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141. Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. | PSNet
     psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
     January 19, 2022 - Newspaper/Magazine Article Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Citation Text: Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Comarow A. US News & World Report. Jul…

142. Safety of anesthetic and perioperative medication practices. | PSNet
     psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
     January 14, 2019 - Newspaper/Magazine Article Safety of anesthetic and perioperative medication practices. Citation Text: Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022. Copy Citation Save Save to your library Pri…

143. Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. | PSNet
     psnet.ahrq.gov/issue/patterns-dementia-treatment-and-frank-prescribing-errors-older-adults-parkinson-disease
     September 18, 2024 - Study Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. Citation Text: Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49.…

144. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
     July 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Weighing in on Surgical Safety * * Source and Credits This presentation is based on the July 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…

145. Renewal of surgical quality and safety initiatives: a multispecialty challenge. | PSNet
     psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
     March 03, 2011 - Commentary Renewal of surgical quality and safety initiatives: a multispecialty challenge. Citation Text: Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52. Copy Citation Format: Google Scholar PubMe…

146. Raise the Bar | PSNet
     psnet.ahrq.gov/web-mm/raise-bar
     May 29, 2024 - Raise the Bar Citation Text: Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865413/psn-pdf
     March 27, 2024 - correlation between high-impact ransomware attacks and unexplained excess deaths that surfaced in a region

148. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. | PSNet
     psnet.ahrq.gov/issue/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre
     October 04, 2023 - Study The introduction of a surgical safety checklist in a tertiary referral obstetric centre. Citation Text: Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs…

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45189/psn-pdf
     February 19, 2019 - SaferCare Texas February 19, 2019 UNT Health Science Center; University of North Texas Health Science Center; UNTHSC. https://psnet.ahrq.gov/issue/safercare-texas Regional programs for patient safety seek to provide communities with resources targeted to distinct needs and populations while addressing key areas of…

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49709/psn-pdf
     May 01, 2014 - Raise the Bar May 1, 2014 Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/raise-bar The Case A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The patient was seen and evaluated by an anesthesiologist who was new to the cente…

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74142/psn-pdf
     January 02, 2024 - Robert L. Wears Patient Safety Leadership Award. November 1, 2023 Regional Center at Jacksonville University, University of Florida College of Medicine – Jacksonville, FL. https://psnet.ahrq.gov/issue/robert-l-wears-patient-safety-leadership-award Inspired by the research and leadership of Dr. Robert Wears, this aw…

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50787/psn-pdf
     January 08, 2020 - Q3 Health Innovation Partners. January 8, 2020 New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem Association of Pennsylvania. https://psnet.ahrq.gov/issue/q3-health-innovation-partners Local efforts that draw from the experience of its leaders serve an important role …

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35987/psn-pdf
     June 07, 2006 - RHIOs aim to transform quality of care and patient safety. June 7, 2006 van der Grinten P. https://psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety This article reports on how regional health information organizations (RHIOs) increase access to patient information and benefit patient safety…

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37419/psn-pdf
     December 19, 2007 - Ensuring medication reconciliation. December 19, 2007 Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007. https://psnet.ahrq.gov/issue/ensuring-medication-reconciliation The authors describe the team-based process they used to improve medication management at the admission, t…

155. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
     April 29, 2020 - , psychiatric disorders, and dementia, 3 any sensory loss or neurological deficits in the perineal region … and underlying comorbid condition distracted attention away from a festering abscess in the rectal region … underlying comorbid conditions confounded the early discovery of a festering abscess in the rectal region

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73553/psn-pdf
     July 28, 2021 - In Conversation With... James Augustine, MD July 28, 2021 In Conversation With.. James Augustine, MD. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/conversation-james-augustine-md Editor’s Note: James Augustine, MD, is the National Director of Prehospital Strategy at US Acute Care Solutions where he p…

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47805/psn-pdf
     May 29, 2019 - Better Health for Mothers and Babies. May 29, 2019 American Hospital Association. https://psnet.ahrq.gov/issue/better-health-mothers-and-babies Maternal harm is a patient safety concern that is increasingly prioritized in regulatory and care delivery environments. This website provides tools, policies, news articl…

158. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet
     psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
     February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35823/psn-pdf
     July 20, 2010 - Renewal of surgical quality and safety initiatives: a multispecialty challenge. July 20, 2010 Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52. https://psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-chall…

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856640/psn-pdf
     November 29, 2023 - Research from webAIRS incident reporting system. November 29, 2023 Anaesth Intensive Care. 2023;51(6):372-421. https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system Centralized de-identified reports of patient safety events serve a core purpose for learning and improvement. This article collectio…