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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74253/psn-pdf
    January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January 12, 2022 Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/patient…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33661/psn-pdf
    December 01, 2007 - Care Transitions December 1, 2007 Kripalani S. Care Transitions. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/care-transitions Perspective Hospital discharge is often viewed as the end of an acute medical event. Goodbyes are said as patients pack their belongings and return home. Physicians scratch …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/612828/psn-pdf
    February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications February 23, 2022 Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications Objectives Recognition, early evaluation, and management of kidney …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33846/psn-pdf
    November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety November 1, 2017 Rozenblum R, Bates DW. The Role of Patient-facing Technologies to Empower Patients and Improve Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-imp…

  5. The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-assertiveness-communication-training-programs-healthcare-professionals-and
    January 24, 2018 - Review The effectiveness of assertiveness communication training programs for healthcare professionals and students: a systematic review. Citation Text: Omura M, Maguire J, Levett-Jones T, et al. The effectiveness of assertiveness communication training programs for healthcare profession…

  6. Developing and testing a tool to measure nurse/physician communication in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
    June 01, 2011 - Study Developing and testing a tool to measure nurse/physician communication in the intensive care unit. Citation Text: Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b0…

  7. Insufficient communication about medication use at the interface between hospital and primary care. | PSNet

    psnet.ahrq.gov/issue/insufficient-communication-about-medication-use-interface-between-hospital-and-primary-care
    February 03, 2021 - Study Insufficient communication about medication use at the interface between hospital and primary care. Citation Text: Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45186/psn-pdf
    June 15, 2017 - Patient and family empowerment as agents of ambulatory care safety and quality. June 15, 2017 Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. https://psnet.ahrq.gov/issue/patient-and-f…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48188/psn-pdf
    August 14, 2019 - Analysis of human performance deficiencies associated with surgical adverse events. August 14, 2019 Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2019;2(7):e198067. doi:10.1001/jamanetworkopen.2019.8067. https://psnet.ahr…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39550/psn-pdf
    July 05, 2013 - A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. July 5, 2013 Nurok M, Lipsitz S, Satwicz P, et al. A novel method for reproducibly measuring the eff…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45010/psn-pdf
    March 30, 2016 - Most dangerous time at the hospital? It may be when you leave. March 30, 2016 Khullar D. New York Times. March 17, 2016. https://psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave Preventing readmissions after hospital discharge is a national policy priority. This newspaper article discuss…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861762/psn-pdf
    January 31, 2024 - Responding to medical errors — implementing the modern ethical paradigm. January 31, 2024 Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554. https://psnet.ahrq.gov/issue/responding-medical-errors-implemen…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39237/psn-pdf
    April 14, 2011 - Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. April 14, 2011 Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. BMC Med Inform…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866406/psn-pdf
    July 31, 2024 - Impact of a daily huddle on safety in perioperative services. July 31, 2024 Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. https://psnet.ahrq.gov/issue/impact-daily-huddle-s…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46374/psn-pdf
    August 30, 2017 - Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. August 30, 2017 Hamilton WL. https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction- perioperative-unit Miscommunication during care transitions can contribute to medical e…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74006/psn-pdf
    October 27, 2021 - Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. October 27, 2021 Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm J Qual Patient Saf. 2021;47(12…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74693/psn-pdf
    January 26, 2022 - Including the reason for use on prescriptions sent to pharmacists: scoping review. January 26, 2022 Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325. https://psnet.ahrq.gov/issue/including-re…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38143/psn-pdf
    February 18, 2011 - A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. February 18, 2011 Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72472/psn-pdf
    November 18, 2020 - Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. November 18, 2020 Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:103636. doi:10.1016/j.ijnurstu.2…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72852/psn-pdf
    March 17, 2021 - Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. March 17, 2021 Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341. doi:10.1542/hpeds.2020- 000174.…
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