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441. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
     February 26, 2025 - I was part of the original group that led the High-Value Healthcare Collaborative, which started in 2008 … Intermountain, where I worked for 12 years, had an advanced training program that started in the late

442. Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
     February 26, 2025 - I was part of the original group that led the High-Value Healthcare Collaborative, which started in 2008 … Intermountain, where I worked for 12 years, had an advanced training program that started in the late

443. In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet
     psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
     February 28, 2024 - By the time we started this revision, there were over a dozen variants of TeamSTEPPS on the website. … We started off the process thinking we could just revise the parts of TeamSTEPPS needing updates and

444. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
     psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
     February 28, 2024 - By the time we started this revision, there were over a dozen variants of TeamSTEPPS on the website. … We started off the process thinking we could just revise the parts of TeamSTEPPS needing updates and

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33746/psn-pdf
     March 01, 2013 - In Conversation With… David M. Gaba, MD March 1, 2013 In Conversation With… David M. Gaba, MD. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-david-m-gaba-md Editor's note: David M. Gaba, MD, is a Professor of Anesthesia at the Stanford University School of Medicine. An international leade…

446. Making Healthcare Safer III Report | PSNet
     psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
     March 30, 2020 - It is the one place where you can find all the information you need to get started from experts in patient

447. Patient Safety During Hospital Discharge | PSNet
     psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
     April 01, 2018 - And I started thinking that transient cognitive dysfunction was part of this syndrome. … It started seeming to me like a syndrome. … When I really got into this, I started remembering all these situations where I had a patient, maybe

448. Key Issues in Developing a Successful Hospital Safety Program | PSNet
     psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
     July 01, 2006 - RW: When you started in your safety position, what did you think you'd be able to accomplish and what … AF: Over the past decade, we have started to develop a picture of what comprehensive patient safety

449. In Conversation with...Allan Frankel, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
     July 01, 2006 - RW: When you started in your safety position, what did you think you'd be able to accomplish and what … AF: Over the past decade, we have started to develop a picture of what comprehensive patient safety

450. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
     June 01, 2016 - Looking at the evolution of patient safety science over the last 20–25 years, we have really started … Schools of public health have started to put in the curriculum.

451. In Conversation With… Suchi Saria, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
     March 27, 2024 - In Conversation With… Suchi Saria, PhD July 1, 2019  Citation Text: In Conversation With… Suchi Saria, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33883/psn-pdf
     July 01, 2019 - In Conversation With… Suchi Saria, PhD July 1, 2019 In Conversation With… Suchi Saria, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-suchi-saria-phd Editor's note: Dr. Saria is the John C. Malone Assistant Professor of computer science, statistics, and health policy at Johns Hopkins …

453. Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. | PSNet
     psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
     August 10, 2022 - Study Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. Citation Text: Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-reported adverse ev…

454. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. | PSNet
     psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
     December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…

455. Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. | PSNet
     psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
     February 05, 2020 - Study Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. Citation Text: Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication opt…

456. Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. | PSNet
     psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid
     August 18, 2021 - Study Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. Citation Text: Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medi…

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849598/psn-pdf
     May 31, 2023 - Getting Started with This Innovation To start the innovation, implementing teams must assess hospital

458. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
     psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
     April 26, 2023 - I started out working for the DOD [U.S. … Imagine how excited we were when AHRQ came out and started to value learning labs and resources for systems

459. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
     January 01, 2016 - So we got to work and were successful in helping the IOM raise the money to get this report started. … You outlined some important recommendations, this is terrific, and we're going to get started.

460. In Conversation With… Jane Brice, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
     May 01, 2019 - Because EMS has over the past 10 to 12 years started to stray into the territory of community health