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psnet.ahrq.gov/node/46361/psn-pdf
May 23, 2018 - Inadequate hand-off communication.
May 23, 2018
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
https://psnet.ahrq.gov/issue/inadequate-hand-communication
The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety
issues and provide guidelines fo…
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Getting Started with This Innovation
Define desired outcomes and target population: Program leaders … need to define what success looks like in their organizations and determine early what population will
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Concept sheets define all key terms and note which items should be included or excluded. 2 A unique
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psnet.ahrq.gov/node/46843/psn-pdf
June 21, 2018 - Electronic health record reviews to measure diagnostic
uncertainty in primary care.
June 21, 2018
Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in
primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912.
https://psnet.ahrq.gov/issue/elect…
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psnet.ahrq.gov/node/43802/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour
reforms with mortality and readmissions among
hospitalized Medicare patients.
August 2, 2015
Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with
mortality and readmissions among hospitalized Medicare patients. JAMA. 201…
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - Reasoning: The ability to compare and infer consequences of choices. 5
The first course of action is to define … More recently, a new consensus has emerged to define palliative care as specialized medical care for
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Started with This Innovation
https://caretransitions.health/
https://caretransitions.health/training
Define … desired outcomes and target population: Program leaders need to define what success
looks like in their
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psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - To design a robust medication reconciliation process, first define steps involved and decide who should
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Case Objectives
Define elopement and differentiate it from wandering and leaving against medical
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - https://psnet.ahrq.gov/web-mm/compare-and-contrast
Case Objectives
Define contrast nephropathy (CN)
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Approach
19
20
Systems Change Needed (1)
• When there is shared responsibility, need to clearly define
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - safety movement were devoted to developing evidence-based standards,
synthesizing existing research to define
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - the spread of
infectious disease via intravenous injection
The objective of this acuity scale is to define
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.92_slideshow.ppt
April 01, 2005 - MS
Objectives
At the conclusion of this educational activity, participants should be able to:
Define
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - 2
3
Objectives
At the conclusion of this educational activity, participants should be able to:
Define
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - Credits
Objectives
At the conclusion of this educational activity, participants should be able to:
Define
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.287_slideshow.ppt
December 01, 2012 - *
Objectives
At the conclusion of this educational activity, participants should be able to:
Define
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - Credits
2
Objectives
At the conclusion of this educational activity, participants should be able to:
Define
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - MS
Objectives
At the conclusion of this educational activity, participants should be able to:
Define
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient …