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  1. Implementing SBAR across a large multihospital health system. | PSNet

    psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
    November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

  2. The Missing Suction Tip | PSNet

    psnet.ahrq.gov/web-mm/missing-suction-tip
    January 01, 2006 - SPOTLIGHT CASE The Missing Suction Tip Citation Text: Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  3. After-Visit Confusion | PSNet

    psnet.ahrq.gov/web-mm/after-visit-confusion
    August 21, 2007 - After-Visit Confusion Citation Text: Ventres W. After-Visit Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46652/psn-pdf
    July 14, 2018 - The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. July 14, 2018 Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…

  5. In Conversation with...Dean Schillinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
    March 01, 2009 - In Conversation with...Dean Schillinger, MD March 22, 2009  Also Read an Essay Citation Text: In Conversation with..Dean Schillinger, MD. PSNet [internet]. 2009.In Conversation with...Dean Schillinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867035/psn-pdf
    October 30, 2024 - Secure instant messages within the EHR can be a useful tool for communicating or clarifying information

  7. The Good, The Bad, and The Ugly: Patient Experiences with CRPs. | PSNet

    psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
    February 28, 2024 - Webinar The Good, The Bad, and The Ugly: Patient Experiences with CRPs. Citation Text: The Good, The Bad, and The Ugly: Patient Experiences with CRPs. Collaborative for Accountability and Improvement. October 21, 2021.  Copy Citation Save Save to your library…

  8. Patient Safety Essentials Toolkit. | PSNet

    psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
    January 08, 2020 - Toolkit Patient Safety Essentials Toolkit. Citation Text: Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  9. Risk Management Pearls on Disclosure of Adverse Events. | PSNet

    psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
    July 05, 2017 - Book/Report Risk Management Pearls on Disclosure of Adverse Events. Citation Text: Risk Management Pearls on Disclosure of Adverse Events. Amori GH. Chicago, IL: American Society for Healthcare Risk Management; 2006. Copy Citation Save Save to your library …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49808/psn-pdf
    October 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Missed CANDOR Implementation Opportunities. November 16, 2022 Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities The Case A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…

  13. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. | PSNet

    psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
    September 16, 2020 - Study Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. Citation Text: Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…

  14. Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. | PSNet

    psnet.ahrq.gov/issue/physician-scores-national-clinical-skills-examination-predictors-complaints-medical
    October 16, 2019 - Study Classic Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. Citation Text: Tamblyn R, Abrahamowicz M, Dauphinee D, et al. Physician scores on a national clinical skills examination as …

  15. Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
    April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

  16. FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
    September 01, 2021 - Press Release/Announcement FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. Citation Text: FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…

  17. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. | PSNet

    psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
    September 20, 2011 - Review Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. Citation Text: Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists…

  18. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
    November 21, 2012 - Study Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Citation Text: Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:1…

  19. A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. | PSNet

    psnet.ahrq.gov/issue/qualitative-evaluation-healthcare-professionals-perceptions-adverse-events-focusing
    April 16, 2008 - Study A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care. Citation Text: Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals' perceptions of adverse eve…

  20. Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. | PSNet

    psnet.ahrq.gov/issue/parents-perceptions-patient-safety-paediatric-hospital-care-mixed-methods-systematic-review
    May 01, 2024 - Review Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. Citation Text: Witkowska MI, Janhunen K, Sak‐Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed‐methods systematic review. J Adv Nurs. 2…
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