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psnet.ahrq.gov/node/41234/psn-pdf
July 02, 2014 - The patient handoff: a comprehensive curricular blueprint
for resident education to improve continuity of care.
July 2, 2014
Wohlauer M, Arora V, Horwitz LI, et al. The patient handoff: a comprehensive curricular blueprint for
resident education to improve continuity of care. Acad Med. 2012;87(4):411-8.
doi:10.109…
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - experience and expertise evolve, the frequency of pediatric
procedural sedation outside the operating room continues … acknowledging that the readback was correct, or making
a correction.
– The readback/hearback process continues
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psnet.ahrq.gov/node/40098/psn-pdf
December 18, 2014 - Iatrogenic events in neonates: beneficial effects of
prevention strategies and continuous monitoring.
December 18, 2014
Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and
continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…
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psnet.ahrq.gov/node/42637/psn-pdf
December 29, 2014 - Approaches for improving continuity of care in
medication management: a systematic review.
December 29, 2014
Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication
management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. doi:10.1093/intqhc/mzt032.
https…
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psnet.ahrq.gov/node/41183/psn-pdf
February 29, 2012 - Increasing the use of 'smart' pump drug libraries by
nurses: a continuous quality improvement project.
February 29, 2012
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement
project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/01.NAJ.0000410360.20567.55.
https://p…
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psnet.ahrq.gov/node/38371/psn-pdf
January 28, 2009 - Continuous monitoring of adverse events: influence on
the quality of care and the incidence of errors in general
surgery.
January 28, 2009
Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care
and the incidence of errors in general surgery. World J Surg. 2009;33…
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Progress has been and continues to be made to improve the safety of heparin therapy in inpatient settings
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psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
September 27, 2016 - Commentary
Reducing continuous intravenous medication errors in an intensive care unit.
Citation Text:
OʼByrne 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.
Copy …
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psnet.ahrq.gov/node/37733/psn-pdf
June 13, 2011 - Survey of medication documentation at hospital
discharge: implications for patient safety and continuity
of care.
June 13, 2011
Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge:
implications for patient safety and continuity of care. Ir J Med Sci. 2008;177(2):93-7. doi…
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psnet.ahrq.gov/node/41699/psn-pdf
July 08, 2016 - Best Care at Lower Cost: The Path to Continuously
Learning Health Care in America.
July 8, 2016
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in
America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.
https://psnet.ahr…
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psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
March 01, 2005 - Are Two Insulin Pumps Better Than One?
Citation Text:
Cook CB. Are Two Insulin Pumps Better Than One?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndN…
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psnet.ahrq.gov/node/35182/psn-pdf
April 11, 2011 - Standard drug concentrations and smart-pump
technology reduce continuous-medication-infusion errors
in pediatric patients.
April 11, 2011
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce
continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - In tension pneumothorax, air continues to leak into the pleural space until the pleural pressure rises
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - and accurate communication across providers
and that it should not be overlooked as the use of HIT continues
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - Take-Home Points Disruptive behavior continues to be a major problem in hospital settings, creating
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - significant decline in nursing home admissions, health care utilization after entering long-term care continues
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psnet.ahrq.gov/node/39334/psn-pdf
March 03, 2010 - The impact of prolonged continuous wakefulness on
resident clinical performance in the intensive care unit: a
patient simulator study.
March 3, 2010
Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical
performance in the intensive care unit: a patient simulator st…
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psnet.ahrq.gov/node/39601/psn-pdf
June 16, 2010 - Impact of computerized orders for pediatric continuous
drug infusions on detecting infusion pump programming
errors: a simulated study.
June 16, 2010
Sowan AK, Gaffoor MI, Soeken K, et al. Impact of Computerized Orders for Pediatric Continuous Drug
Infusions on Detecting Infusion Pump Programming Errors: A Simulat…
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psnet.ahrq.gov/node/44877/psn-pdf
April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication
Continuation and Prescribing Practices.
April 27, 2016
Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16-
158.
https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-
pre…
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psnet.ahrq.gov/node/40303/psn-pdf
May 16, 2019 - Safer Hospital Care: Strategies for Continuous
Innovation, Second Edition.
May 16, 2019
Raheja D. New York, NY: Productivity Press; 2019. ISBN: 9780367178482
https://psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
This publication provides various strategies to drive innovation in patient…