibit 13. Accuracy of algorithm at each participating hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh13.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 13. Accuracy of algorithm at each participating hospital Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive…

  19. Exhibits 38 to 40 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh38-40.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 38 to 40 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

  20. Exhibits 44 to 46 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh44-46.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 44 to 46 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …
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