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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60066/psn-pdf
    March 25, 2020 - Some Patients Can't Wait: Improving Timeliness of Emergency Department Care March 25, 2020 Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care D…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44542/psn-pdf
    December 22, 2018 - The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. December 22, 2018 Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observ…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36909/psn-pdf
    January 05, 2017 - Medical team training: applying crew resource management in the Veterans Health Administration. January 5, 2017 Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325. https://psnet.ahrq.gov/i…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42357/psn-pdf
    December 04, 2016 - Disclosing medical mistakes: a communication management plan for physicians. December 4, 2016 Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106. https://psnet.ahrq.gov/issue/disclosing-medical-mistakes…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39982/psn-pdf
    January 17, 2012 - Hand-off Communications. January 17, 2012 DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. https://psnet.ahrq.gov/issue/hand-communications The Joint Commission Center for Transforming Hea…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837658/psn-pdf
    July 08, 2022 - Preventable Transfer to the Hospital July 8, 2022 Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/preventable-transfer-hospital The Case A 78-year-old veteran with dementia-associated aggressive behavior and multiple comorbidities had…

  7. Dangerous Dapsone | PSNet

    psnet.ahrq.gov/web-mm/dangerous-dapsone
    January 10, 2011 - Dangerous Dapsone Citation Text: Bookwalter T. Dangerous Dapsone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  8. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet

    psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
    February 26, 2025 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

  9. Preventable Transfer to the Hospital | PSNet

    psnet.ahrq.gov/web-mm/preventable-transfer-hospital
    March 31, 2022 - Preventable Transfer to the Hospital Citation Text: Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar Bi…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49654/psn-pdf
    June 01, 2012 - Transfer Troubles June 1, 2012 Hains IM. Transfer Troubles. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfer-troubles Case Objectives Recognize that transfer of patients between hospitals is common. Understand the frequency of errors and adverse events in the transfer of patients between hospitals. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42276/psn-pdf
    May 15, 2013 - Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. May 15, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 6, 2013. https://psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-pot…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43591/psn-pdf
    August 02, 2015 - The automated operating room: a team approach to patient safety and communication. August 2, 2015 Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825. https://psnet.ahrq.gov/issue/au…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39915/psn-pdf
    December 18, 2014 - Improving the quality of discharge communication with an educational intervention. December 18, 2014 Key-Solle M, Paulk E, Bradford K, et al. Improving the quality of discharge communication with an educational intervention. Pediatrics. 2010;126(4):734-9. doi:10.1542/peds.2010-0884. https://psnet.ahrq.gov/issue/im…

  14. Creating a Communication Coaching Structure and Support for your CRP Program. | PSNet

    psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
    January 25, 2023 - Webinar Creating a Communication Coaching Structure and Support for your CRP Program. Citation Text: Creating a Communication Coaching Structure and Support for your CRP Program. Collaborative for Accountability and Improvement. September 15, 2022. Copy Citation Save …

  15. A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

    psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
    November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

  16. FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
    March 11, 2015 - Press Release/Announcement FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Citation Text: FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…

  17. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. | PSNet

    psnet.ahrq.gov/issue/honest-communication-and-social-asymmetries-inside-hospital-pitfalls-clinicians
    March 02, 2022 - Commentary Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. Citation Text: Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.…

  18. Building comprehensive strategies for obstetric safety: simulation drills and communication. | PSNet

    psnet.ahrq.gov/issue/building-comprehensive-strategies-obstetric-safety-simulation-drills-and-communication
    May 08, 2019 - Commentary Building comprehensive strategies for obstetric safety: simulation drills and communication. Citation Text: Austin N, Goldhaber-Fiebert SN, Daniels K, et al. Building Comprehensive Strategies for Obstetric Safety: Simulation Drills and Communication. Anesth Analg. 2016;123(5):…

  19. Communication elements supporting patient safety in psychiatric inpatient care. | PSNet

    psnet.ahrq.gov/issue/communication-elements-supporting-patient-safety-psychiatric-inpatient-care
    July 01, 2013 - Study Communication elements supporting patient safety in psychiatric inpatient care. Citation Text: Kanerva A, Kivinen T, Lammintakanen J. Communication elements supporting patient safety in psychiatric inpatient care. J Psychiatr Ment Health Nurs. 2015;22(5):298-305. doi:10.1111/jpm.12…

  20. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
    February 01, 2003 - Commentary Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Citation Text: Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…
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