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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838325/psn-pdfOctober 12, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. October 12, 2022 Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232. https://psnet.ahrq.gov/issue/comprehensive-healthcare… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46830/psn-pdfMay 30, 2018 - A call to bridge across silos during care transitions. May 30, 2018 Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44412/psn-pdfAugust 26, 2015 - Blame the patient, blame the doctor or blame the system? A meta-synthesis of qualitative studies of patient safety in primary care. August 26, 2015 Daker-White G, Hays R, McSharry J, et al. Blame the Patient, Blame the Doctor or Blame the System? A Meta-Synthesis of Qualitative Studies of Patient Safety in Primary… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851356/psn-pdfJuly 12, 2023 - Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. July 12, 2023 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):373-383. doi:10.1016/j.jcjq.2023.05.006.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34957/psn-pdfFebruary 28, 2011 - Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. February 28, 2011 Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005;142(8):700-708. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853612/psn-pdfSeptember 20, 2023 - Pharmacy e-prescription dispensing before and after CancelRx implementation. September 20, 2023 Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46260/psn-pdfJuly 26, 2017 - ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017 American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2016;128:e237-e240. https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852283/psn-pdfJanuary 01, 2024 - Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. August 9, 2023 Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867018/psn-pdfOctober 23, 2024 - Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. October 23, 2024 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. 2024;Epub Aug 9. doi:10.1111/jan.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60603/psn-pdfJune 17, 2020 - Promoting psychosocial well-being of health care staff during crisis. June 17, 2020 Promoting psychosocial well-being of health care staff during crisis. https://psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis Effective practice in times of crisis is reliant on a workforce th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72785/psn-pdfJuly 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). July 22, 2024 Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266. https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847539/psn-pdfApril 12, 2023 - Potential uses of AI for perioperative nursing handoffs: a qualitative study. April 12, 2023 King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015. https://psnet.ahrq.gov/issue/potential-uses-ai-perio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33721/psn-pdfNovember 01, 2011 - Lesson from the VA's Team Training Program November 1, 2011 Neily J, Mills PD, Paull DE, et al. Lesson from the VA's Team Training Program . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/lesson-vas-team-training-program Perspective Introduction The Veterans Health Administration (VHA) National Center… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49593/psn-pdfOctober 01, 2009 - Who Nose Where the Airway Is? October 1, 2009 Lee CR. Who Nose Where the Airway Is? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/who-nose-where-airway The Case A 70-year-old man with peripheral vascular disease was brought to the operating room to undergo vascular bypass surgery on his right upper extrem… -
psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancyNovember 25, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy Citation Text: Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865413/psn-pdfMarch 27, 2024 - Daily internal meetings with leadership are critical to communicating between critical leads, such as -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836988/psn-pdfApril 27, 2022 - Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. April 27, 2022 Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. doi:10.1136/bmjqs-2021-014361. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60304/psn-pdfJanuary 01, 2021 - Patients' perspectives of diagnostic error: a qualitative study. May 6, 2020 Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74080/psn-pdfJanuary 01, 2022 - The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021 Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837044/psn-pdfMay 04, 2022 - How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. May 4, 2022 Doty MM, Horstman C, Shah A et al. Issue Brief. New York, NY: Commonwealth Fund: April 2022. https://psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health- sys…
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