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  1. Quality and patient safety teams in the perioperative setting. | PSNet

    psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
    October 19, 2022 - Commentary Quality and patient safety teams in the perioperative setting. Citation Text: Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. Copy Citation Format: DOI Google Scholar PubMed Bib…

  2. Learning and sharing safety lessons to improve patient care. | PSNet

    psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
    August 07, 2019 - Commentary Learning and sharing safety lessons to improve patient care. Citation Text: Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). doi:10.7748/ns.20.18.49.s52. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  3. Talking with Patients and Families about Medical Error: A Guide for Education and Practice. | PSNet

    psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
    July 24, 2019 - Book/Report Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Citation Text: Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…

  4. Recognizing and managing errors of cognitive underspecification. | PSNet

    psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
    November 14, 2018 - Commentary Recognizing and managing errors of cognitive underspecification. Citation Text: Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. Copy Citation Format: DOI Google Scholar …

  5. One system's journey in creating a disclosure and apology program. | PSNet

    psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
    May 27, 2011 - Commentary One system's journey in creating a disclosure and apology program. Citation Text: Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. Copy Citation Format: …

  6. Preventing vincristine administration errors: does evidence support minibag infusions? | PSNet

    psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
    January 01, 2008 - Commentary Preventing vincristine administration errors: does evidence support minibag infusions? Citation Text: Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …

  7. Improving patient safety through transparency. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
    September 04, 2024 - Commentary Improving patient safety through transparency. Citation Text: Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  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. 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

  17. 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

  18. 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

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49579/psn-pdf
    March 21, 2009 - Safety Goal 2E requires all health care providers to "implement a standardized approach to handoff communications … of care in the ED should follow the Joint Commission standardized guidelines for effective handoff communications

  20. Triple Handoff | PSNet

    psnet.ahrq.gov/web-mm/triple-handoff
    March 01, 2004 - 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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