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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - Forum, and others aligning around universal quality measures and metrics that encourage health care assistants
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - This phenomenon is similar for nurses and other providers such as nurse practitioners
and physician assistants
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psnet.ahrq.gov/node/46797/psn-pdf
March 14, 2018 - Empowering informal caregivers with health information:
OpenNotes as a safety strategy.
March 14, 2018
Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information:
OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/j.jcjq.2017.09.004.
https://psnet…
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - This may require additional communication and outreach to the patient by nurses or medical assistants … Staying in communication with your patients and tapping into your medical assistants and nurses for follow-up
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Empty Handoff
September 1, 2012
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/empty-handoff
The Case
A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a
leg wound. The patient's medical history included chronic…
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psnet.ahrq.gov/issue/empowering-informal-caregivers-health-information-opennotes-safety-strategy
June 06, 2018 - Study
Empowering informal caregivers with health information: OpenNotes as a safety strategy.
Citation Text:
Chimowitz H, Gerard M, Fossa A, et al. Empowering Informal Caregivers with Health Information: OpenNotes as a Safety Strategy. Jt Comm J Qual Saf. 2018;44(3):130-136. doi:10.1016/…
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psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
December 04, 2019 - Commentary
Is it time for safeguards in the adoption of robotic surgery?
Citation Text:
Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736.
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DOI Google Scholar Pub…
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction
https://psnet.ahrq.gov/issue/nurse-staffing-nursing-assistants-and-hospital-mortality-retrospective-longitudinal-cohort
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - Reading room assistants support radiologists and can help connect the referring clinician to the radiologist
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Spotlight Case July 2008
Spotlight Case
Nurse Staffing Ratios:
The Crucible of Money, Policy, Research, and Patient Care
*
Source and Credits
This presentation is based on the August 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME/CEU credit is available
Commentary by: …
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psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - Affordable Housing Community Offers Seniors Onsite
Health Care Coordination and Support, Reducing Hospital
Admissions and Falls and Improving Resident Health
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-h…
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psnet.ahrq.gov/issue/online-consultations-cyberpharmacies-completeness-and-patient-safety
January 12, 2022 - Study
Online consultations in cyberpharmacies: completeness and patient safety.
Citation Text:
Orizio G, Schulz PJ, Domenighini S, et al. Online Consultations in Cyberpharmacies: Completeness and Patient Safety. Telemedicine and e-Health. 2009;15(10). doi:10.1089/tmj.2009.0069.
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psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
March 13, 2019 - Newspaper/Magazine Article
Half the time, nursing homes scrutinized on safety by Medicare are still treacherous.
Citation Text:
Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017.
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psnet.ahrq.gov/issue/guidelines-practice-medication-safety
June 26, 2019 - Commentary
Guidelines in practice: medication safety.
Citation Text:
Speth J. Guidelines in practice: medication safety. AORN J. 2023;118(6):380-389. doi:10.1002/aorn.14034.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challenges-and-suggested-solutions
September 20, 2023 - Commentary
Diagnosing overdiagnosis: conceptual challenges and suggested solutions.
Citation Text:
Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5.
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D…
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psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
July 29, 2020 - Study
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Citation Text:
Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9.
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psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
June 10, 2020 - Commentary
A method of addressing proprietary name similarity for US prescription drugs.
Citation Text:
Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331.
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psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
April 27, 2019 - Review
Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety.
Citation Text:
Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…