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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38579/psn-pdf
    February 18, 2011 - Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. February 18, 2011 Snow V, Beck D, Budnitz T, et al. Transitio…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867759/psn-pdf
    March 12, 2025 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. March 12, 2025 Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26. ht…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47746/psn-pdf
    July 19, 2019 - Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. July 19, 2019 Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328. https://psn…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837307/psn-pdf
    June 01, 2022 - Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. June 1, 2022 McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring th…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837596/psn-pdf
    June 29, 2022 - Association of patient and family reports of hospital safety climate with language proficiency in the US. June 29, 2022 Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786. doi:10.1001/jamape…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73135/psn-pdf
    April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II. April 14, 2021 Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii Debriefing is a c…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853073/psn-pdf
    August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846150/psn-pdf
    March 15, 2023 - Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. March 15, 2023 Phelan SM, Salinas M, Pankey T, et al. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. Ann Fam Med. 20…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60198/psn-pdf
    April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844994/psn-pdf
    February 22, 2023 - Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. February 22, 2023 Engel FD, da Fonseca GGP, Cechinel-Peiter C, et al. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. J Patient Saf. 2023;19(1):e46-e52. doi:10.1097/pts.0000…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72660/psn-pdf
    January 20, 2021 - An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. January 20, 2021 Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitative prospective study identifying …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73899/psn-pdf
    September 29, 2021 - Lost in Transitions of Care: Managing an Opioid- Dependent Patient with Frequent Hospitalizations September 29, 2021 Tan F, Johl K, Kotova M. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/lost-transitions-care…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849592/psn-pdf
    May 31, 2023 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 https://psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create- customized-prevention Summary Patient falls in hospitals are common and debilitating adverse events that persis…

  14. Chest Tube Complications | PSNet

    psnet.ahrq.gov/web-mm/chest-tube-complications
    September 27, 2023 - Chest Tube Complications Citation Text: Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  15. Acute Care Admission of the Behavioral Health Patient | PSNet

    psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
    July 19, 2023 - Acute Care Admission of the Behavioral Health Patient Citation Text: Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …

  16. The Dropped Lung | PSNet

    psnet.ahrq.gov/web-mm/dropped-lung
    February 06, 2012 - The Dropped Lung Citation Text: Heffner JR. The Dropped Lung. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. A Fumbled Handoff to Inpatient Rehab | PSNet

    psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
    December 21, 2018 - A Fumbled Handoff to Inpatient Rehab Citation Text: Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3…

  18. Patient Safety and Adherence to Self-Administered Medications | PSNet

    psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
    September 29, 2011 - Patient Safety and Adherence to Self-Administered Medications Citation Text: Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49833/psn-pdf
    June 01, 2018 - Perils in Diagnosing a Stroke June 1, 2018 Schindler JL. Perils in Diagnosing a Stroke. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/perils-diagnosing-stroke The Case A 75-year-old man with a history of hypertension, diabetes, chronic back pain, and opioid use disorder was brought to the emergency depart…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50929/psn-pdf
    February 26, 2020 - Discharged with IV antibiotics: When issues arise, who manages the complications? February 26, 2020 Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the complications? PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-…
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