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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47498/psn-pdf
    March 05, 2019 - Data omission by physician trainees on ICU rounds. March 5, 2019 Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med. 2019;47(3):403-409. doi:10.1097/CCM.0000000000003557. https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds Reporting complete p…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47361/psn-pdf
    April 07, 2019 - Implementing bedside handoff in the emergency department: a practice improvement project. April 7, 2019 Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.007. https://psnet.ahrq.gov/issue/imple…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73157/psn-pdf
    April 21, 2021 - The impact of power on health care team performance and patient safety: a review of the literature. April 21, 2021 Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. doi:10.1080/00140139.2021.1906454.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47612/psn-pdf
    February 27, 2019 - The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. February 27, 2019 Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clinical decision support on pharm…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44370/psn-pdf
    November 20, 2015 - Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. November 20, 2015 Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47356/psn-pdf
    September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety. September 5, 2018 Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560- 562. doi:10.1016/j.jopan.2018.05.003. https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety The health ca…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73637/psn-pdf
    August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General.  July 29, 2021. Report No. 21-00657-197. https://psnet.ahrq.gov/issue/failures-care-coordination-and-re…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45145/psn-pdf
    January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. January 8, 2018 Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family Involvement in Care in a Pediatric…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46359/psn-pdf
    September 21, 2017 - Parent–provider miscommunications in hospitalized children. September 21, 2017 Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190. https://psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-ch…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867083/psn-pdf
    November 06, 2024 - Patient-clinician diagnostic concordance upon hospital admission. November 6, 2024 Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43853/psn-pdf
    March 11, 2015 - Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. March 11, 2015 Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46121/psn-pdf
    January 01, 2021 - Quality of handoffs in community pharmacies. May 10, 2017 Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. https://psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies Handoffs present a significant patient …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863649/psn-pdf
    February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 February 28, 2024 In Conversation With..Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withstephen-…

  14. Triple Handoff | PSNet

    psnet.ahrq.gov/web-mm/triple-handoff
    March 01, 2004 - SPOTLIGHT CASE Triple Handoff Citation Text: Vidyarthi A. Triple Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  15. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet

    psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - In addition, debriefing after simulation sessions can reinforce the importance of knowing and communicating

  16. A Conversation with Patient Safety Officers. | PSNet

    psnet.ahrq.gov/issue/conversation-patient-safety-officers
    April 30, 2024 - Book/Report A Conversation with Patient Safety Officers. Citation Text: A Conversation with Patient Safety Officers. Harrisburg, PA: Patient Safety Authority; 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook…

  17. How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. | PSNet

    psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
    November 18, 2011 - Special or Theme Issue How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Citation Text: How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; Jun…

  18. Safe intrahospital transport of the non-ICU patient using standardized handoff communication. | PSNet

    psnet.ahrq.gov/issue/safe-intrahospital-transport-non-icu-patient-using-standardized-handoff-communication
    March 18, 2010 - Newspaper/Magazine Article Safe intrahospital transport of the non-ICU patient using standardized handoff communication. Citation Text: Safe intrahospital transport of the non-ICU patient using standardized handoff communication. PA-PSRS Patient Safety Advisory; Patient Safety Authority.…

  19. Patient handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs-0
    November 23, 2024 - Review Patient handoffs. Citation Text: Patient handoffs. Arora V, Farnan J. UpToDate. June 24, 2024. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 2…

  20. Condition Help. | PSNet

    psnet.ahrq.gov/issue/condition-help
    October 04, 2023 - Toolkit Condition Help. Citation Text: Condition Help. Pittsburg, PA: UPMC Shadyside Hospital: 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL October…
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