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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38817/psn-pdf
    April 04, 2011 - Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. April 4, 2011 Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. J Gen Intern Med. 2009;24(9)…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46491/psn-pdf
    August 20, 2018 - A qualitative study of speaking out about patient safety concerns in intensive care units. August 20, 2018 Tarrant C, Leslie M, Bion J, et al. A qualitative study of speaking out about patient safety concerns in intensive care units. Soc Sci Med. 2017;193:8-15. doi:10.1016/j.socscimed.2017.09.036. https://psnet.ah…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39031/psn-pdf
    March 23, 2011 - Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. March 23, 2011 Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Qual …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47875/psn-pdf
    July 19, 2019 - Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. July 19, 2019 Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a syste…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38710/psn-pdf
    September 14, 2009 - Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. September 14, 2009 Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster rando…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43687/psn-pdf
    November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…

  8. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
    February 01, 2014 - In Conversation With… Enrico Coiera, MB, BS, PhD February 1, 2014  Also Read an Essay Citation Text: In Conversation With… Enrico Coiera, MB, BS, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…

  9. Dying in the Hospital With Advanced Dementia | PSNet

    psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
    November 01, 2016 - SPOTLIGHT CASE Dying in the Hospital With Advanced Dementia Citation Text: Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Ci…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838197/psn-pdf
    September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022 Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. PSNet [internet]. 2022. https://psnet.…

  11. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841493/psn-pdf
    December 14, 2022 - Telehealth and Patient Safety. December 14, 2022 O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/telehealth-and-patient-safety Background In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications techno…

  13. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
    October 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case October 2007 Do Not Disturb! Source and Credits This presentation is based on the October 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…

  14. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet

    psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
    October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 25, 2021 Innova…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49560/psn-pdf
    April 01, 2008 - The Wrongful Resuscitation April 1, 2008 Teno JM. The Wrongful Resuscitation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/wrongful-resuscitation The Case   An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee amputations, and poor quality of life had previously been r…

  16. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
    January 01, 2020 - Spotlight Spotlight Discharged with IV antibiotics: When issues arise, who manages the complications? Source and Credits • This presentation is based on the February 2020 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Monica Donnel…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49724/psn-pdf
    January 01, 2015 - Bowel Injury After Laparoscopic Surgery January 1, 2015 Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery The Case A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853080/psn-pdf
    August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges August 30, 2023 Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…

  19. Rescue Improvement Conference Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 23, 2024 - Rescue Improvement Conference Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 23, 2024 View more articles from the same authors. Innovation Contact …

  20. Fumbled Handoff | PSNet

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