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  1. Medication Management: Detailed Use Case. | PSNet

    psnet.ahrq.gov/issue/medication-management-detailed-use-case
    June 29, 2016 - Book/Report Medication Management: Detailed Use Case. Citation Text: Medication Management: Detailed Use Case. Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; 2007. Copy Citation Sav…

  2. A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. | PSNet

    psnet.ahrq.gov/issue/follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-department
    March 25, 2025 - Sentinel Event Alerts A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Citation Text: A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46(46):1-4. Co…

  3. Removing Insult from Injury: Disclosing Adverse Events. | PSNet

    psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
    November 07, 2012 - Audiovisual Removing Insult from Injury: Disclosing Adverse Events. Citation Text: Removing Insult from Injury: Disclosing Adverse Events. Johns Hopkins Bloomberg School of Public Health Copy Citation Save Save to your library Print Download PDF …

  4. AHRQ-funded Health Literacy Tool Improves Care for COPD Patients in Spain | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201502.html
    March 01, 2015 - AHRQ-funded Health Literacy Tool Improves Care for COPD Patients in Spain Search All Impact Case Studies March 2015 Grupo Saned, a health care and pharmaceutical marketing company in Barcelona, Spain, used an AHRQ-funded health literacy scale— Short Assessment of Health Literacy for Spanish-speaking Adults …

  5. Research Medical Center Develops Video to Encourage Continued Use of TeamSTEPPS® | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201530.html
    November 01, 2015 - Research Medical Center Develops Video to Encourage Continued Use of TeamSTEPPS® Search All Impact Case Studies November 2015 The Graduate Nurse Residency Program at Research Medical Center in Kansas City, Missouri, created a video highlighting nine concepts of AHRQ's TeamSTEPPS® program as a way to re-…

  6. IV potassium given epidurally: getting to the "route" of the problem. | PSNet

    psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
    April 20, 2022 - Newspaper/Magazine Article IV potassium given epidurally: getting to the "route" of the problem. Citation Text: IV potassium given epidurally: getting to the "route" of the problem. ISMP Medication Safety Alert! Acute care edition. April 6, 2006. Copy Citation Save …

  7. Burnout in Healthcare. | PSNet

    psnet.ahrq.gov/issue/burnout-healthcare
    July 31, 2019 - Special or Theme Issue Burnout in Healthcare. Citation Text: Burnout in Healthcare. Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…

  8. The burnout crisis in American medicine. | PSNet

    psnet.ahrq.gov/issue/burnout-crisis-american-medicine
    September 03, 2014 - Newspaper/Magazine Article The burnout crisis in American medicine. Citation Text: The burnout crisis in American medicine. Xu R. The Atlantic. May 11, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  9. The Joint Commission Big Book of Checklists. 2nd Edition. | PSNet

    psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition
    December 21, 2008 - Book/Report The Joint Commission Big Book of Checklists. 2nd Edition. Citation Text: The Joint Commission Big Book of Checklists. 2nd Edition. Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598. Copy Citation Save Save to your library Print …

  10. Patients taking their own medications while in the hospital. | PSNet

    psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
    March 14, 2012 - Newspaper/Magazine Article Patients taking their own medications while in the hospital. Citation Text: Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.  Copy Citation Save Save to your library …

  11. Improvement of Pennsylvania healthcare consumers' awareness of patient safety. | PSNet

    psnet.ahrq.gov/issue/improvement-pennsylvania-healthcare-consumers-awareness-patient-safety
    March 30, 2016 - Newspaper/Magazine Article Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Citation Text: Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Munn J. PA-PSRS Patient Saf Advis. March 2014;11:23-29. Copy Citation …

  12. Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. | PSNet

    psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and-polsts
    July 18, 2018 - Newspaper/Magazine Article Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. Citation Text: Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15…

  13. A medical detective story: why doctors make diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
    October 23, 2018 - Newspaper/Magazine Article A medical detective story: why doctors make diagnostic errors. Citation Text: A medical detective story: why doctors make diagnostic errors. Landro L. Wall Street Journal. September 26, 2015. Copy Citation Save Save to your library …

  14. Inquiry into reporter's death finds multiple failures in care. | PSNet

    psnet.ahrq.gov/issue/inquiry-reporters-death-finds-multiple-failures-care
    March 30, 2016 - Newspaper/Magazine Article Inquiry into reporter's death finds multiple failures in care. Citation Text: Inquiry into reporter's death finds multiple failures in care. Stout D. New York Times. June 17, 2006. Copy Citation Save Save to your library Pr…

  15. Most dangerous time at the hospital? It may be when you leave. | PSNet

    psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
    March 08, 2017 - Newspaper/Magazine Article Most dangerous time at the hospital? It may be when you leave. Citation Text: Most dangerous time at the hospital? It may be when you leave. Khullar D. New York Times. March 17, 2016. Copy Citation Save Save to your library Print …

  16. The most crucial half-hour at a hospital: the shift change. | PSNet

    psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
    August 17, 2016 - Newspaper/Magazine Article The most crucial half-hour at a hospital: the shift change. Citation Text: The most crucial half-hour at a hospital: the shift change. Landro L. Copy Citation Save Save to your library Print Download PDF Share Faceb…

  17. Maintain accountability in patient safety efforts. | PSNet

    psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts
    March 01, 2007 - Newspaper/Magazine Article Maintain accountability in patient safety efforts. Citation Text: Spath P. Maintain accountability in patient safety efforts. Hospital peer review. 2005;30(9):129-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  18. Center for Health Care Human Factors. | PSNet

    psnet.ahrq.gov/issue/center-health-care-human-factors
    July 09, 2019 - Multi-use Website Center for Health Care Human Factors. Citation Text: Center for Health Care Human Factors. Armstrong Institute for Patient Safety and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook T…

  19. Health for life. Keys to safer hospitals. | PSNet

    psnet.ahrq.gov/issue/health-life-keys-safer-hospitals
    August 04, 2021 - Newspaper/Magazine Article Health for life. Keys to safer hospitals. Citation Text: Berwick DM. Health for life. 6 keys to safer hospitals. Newsweek. 2005;146(24):76-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  20. An interview with Donald Berwick. | PSNet

    psnet.ahrq.gov/issue/interview-donald-berwick
    August 04, 2021 - Commentary An interview with Donald Berwick. Citation Text: Berwick DM. An interview with Donald Berwick. Interview by Paul M Schyve. Jt Comm J Qual Patient Saf. 2006;32(12):661-666. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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