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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
January 01, 2009 - Spotlight Case July 2008
Spotlight Case January 2009
To Transfer or Not to Transfer
Source and Credits
This presentation is based on the January 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jesse M. Pines, MD, MBA, MSCE
University o…
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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/60561/psn-pdf
June 03, 2020 - Not sick enough to worry? "Influenza-like" symptoms and
work-related behavior among healthcare workers and
other professionals: results of a global survey.
June 3, 2020
Tartari E, Saris K, Kenters N, et al. Not sick enough to worry? "Influenza-like" symptoms and work-related
behavior among healthcare workers and o…
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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/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/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/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/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/61078/psn-pdf
October 28, 2020 - Inpatient Stroke Management in an Adolescent with Type
1 Diabetes and Home Insulin Pump
October 28, 2020
Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1
Diabetes and Home Insulin Pump . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/inpatient-stroke-management…
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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/35301/psn-pdf
December 01, 2022 - Guiding Principles to Achieve Continuity in Medication
Management.
December 1, 2022
Department of Health and Aged Care. Canberra ACT: Commonwealth of Australia; 2022. ISBN 978-1-
76007-471-5.
https://psnet.ahrq.gov/issue/guiding-principles-achieve-continuity-medication-management
Originally published in 2005, the…
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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/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/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/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/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…