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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42922/psn-pdf
    April 12, 2014 - Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. April 12, 2014 Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854973/psn-pdf
    October 31, 2023 - Digital Health Literacy October 31, 2023 Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/digital-health-literacy Background As more people search for health information online, it is critical that they can obtain accurate health information and access he…
  3. psnet.ahrq.gov/web-mm/signout-fallout
    November 16, 2022 - SPOTLIGHT CASE Signout Fallout Citation Text: Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…
  4. psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
    August 21, 2015 - SPOTLIGHT CASE Order Interrupted by Text: Multitasking Mishap Citation Text: Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49579/psn-pdf
    March 21, 2009 - All in the History March 21, 2009 Fee C. All in the History. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/all-history Case Objectives Describe the Emergency Medical Treatment and Active Labor Act (EMTALA) and understand that it does not apply to transfers to emergency departments from non-acute care faci…
  6. psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - Missed CANDOR Implementation Opportunities. Citation Text: Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndN…
  7. psnet.ahrq.gov/issue/perspectives-about-racism-and-patient-clinician-communication-among-black-adults-serious
    September 13, 2023 - Study Perspectives about racism and patient-clinician communication among black adults with serious illness. Citation Text: Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication among black adults with serious illness. JAMA Netw Open. 2023…
  8. psnet.ahrq.gov/issue/impact-nontechnical-skills-technical-performance-surgery-systematic-review
    February 10, 2010 - Review The impact of nontechnical skills on technical performance in surgery: a systematic review. Citation Text: Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.…
  9. psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians
    September 23, 2020 - Study Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. Citation Text: Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of p…
  10. psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
    February 28, 2024 - Study Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. Citation Text: Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …
  11. psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
    November 26, 2014 - Study Classic Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Citation Text: O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…
  12. psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
    October 19, 2022 - Study Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Citation Text: Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Ca…
  13. psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
    September 06, 2023 - Study Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity. Citation Text: Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
  14. psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
    June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…
  15. psnet.ahrq.gov/issue/toward-increased-patient-safety-electronic-communication-medication-information-between
    June 23, 2021 - Study Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. Citation Text: Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of Medication Informat…
  16. psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
    November 28, 2018 - Study Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Citation Text: Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
  17. psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
    December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…
  18. psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
    November 02, 2010 - Study Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Citation Text: Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polyme…
  19. psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting
    September 23, 2020 - Study Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. Citation Text: Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…
  20. psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot
    July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…

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