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Showing results for "reduced".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36178/psn-pdf
    September 30, 2010 - Analysis of surgical errors in closed malpractice claims at 4 liability insurers. September 30, 2010 Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. https://psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malp…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47426/psn-pdf
    October 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34874/psn-pdf
    February 25, 2009 - Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. February 25, 2009 Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract. 2001;4(5):199-206. https://psnet.ahrq.gov/issu…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45000/psn-pdf
    August 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. June 29, 2016 Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480. https://psnet.ahrq.gov/issue/medicare-and-medicaid-progra…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43122/psn-pdf
    April 08, 2018 - Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. April 8, 2018 Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Diagnosis (Berl). 201…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50756/psn-pdf
    December 18, 2019 - A Mistaken Dose of Naloxone? December 18, 2019 Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone The Case A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up appointment. He h…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49554/psn-pdf
    January 01, 2008 - Chemotherapy Extravasation January 1, 2008 Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation The Case A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and her oncologist decided to begin sys…

  8. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet

    psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
    June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices Citation Text: Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …

  9. Approach to Improving Patient Safety: Communication | PSNet

    psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
    August 31, 2020 - Annual Perspective Approach to Improving Patient Safety: Communication March 10, 2021  View more articles from the same authors. Citation Text: Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet [internet]. Ro…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49562/psn-pdf
    May 01, 2008 - The Inside of a Time Out May 1, 2008 Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/inside-time-out The Case A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was no…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837972/psn-pdf
    September 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. September 1, 2022 Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845639/psn-pdf
    March 08, 2023 - Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. March 8, 2023 Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837023/psn-pdf
    May 04, 2022 - Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. May 4, 2022 Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. BMJ Qual Saf. 2022;31(9):670-678. doi:10.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73400/psn-pdf
    June 16, 2021 - Older patients' engagement in hospital medication safety behaviours. June 16, 2021 Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3. https://psnet.ahrq.gov/issue/older-patients-enga…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47223/psn-pdf
    August 14, 2018 - Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. August 14, 2018 MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute, University of Washington. https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867687/psn-pdf
    March 05, 2025 - Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. March 5, 2025 Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospe…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60304/psn-pdf
    January 01, 2021 - Patients' perspectives of diagnostic error: a qualitative study. May 6, 2020 Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42503/psn-pdf
    September 18, 2013 - The patient is in: patient involvement strategies for diagnostic error mitigation. September 18, 2013 McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-001623. https://psnet.ahrq.gov/i…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862130/psn-pdf
    February 07, 2024 - Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. February 7, 2024 Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers'…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72771/psn-pdf
    February 24, 2021 - What COVID-19 teaches us about implicit bias in pediatric health care. February 24, 2021 Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. https://psnet.ahrq.gov/issue/what-covid-19-teaches-us-ab…
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