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psnet.ahrq.gov/node/40940/psn-pdf
December 31, 2011 - New 2011 survey of patients with complex care needs in
eleven countries finds that care is often poorly
coordinated.
December 31, 2011
Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven
countries finds that care is often poorly coordinated. Health Aff (Millwood). 20…
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psnet.ahrq.gov/issue/effectiveness-patient-care-teams-and-role-clinical-expertise-and-coordination-literature
December 17, 2009 - Review
Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.
Citation Text:
Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literat…
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psnet.ahrq.gov/issue/diagnostic-excellence-2024-dex24
July 05, 2013 - United States Meeting/Conference
Diagnostic Excellence 2024 (DEX24).
Citation Text:
University of Minnesota, UCSF Coordinating Center for Diagnostic Excellence. University of Minnesota Masonic Children's Hospital. Diagnostic Excellence 2024 (DEX24). . Minneapolis, MN. October 13-14, 202…
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psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st
July 26, 2023 - Book/Report
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri.
Citation Text:
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…
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psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
September 30, 2020 - Book/Report
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center.
Citation Text:
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…
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psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
July 20, 2012 - Tools/Toolkit
Contemporary View of Medication-Related Harm. A New Paradigm.
Citation Text:
Contemporary View of Medication-Related Harm. A New Paradigm. National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP.
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psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - Three quarters of preventable patient harm stems from
situation awareness breakdowns: recognizing and
addressing the core issue.
February 21, 2024
Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30.
https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-
b…
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psnet.ahrq.gov/node/863004/psn-pdf
February 21, 2024 - The Joint Commission and National Quality Forum
Announce 2023 Eisenberg Award Recipients.
February 21, 2024
Oakbrook Terrace, IL: Joint Commission and National Quality Forum; February 13, 2024.
https://psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2023-eisenberg-award-
recipients
The a…
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
July 13, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020.
Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - Annual Perspective
Patient Safety in Primary Care
February 21, 2020
View more articles from the same authors.
Citation Text:
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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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…
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psnet.ahrq.gov/node/74133/psn-pdf
January 01, 2022 - Predicting avoidable hospital events in Maryland.
December 1, 2021
Henderson M, Han F, Perman C, et al. Predicting avoidable hospital events in Maryland. Health Serv Res.
2022;57(1):192-199. doi:10.1111/1475-6773.13891.
https://psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
With the goal of imp…
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psnet.ahrq.gov/node/44014/psn-pdf
March 20, 2019 - Patient Centered Medical Home Resource Center: Quality
and Safety.
March 20, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…
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psnet.ahrq.gov/node/42612/psn-pdf
July 05, 2016 - Delivering High-Quality Cancer Care: Charting a New
Course for a System in Crisis.
July 5, 2016
Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Addressing
the Challenges of an Aging Population, Institute of Medicine. Washington, DC: National Academies Press;
2013. ISBN: …
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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - Blumenthal is President of the Commonwealth Fund and served as the National
Coordinator for Health Information … How much did you worry about privacy and security when you were head of ONC [Office of the
National Coordinator
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psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
November 23, 2016 - Book/Report
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.
Citation Text:
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…
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psnet.ahrq.gov/node/41819/psn-pdf
November 07, 2012 - Order from Chaos: Accelerating Care Integration.
November 7, 2012
Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012.
https://psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration
This report discusses the need for improved coordination and integration in patient car…
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psnet.ahrq.gov/node/60230/psn-pdf
April 15, 2020 - Optimizing patient safety in clinical trials by improving
transitions of care.
April 15, 2020
Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of
care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001.
https://psnet.ahrq.gov/issue/op…
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psnet.ahrq.gov/node/40165/psn-pdf
December 29, 2014 - Self-reported medical, medication and laboratory error in
eight countries: risk factors for chronically ill adults.
December 29, 2014
Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for
chronically ill adults. Int J Qual Health Care. 2011;23(2):182-6. doi:10.1093/in…
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psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care
May 18, 2022 - Study
Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study.
Citation Text:
Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…