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401. When doctors don't talk to doctors. | PSNet
     psnet.ahrq.gov/issue/when-doctors-dont-talk-doctors
     December 23, 2020 - Newspaper/Magazine Article When doctors don't talk to doctors. Citation Text: When doctors don't talk to doctors. Bond A. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42969/psn-pdf
     October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…

403. Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. | PSNet
     psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
     November 15, 2023 - Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 7, 2021 Innovation…

404. Security Lapse | PSNet
     psnet.ahrq.gov/web-mm/security-lapse
     December 18, 2019 - and anonymous reporting, now considered an integral part of preventing medical errors, although with varied

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33880/psn-pdf
     May 01, 2019 - error or adverse events in EMS operations.(4) Common threats to the safety of EMTs and paramedics are varied

406. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
     January 01, 2020 - guidelines for when a PCP should refer to a neurologist given the myriad neurologic conditions and their varied

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43344/psn-pdf
     July 16, 2014 - Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. July 16, 2014 Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Value Health. 2014;17(4):340-349. doi…

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44180/psn-pdf
     June 21, 2015 - "Never events" and the quest to reduce preventable harm. June 21, 2015 Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm The introduction of the term never event…

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33634/psn-pdf
     May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43972/psn-pdf
     November 03, 2015 - National hospital ratings systems share few common scores and may generate confusion instead of clarity. November 3, 2015 Austin M, Jha AK, Romano PS, et al. National hospital ratings systems share few common scores and may generate confusion instead of clarity. Health Aff (Millwood). 2015;34(3):423-430. doi:10.13…

411. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
     March 01, 2015 - PowerPoint Presentation Spotlight Two Wrongs Don't Make a Right (Kidney) This presentation is based on the March 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John G. DeVine, MD, Professor of Orthopaedic Surgery, Medical College of Georgia Ed…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866216/psn-pdf
     July 10, 2024 - analyzed hospitals from 11 states, found that the quality of care for patients within the same hospital varied

413. Rescue Improvement Conference Innovation Summary | PSNet
     psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
     September 23, 2024 - American College of Surgeons National Surgical Quality Improvement Program. 4 The study found widely varied

414. 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 …

415. Doing the "right" things to correct wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
     October 21, 2020 - Newspaper/Magazine Article Doing the "right" things to correct wrong-site surgery. Citation Text: Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory Copy Citation Save Save to your library Print Download PDF Share…

416. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences | PSNet
     psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
     December 18, 2019 - I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences Citation Text: Steinberg K. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servi…

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33886/psn-pdf
     August 01, 2019 - Medical Scribes and Patient Safety August 1, 2019 Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety Perspective Scribes have supported physicians for thousands of years.(1) However, little is known about how to…

418. Volume Too Low: In and Out | PSNet
     psnet.ahrq.gov/web-mm/volume-too-low-and-out
     July 01, 2017 - SPOTLIGHT CASE Volume Too Low: In and Out Citation Text: Miller MR. Volume Too Low: In and Out . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

419. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
     psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
     March 12, 2021 - Several copies of the same kit were opened following the event, and the spatial arrangement of items varied

420. The Wild West: Patient Safety in Office-Based Anesthesia | PSNet
     psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
     April 01, 2003 - The Wild West: Patient Safety in Office-Based Anesthesia Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD | May 1, 2006  View more articles from the same authors. Citation Text: Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild…