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  1. The Care We Need | PSNet

    psnet.ahrq.gov/issue/care-we-need
    March 25, 2020 - Book/Report The Care We Need Citation Text: The Care We Need Washington DC: National Quality Forum; 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  2. Safer Together Survey: Advancing Patient and Workforce Safety | PSNet

    psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
    July 12, 2017 - Press Release/Announcement Safer Together Survey: Advancing Patient and Workforce Safety Citation Text: Safer Together Survey: Advancing Patient and Workforce Safety Cambridge, MA: Institute for Healthcare Improvement: January 2023. Copy Citation Save Save to yo…

  3. Rapid response systems. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-0
    April 07, 2010 - Review Rapid response systems. Citation Text: Rapid response systems. Stevens JP. UpToDate. July 18, 2024. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL J…

  4. Building the Case for Health Literacy: Proceedings of a Workshop. | PSNet

    psnet.ahrq.gov/issue/building-case-health-literacy-proceedings-workshop
    September 12, 2018 - Meeting/Conference Proceedings Building the Case for Health Literacy: Proceedings of a Workshop. Citation Text: Building the Case for Health Literacy: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2018. ISB…

  5. Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). | PSNet

    psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
    March 08, 2023 - Grant Announcement Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). Citation Text: Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). National Institutes of Health.  August 11, 2022. RFA-HD-23-035. Copy Citation …

  6. Kentucky first state to decriminalize medical errors. | PSNet

    psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors
    March 13, 2024 - Newspaper/Magazine Article Kentucky first state to decriminalize medical errors. Citation Text: Kentucky first state to decriminalize medical errors. Robertson R. MedPage Today. April 30, 2024. Copy Citation Save Save to your library Print Download PDF …

  7. Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. | PSNet

    psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-government-departments
    July 19, 2023 - Book/Report Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. Citation Text: Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. Manchester, UK: The Parliamentary and Health Service Ombudsman; J…

  8. The competitive imperative of learning. | PSNet

    psnet.ahrq.gov/issue/competitive-imperative-learning
    September 25, 2024 - Commentary The competitive imperative of learning. Citation Text: Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  9. Lessons learned from a death outside a hospital's doorstep. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
    October 30, 2019 - Newspaper/Magazine Article Lessons learned from a death outside a hospital's doorstep. Citation Text: Lessons learned from a death outside a hospital's doorstep. Palmer J. Patient Saf Qual Healthc. May/June 2019. Copy Citation Save Save to your library Print…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - published literature shows that RSI bundles are used widely but only in limited scope (e.g., one surgical unit

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49822/psn-pdf
    March 01, 2018 - spiked a fever, and her temperature remained elevated through her sixth day in the intensive care unit

  12. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
    January 01, 2023 - • The patient recovered in the Post-Anesthesia Care Unit (PACU) overnight, was evaluated by physical

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49834/psn-pdf
    July 01, 2018 - He survived the procedure but had an extended course in the intensive care unit.

  14. Retained Surgical Items: Definition and Epidemiology. | PSNet

    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 15, 2024 - decide to get computed tomography (CT) images, or they may transfer the patient to the intensive care unit

  15. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet

    psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - The patient was transferred to the post-acute care unit (PACU) for observation and a routine post-procedure

  16. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet

    psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
    January 29, 2021 - After the operation, the patient was left intubated and admitted to the intensive care unit (ICU).

  17. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
    May 01, 2012 - Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused … August 14, 2018 The correlation between neonatal intensive care unit safety culture and

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49460/psn-pdf
    September 01, 2004 - Security Lapse September 1, 2004 Mason D. Security Lapse. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/security-lapse The Case A medical student learned that the hospital's radiology image library was accessible throughout the university's computer system, meaning that patient x-rays could be viewed in d…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33595/psn-pdf
    December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety December 15, 2024 Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that th…

  20. Never Events | PSNet

    psnet.ahrq.gov/primer/never-events
    June 15, 2024 - Never Events Citation Text: Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…
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