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psnet.ahrq.gov/node/42287/psn-pdf
November 26, 2014 - What do patients think about year-end resident continuity
clinic handoffs?: a qualitative study.
November 26, 2014
Pincavage A, Lee WW, Beiting KJ, et al. What do patients think about year-end resident continuity clinic
handoffs? A qualitative study. J Gen Intern Med. 2013;28(8):999-1007. doi:10.1007/s11606-013-239…
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psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events on general
wards: a systematic review and meta-analysis.
October 28, 2016
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events o…
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psnet.ahrq.gov/node/43927/psn-pdf
December 04, 2015 - Patient safety, resident well-being and continuity of care
with different resident duty schedules in the intensive
care unit: a randomized trial.
December 4, 2015
Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of
care with different resident duty schedules in the …
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psnet.ahrq.gov/node/44569/psn-pdf
October 21, 2015 - Continuing education in patient safety: massive open
online courses as a new training tool.
October 21, 2015
Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety:
Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015;46(10):439-447.
doi:10.3928/00…
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psnet.ahrq.gov/node/45644/psn-pdf
March 15, 2017 - Gender-based differences in surgical residents'
perceptions of patient safety, continuity of care, and well-
being: an analysis from the Flexibility in Duty Hour
Requirements for Surgical Trainees (FIRST) trial.
March 15, 2017
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Differences in Surgical Residents' …
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psnet.ahrq.gov/node/36854/psn-pdf
May 11, 2014 - Ordering of continuous renal replacement therapy in a
computerized provider order entry system.
May 11, 2014
Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR.
https://psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-
entry-system
The authors discuss the development o…
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psnet.ahrq.gov/node/35014/psn-pdf
August 17, 2011 - A team performance measurement model for continuous
improvement.
August 17, 2011
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous
improvement. Total Quality Management & Business Excellence. 2007;16(3).
doi:10.1080/14783360500054129.
https://psnet.ahrq.gov/issue/team-performan…
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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/35954/psn-pdf
August 02, 2010 - Decreasing errors in pediatric continuous intravenous
infusions.
August 2, 2010
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions.
Pediatr Crit Care Med. 2006;7(3):225-30.
https://psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
Th…
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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/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/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/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/web-mm/over-counter-oversight
March 21, 2009 - One study reported that 27% of patients incorrectly continued or discontinued one or more medications … bleeding in patients taking aspirin preoperatively.( 6-8 ) The patient described in this case incorrectly continued
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - relevant to this case presentation, patients with alcoholic liver disease who have stopped drinking have continued … alcohol levels should also be measured upon hospital admission since the presence of alcohol confirms continued
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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/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/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…