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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - Patient Safety in Primary Care
February 21, 2020
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-primary-care
Introduction
A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
September 10, 2014 - Book/Report
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020.
Citation Text:
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Washington, DC: Veterans Affairs Office of Inspector General; August …
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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/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
March 16, 2022 - Book/Report
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA.
Citation Text:
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…
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psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
July 29, 2020 - Study
Determinants of patient-reported medication errors: a comparison among seven countries.
Citation Text:
Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…
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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/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/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients
August 31, 2016 - Book/Report
Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients.
Citation Text:
Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. London, UK: Parliamentary and Health Service Ombudsman; 2017. ISBN: 9781528601344.
Copy Citation
…
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psnet.ahrq.gov/node/866554/psn-pdf
August 21, 2024 - Multi-team shared expectations tool (MT-SET): an
exercise to improve teamwork across health care teams.
August 21, 2024
Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to
improve teamwork across health care teams. Jt Comm J Qual Patient Saf. 2024;50(10):737-744.
…
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psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
January 03, 2017 - Study
Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).
Citation Text:
Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, valid…
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psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee
November 29, 2023 - Book/Report
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee.
Citation Text:
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Washington, DC: Department of Veterans Affairs, Office of Inspector…
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Pregnancy
Program built relationships with rural practitioners through a full-time, dedicated outreach
coordinator … The outreach coordinator emphasized that providers
would retain their patients, still serving as their
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psnet.ahrq.gov/node/49730/psn-pdf
April 01, 2015 - Transition to Nowhere
April 1, 2015
Farrell TW. Transition to Nowhere. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transition-nowhere
The Case
A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension,
and chronic kidney disease was admitted to the hospital …
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psnet.ahrq.gov/node/73438/psn-pdf
June 30, 2021 - Implementation of patient safety structures and
processes in the patient-centered medical home.
June 30, 2021
Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in
the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339.
doi:10.1097/jhq.000000000…
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psnet.ahrq.gov/issue/home-medication-reviews-novel-approach-improving-patient-care-through-coordination-care
July 01, 2016 - Study
In-home medication reviews: a novel approach to improving patient care through coordination of care.
Citation Text:
Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - The Office of the National Coordinator for Health Information Technology (ONC).
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - Roberts, MSData Coordinator Iowa Healthcare Collaborative
Marcia M.
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - Jason Bergsbaken, PharmD Pharmacy Coordinator, Regional Oncology Services UW Health Madison, WI
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
May 01, 2014 - patients
Coordination of follow-up appointments
Post-discharge telephone calls
Involvement of a care coordinator
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psnet.ahrq.gov/node/49691/psn-pdf
September 01, 2013 - Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for
Health