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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - Patients' perceptions of safety if interpersonal continuity
of care were to be disrupted.
March 11, 2009
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care
were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.1111/j.1369-7625.2008.00503.x.
https://…
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psnet.ahrq.gov/node/33900/psn-pdf
December 06, 2011 - Patient Safety: Supporting a Culture of Continuous
Quality Improvement in Hospitals and Other Health Care
Organizations.
December 6, 2011
Clancy CM, Agency for Health Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-
and-other-heal…
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - elders, accounting for an estimated $7.2 billion in health expenditures in 2001.( 3 ) As a result of continued … First, the continued use of PIM in older adults remains a problem and dramatically increases the likelihood
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Given the continued challenge in demonstrating best practices associated with improving care transitions … to the Centers for Medicare & Medicaid Services asked for immediate action, which should stimulate continued
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - He continued the anti-retroviral HIV medications for which he had refills. … sensitivity but high specificity as a diagnostic test).( 5 ) Of interest, he indicates that he has continued
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psnet.ahrq.gov/node/49809/psn-pdf
October 01, 2017 - Despite the treatment, the
TSB level continued to climb, reaching 18 mg/dL (308 ?mol/L). … appropriate phototherapy has decreased the need for such risk-laden exchange transfusions, although
continued
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - This was helpful in
keeping sites on track with continued implementation. … leadership in the program at the learning session and encouraged
them to remain involved to promote continued
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - The patient's blood pressure continued to trend downward to 60/40 mm Hg. … was transferred to the CCU in critical condition.
6
Case: Challenges in Sepsis Diagnosis (4)
He continued
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - The physician did not see the form, and the patient continued to
receive thickened liquids. … order to the time the diagnostic test results or consult is
reviewed and an order for NPO status is continued
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psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - treatment with
intravenous (IV) amphotericin (an antifungal drug), and broad-spectrum antibiotics were continued … The patient who had received the
drug continued to require hemodialysis for several more days.
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psnet.ahrq.gov/node/44411/psn-pdf
May 09, 2017 - Separating residents' inpatient and outpatient
responsibilities: improving patient safety, learning
environments, and relationships with continuity patients.
May 9, 2017
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities:
Improving Patient Safety, Learning Environmen…
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psnet.ahrq.gov/node/49776/psn-pdf
November 01, 2016 - Continuity Errors in Resident Clinic
November 1, 2016
Warm EJ. Continuity Errors in Resident Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
The Case
A 32-year-old woman presented to internal medicine clinic for evaluation of headaches and difficulty
concentrating. …
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psnet.ahrq.gov/node/38561/psn-pdf
April 15, 2009 - Health-Care–Associated Infections in Hospitals:
Continuing Leadership Needed from HHS to Prioritize
Prevention Practices and Improve Data on These
Infections.
April 15, 2009
Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office,
GAO-09-516T (March 18, 2009)
https://psnet.…
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psnet.ahrq.gov/node/43341/psn-pdf
July 23, 2014 - Effectiveness of different nursing handover styles for
ensuring continuity of information in hospitalised
patients.
July 23, 2014
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring
continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…
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psnet.ahrq.gov/node/42346/psn-pdf
June 10, 2018 - Fatal PCA adverse events continue to happen...better
patient monitoring is essential to prevent harm.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3.
https://psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-
prevent-harm
Describi…
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psnet.ahrq.gov/node/34648/psn-pdf
April 21, 2015 - Gaps in the continuity of care and progress on patient
safety.
April 21, 2015
Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ.
2000;320(7237):791-4.
https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
This commentary discusses the concept o…
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psnet.ahrq.gov/node/42962/psn-pdf
September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite
Efforts to Help Ensure Product Availability.
September 7, 2016
Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14-
194.
https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…
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psnet.ahrq.gov/node/38900/psn-pdf
January 03, 2017 - Dropping the baton during the handoff from emergency
department to primary care: pediatric asthma continuity
errors.
January 3, 2017
Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary
care: pediatric asthma continuity errors. Jt Comm J Qual Patient Saf. 2009;35(9):467…
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psnet.ahrq.gov/node/46159/psn-pdf
May 31, 2017 - Despite technology, verbal orders persist, read back is
not widespread, and errors continue.
May 31, 2017
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4.
https://psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-
errors-continue
Verbal orders are kno…
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psnet.ahrq.gov/node/44505/psn-pdf
January 22, 2016 - Reducing continuous intravenous medication errors in an
intensive care unit.
January 22, 2016
O?Byrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care
Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144.
https://psnet.ahrq.gov/issue/reducing-conti…