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  1. Psn-Pdf (pdf file)

    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 …
  2. 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 …
  3. Psn-Pdf (pdf file)

    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…
  4. 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…
  5. 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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. 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 …
  9. Psn-Pdf (pdf file)

    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. …
  10. 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…
  11. 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…
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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 …
  14. Psn-Pdf (pdf file)

    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…
  15. 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…
  16. psnet.ahrq.gov/web-mm/falling-between-cracks-software
    March 09, 2011 - The Office of the National Coordinator for Health Information Technology (ONC).
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33695/psn-pdf
    April 01, 2010 - Roberts, MSData Coordinator Iowa Healthcare Collaborative Marcia M.
  18. psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
    March 30, 2016 - Jason Bergsbaken, PharmD Pharmacy Coordinator, Regional Oncology Services UW Health Madison, WI
  19. 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
  20. Psn-Pdf (pdf file)

    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

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