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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73146/psn-pdf
    April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021 Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis Dialysis Care and Patient Safety Concerns In patients with chronic kidney disease, kidney function declines ov…

  2. An Untimely End Despite End-of-Life Care Planning | PSNet

    psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
    February 01, 2012 - An Untimely End Despite End-of-Life Care Planning Citation Text: Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72587/psn-pdf
    December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability December 23, 2020 Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm…

  4. Innovations | PSNet

    psnet.ahrq.gov/innovations
    February 26, 2025 - Innovations The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865413/psn-pdf
    March 27, 2024 - Organizations should prepare for the loss of communications as well and understand the protocol for … Of course, these processes also promote the necessary communications during these trying events. … with leadership are critical to communicating between critical leads, such as IT, nursing, safety, communications

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49857/psn-pdf
    March 01, 2019 - handoff methods and tools are available, such as forms and checklists, face-to-face and electronic communications … readmissions.(13) The Joint Commission Targeted Solutions Tool can be used to examine current handoff communications

  7. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet

    psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
    November 27, 2019 - In all communications among healthcare providers, complete dosing units should always be stated. … Reduce distractions and utilize closed-loop communications to reduce risk of errors.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33661/psn-pdf
    December 01, 2007 - A systematic review of discharge communications, conducted by the joint Society of Hospital Medicine … recently provided complementary recommendations about the content, format, and delivery of discharge communications

  9. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet

    psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
    September 09, 2020 - Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications

  10. Rapid Response Systems | PSNet

    psnet.ahrq.gov/curated-library/rapid-response-systems
    September 15, 2024 - contribution of knowledge deficits and cognitive biases to diagnostic errors and the importance of structured communications

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73434/psn-pdf
    June 30, 2021 - practices for radiologists to follow.3 A summary of the Group's findings, in terms of the timing of communications … that may not directly relate to clinical presentation In addition to emphasizing the timeliness of communications

  12. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet

    psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
    May 11, 2019 - practices for radiologists to follow. 3 A summary of the Group's findings, in terms of the timing of communications … not directly relate to clinical presentation In addition to emphasizing the timeliness of communications

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854973/psn-pdf
    October 31, 2023 - The Federal Communications Commission is currently working to support access to digital health through

  14. Duplicate Insulin Order | PSNet

    psnet.ahrq.gov/web-mm/duplicate-insulin-order
    May 04, 2012 - handoff methods and tools are available, such as forms and checklists, face-to-face and electronic communications … readmissions.( 13 ) The Joint Commission Targeted Solutions Tool can be used to examine current handoff communications

  15. Handoff Communication. | PSNet

    psnet.ahrq.gov/issue/handoff-communication
    October 16, 2019 - Special or Theme Issue Handoff Communication. Citation Text: Handoff Communication. APSF Newsletter. October 2017;32:29-56. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  16. Teamwork and Communication. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-communication
    February 06, 2019 - Special or Theme Issue Teamwork and Communication. Citation Text: Teamwork and Communication. Pa Patient Saf Advis. June 2010;7(suppl 2):1-16. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  17. Communication With Consultants | PSNet

    psnet.ahrq.gov/web-mm/communication-consultants
    October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  18. Becoming a Patient Safety Organization | PSNet

    psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - trusted colleagues. 5  The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear

  19. In Conversation with…William B. Munier, MD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
    July 01, 2011 - trusted colleagues. 5  The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49519/psn-pdf
    September 01, 2006 - Goal 2E, which requires all health care providers to "implement a standardized approach to handoff communications … JCAHO's expectations for this goal include interactive communications, up- to-date and accurate information
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