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  1. psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
    February 26, 2025 - References 5 whys: Finding the root cause. Institute for Healthcare Improvement. … References [ Nicolini D, Waring J, Mengis J.
  2. psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - References Carayon P, Schoofs Hundt A, Karsh BT, et al. … References Klein K J, Ziegert JC, Knight AP, Xiao Y.
  3. psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
    April 01, 2018 - Officer UMass Memorial Health Care Professor of Medicine University of Massachusetts Medical School References … Endnote tagged PubMedId RIS Download Citation Sections Perspective References
  4. psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
    December 01, 2009 - collaboration and communication and its value in improving patient outcomes of care, it is hard to find any references … DirectorVHA West Coast Michelle O'Daniel, MSG, MHA Director of Member RelationsVHA West Coast   References
  5. psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
    November 01, 2018 - Science and Medicine Marc and Lynne Benioff Endowed Chair University of California, San Francisco References … Endnote tagged PubMedId RIS Download Citation Sections Perspective References
  6. psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
    October 01, 2009 - Department of Medicine University of California, San Francisco Editor, AHRQ WebM&M and AHRQ PSNet References … Center 2007 Focus on medication errors and role of bar coding Adapted and updated from references
  7. psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - collaboration and communication and its value in improving patient outcomes of care, it is hard to find any references … DirectorVHA West Coast Michelle O'Daniel, MSG, MHA Director of Member RelationsVHA West Coast   References
  8. psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - for Drug Safety and Effectiveness Johns Hopkins Bloomberg School of Public Health Baltimore, Maryland References … Endnote tagged PubMedId RIS Download Citation Sections Perspective References
  9. psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
    December 18, 2024 - This has been an interesting conversation   References Centers for Disease Control and Prevention. … References CDC. Older Adult Falls Data. Older Adult Fall Prevention. Published 2024.
  10. psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
    December 18, 2024 - References CDC. Older Adult Falls Data. Older Adult Fall Prevention. Published 2024. … This has been an interesting conversation   References Centers for Disease Control and Prevention.
  11. psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - ScD, MPH Professor of Medicine and Law Stanford University School of Medicine Stanford Law School References … Endnote tagged PubMedId RIS Download Citation Sections Perspective References
  12. psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - References [ Nicolini D, Waring J, Mengis J. … References 5 whys: Finding the root cause. Institute for Healthcare Improvement.
  13. psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - References Klein K J, Ziegert JC, Knight AP, Xiao Y. … References Carayon P, Schoofs Hundt A, Karsh BT, et al.
  14. psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
    October 30, 2019 - George, UT References 1.    Vinall J, Miller SP, Bjornson BH, et al. … EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sections References
  15. psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - References Miller PR, Elder FW. Meningeal pseudocysts (meningocele spurius) following laminectomy. … Case Sections Learning Objectives The Case The Commentary  Take-Home Points References
  16. psnet.ahrq.gov/perspective/covid-19-and-built-environment
    June 30, 2021 - Hough, MA Editor, IMPAQ Health IMPAQ International Columbia, MD References 1. … tagged PubMedId RIS Download Citation Sections Introduction Authors References
  17. psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - Professor Medical Co-Director Department of Emergency Medicine UC Davis Health dbarnes@ucdavis.edu References … Case Sections Learning Objectives The Case The Commentary Take Home Points References
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47107/psn-pdf
    June 20, 2018 - Challenges in communication from referring clinicians to pathologists in the electronic health record era. June 20, 2018 Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45105/psn-pdf
    May 11, 2016 - Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. May 11, 2016 Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to …

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