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4301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44636/psn-pdf
      November 04, 2015 - The most crucial half-hour at a hospital: the shift change. November 4, 2015 Landro L. https://psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change Information exchange can be challenging when nurses hand off care responsibilities at the end of their shifts. This news article discusses bedside shift r…

4302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46198/psn-pdf
      August 16, 2017 - Challenging authority during an emergency—the effect of a teaching intervention. August 16, 2017 Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.0000000000002450. https://psnet.ahrq.gov/…

4303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40184/psn-pdf
      December 29, 2014 - Non-emergency patient transport: what are the quality and safety issues? A systematic review. December 29, 2014 Hains IM, Marks A, Georgiou A, et al. Non-emergency patient transport: what are the quality and safety issues? A systematic review. Int J Qual Health Care. 2011;23(1):68-75. doi:10.1093/intqhc/mzq076. ht…

4304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39749/psn-pdf
      August 11, 2010 - An evaluation of information transfer through the continuum of surgical care: a feasibility study. August 11, 2010 Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:10.1097/SLA.0b013e3181e986df. http…

4305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38200/psn-pdf
      November 05, 2008 - Measuring mobile patient safety information system success: an empirical study. November 5, 2008 Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. https://psnet.ahrq.gov/issue/measuring-mobile…

4306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/858324/psn-pdf
      December 13, 2023 - Many people of color worry good health care is tied to their appearance. December 13, 2023 DeGuzman C. KFF Health News. December 5, 2023 https://psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance Racial and ethnic bias permeates medical interactions to detract from safe and effecti…

4307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41791/psn-pdf
      December 04, 2016 - Managing the after effects of serious patient safety incidents in the NHS: an online survey study. December 4, 2016 Pinto A, Faiz O, Vincent CA. Managing the after effects of serious patient safety incidents in the NHS: an online survey study. BMJ Qual Saf. 2012;21(12):1001-8. doi:10.1136/bmjqs-2012-000826. https:…

4308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41822/psn-pdf
      November 07, 2012 - A case of adverse drug reaction induced by dispensing error. November 7, 2012 Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026. https://psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced…

4309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50784/psn-pdf
      January 08, 2020 - Improving Quality of Care and Patient Outcomes During Care Transitions (R01). January 8, 2020 Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068. https://psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01 Communication during patient tra…

4310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43123/psn-pdf
      August 04, 2015 - Redesigning surgical decision making for high-risk patients. August 4, 2015 Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. https://psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patient…

4311. Guide Promotional Postcard (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
      April 01, 2018 - Guide Promotional Postcard Did you know...Patient safety issues in primary care are real. Annually, 1 in 20 outpatients experiences a diagnostic error 55% of patients said diagnostic errors were a chief concern in outpatient visits 1 in 9 ED admissions are related to an adverse drug event An estimated …

4312. Use of electronic communication with clinicians among cancer survivors: Health Information National Trend Survey in 2019 and 2020. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/patient-engagement-reporting-medication-events-during-transitions-care/citation/use
      January 01, 2023 - Use of electronic communication with clinicians among cancer survivors: Health Information National Trend Survey in 2019 and 2020. Citation Cho Y, Yang R, Gong Y, Jiang Y. Use of electronic communication with clinicians among cancer survivors: Health Information National Trend Survey in 2019 and 2020.…

4313. Final Progress Report: Cancer Patient Safety Learning Laboratory (CaPSLL): Preventing Clinical Deterioration in Outpatients (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/weinger-france-report.pdf
      January 01, 2024 - workflow, clinician and patient workload, patient-centered teamwork, bi-directional and closed-loop communications

4314. Antibiotics-Respiratory-Infection Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/antibiotics-respiratory-infection_executive.pdf
      January 01, 2016 - 1 Comparative Effectiveness Review Number 163 Improving Antibiotic Prescribing for Uncomplicated Acute Respiratory Tract Infections Executive Summary Introduction Antibiotics transformed the practice of medicine in the last half of the 20th century. With antibiotics, common infections and injuries that w…

4315. Provider Experiences with and Perceptions of Current Patients' Use of Email Communication with Their Doctor | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/provider-experiences-and-perceptions
      January 01, 2023 - Provider Experiences with and Perceptions of Current Patients' Use of Email Communication with Their Doctor This is a questionnaire designed to be completed by physicians in an ambulatory setting. The tool includes questions to assess user's perceptions of personal health records and secure messaging. …

4316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72865/psn-pdf
      March 17, 2021 - 5 pandemic mistakes we keep repeating. We can learn from our failures. March 17, 2021 Zeynep Tufekci. The Atlantic. February 26, 2021 https://psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures Failures in communication have impacts on patients, teams, organizations and society. Th…

4317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838142/psn-pdf
      September 21, 2022 - A health system that won't learn from its mistakes. September 21, 2022 Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. doi:10.1377/hlthaff.2022.00581. https://psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes Communication failures due to hierarch…

4318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43297/psn-pdf
      June 25, 2014 - The limits of checklists: handoff and narrative thinking. June 25, 2014 Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705. https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking Communicatio…

4319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60698/psn-pdf
      July 15, 2020 - Older Adults and COVID-19: Implications for Aging Policy and Practice. July 15, 2020 Miller EA, ed. J Aging Soc Policy. 2020;32(4-5):297-535. https://psnet.ahrq.gov/issue/older-adults-and-covid-19-implications-aging-policy-and-practice The COVID-19 crisis has disproportionally impacted the lives of older adul…

4320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50780/psn-pdf
      January 08, 2020 - An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. January 8, 2020 Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):500-508. doi:10.1097/anc.00000000…