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  1. Systematically Identified Failure Is the Route to a Successful Health System. | PSNet

    psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
    January 10, 2018 - Special or Theme Issue Systematically Identified Failure Is the Route to a Successful Health System. Citation Text: Systematically Identified Failure Is the Route to a Successful Health System. Tepper J, Martin D, eds. Healthc Pap. 2015;15(2):4-61. Copy Citation Save …

  2. Interference between CT and Electronic Medical Devices. | PSNet

    psnet.ahrq.gov/issue/interference-between-ct-and-electronic-medical-devices
    May 04, 2015 - Government Resource Interference between CT and Electronic Medical Devices. Citation Text: Interference between CT and Electronic Medical Devices. Center for Devices and Radiological Health; CDER; Food and Drug Administration; FDA. Copy Citation Save Save to your…

  3. Mental health conditions leading cause of pregnancy-related deaths. | PSNet

    psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
    November 29, 2017 - Newspaper/Magazine Article Mental health conditions leading cause of pregnancy-related deaths. Citation Text: Mental health conditions leading cause of pregnancy-related deaths. Quick Safety. January 16 2023;(67):1-3. Copy Citation Save Save to your library …

  4. Drug diversion and impaired health care workers. | PSNet

    psnet.ahrq.gov/issue/drug-diversion-and-impaired-health-care-workers
    July 31, 2019 - Newspaper/Magazine Article Drug diversion and impaired health care workers. Citation Text: Drug diversion and impaired health care workers. Quick Safety. April 15, 2019;(48):1-3. Copy Citation Save Save to your library Print Download PDF Share …

  5. Counting for patient safety. | PSNet

    psnet.ahrq.gov/issue/counting-patient-safety
    June 11, 2014 - Commentary Counting for patient safety. Citation Text: Watson DS. Counting for patient safety. AORN J. 2006;84(2):273-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  6. Quick Safety. | PSNet

    psnet.ahrq.gov/issue/quick-safety
    May 30, 2012 - Newsletter/Journal Quick Safety. Citation Text: Quick Safety. Oakbrook Terrace, IL: The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Ma…

  7. Do No Harm: Jess's Story. | PSNet

    psnet.ahrq.gov/issue/project-jessica
    September 16, 2020 - Audiovisual Do No Harm: Jess's Story. Citation Text: Do No Harm: Jess's Story. Barnett T, Barnett P. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Februar…

  8. Appendix II: Technical Expert Panel and Federal Partners Group | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apii.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix II: Technical Expert Panel and Federal Partners Group Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary…

  9. The overlooked danger of delirium in hospitals. | PSNet

    psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals
    June 22, 2011 - Newspaper/Magazine Article The overlooked danger of delirium in hospitals. Citation Text: The overlooked danger of delirium in hospitals. Boodman SG. The Atlantic. June 7, 2015. Copy Citation Save Save to your library Print Download PDF Share …

  10. Medication safety technologies: what is and is not working. | PSNet

    psnet.ahrq.gov/issue/medication-safety-technologies-what-and-not-working
    January 02, 2017 - Newspaper/Magazine Article Medication safety technologies: what is and is not working. Citation Text: Medication safety technologies: what is and is not working. Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27. Copy Citation Sav…

  11. Improving Diagnosis in Medicine Change Package. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
    May 06, 2015 - Toolkit Improving Diagnosis in Medicine Change Package. Citation Text: Improving Diagnosis in Medicine Change Package. Chicago, IL: Health Research & Educational Trust; 2018. Copy Citation Save Save to your library Print Download PDF Share Fa…

  12. Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. | PSNet

    psnet.ahrq.gov/issue/toolkit-reduction-clostridium-difficile-infections-through-antimicrobial-stewardship
    October 23, 2019 - Toolkit Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. Citation Text: Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. Boston University School of Public Health. Rockville, MD: Agency for Healthcare…

  13. Enhancing Surgical Performance: A Primer in Non-technical Skills. | PSNet

    psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
    January 10, 2018 - Book/Report Enhancing Surgical Performance: A Primer in Non-technical Skills. Citation Text: Enhancing Surgical Performance: A Primer in Non-technical Skills. Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322. Copy Citation Save Sav…

  14. Five simple steps to avoid becoming a medical mystery. | PSNet

    psnet.ahrq.gov/issue/five-simple-steps-avoid-becoming-medical-mystery
    December 20, 2017 - Newspaper/Magazine Article Five simple steps to avoid becoming a medical mystery. Citation Text: Five simple steps to avoid becoming a medical mystery. Boodman SG. Washington Post. December 4, 2016. Copy Citation Save Save to your library Print Download …

  15. A National Web Conference on Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance | Digital Healthcare Research

    digital.ahrq.gov/events/national-web-conference-health-it-enabled-quality-measurement
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

  16. The 2016 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-awards
    October 29, 2017 - Special or Theme Issue The 2016 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: The 2016 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2017;43:315-337. Copy Citation Save Save to your library Print …

  17. National Patient Safety Board Act of 2022. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
    July 20, 2022 - Legislation/Regulation National Patient Safety Board Act of 2022. Citation Text: National Patient Safety Board Act of 2022. HR 9377, 117th Cong, 2d Sess (2022). Copy Citation Save Save to your library Print Download PDF Share Facebook …

  18. Improving Electronic Health Records Patient Education Materials - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2011
    January 01, 2011 - Improving Electronic Health Records Patient Education Materials - 2011 Project Name Improving Electronic Health Records Patient Education Materials Principal Investigator Shoemaker, Sarah Organization Abt Associates, Inc. Contract Number 290-09-00012I-4 Projec…

  19. Barriers to Meaningful Use in Medicaid - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/barriers-meaningful-use-medicaid/annual-summary/2011
    January 01, 2011 - Barriers to Meaningful Use in Medicaid - 2011 Project Name Barriers to Meaningful Use in Medicaid Principal Investigator Thompson, Chuck Organization RTI International Contract Number 290-07-10079-2 Project Period June 2010 - June 2012 AHRQ Funding Amo…

  20. Operating at the sharp end: the complexity of human error. | PSNet

    psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
    March 27, 2005 - Book/Report Classic Operating at the sharp end: the complexity of human error. Citation Text: Operating at the sharp end: the complexity of human error. Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Assoc…
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