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  1. psnet.ahrq.gov/issue/what-patients-think-doctors-know-beliefs-about-provider-knowledge-barriers-safe-medication
    November 26, 2014 - Study What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. Citation Text: Serper M, McCarthy D, Patzer RE, et al. What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. Patient Educ Couns.…
  2. psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
    February 26, 2025 - community partners and tracked updates in a shared database for recording patient progress and needs after patientdischarge.
  3. psnet.ahrq.gov/issue/usability-computerised-drug-monitoring-programme-detect-adverse-drug-events-and-non
    December 21, 2014 - Study Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. Citation Text: Auger C, Forster AJ, Oake N, et al. Usability of a computerised drug monitoring programme to detect adverse drug events and non-comp…
  4. psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
    April 24, 2019 - Study Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. Citation Text: Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process a…
  5. psnet.ahrq.gov/issue/using-targeted-solutions-toolr-improve-emergency-department-handoffs-community-hospital
    April 13, 2022 - Study Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. Citation Text: Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49661/psn-pdf
    August 01, 2012 - Residual Anesthesia: Tepid Burn August 1, 2012 Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn The Case A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula. The pat…
  7. psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
    January 15, 2020 - Journal Article Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths Citation Text: Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification…
  8. psnet.ahrq.gov/periodic-issue/periodic-issue-399
    July 31, 2023 - July 12, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …
  9. psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
    January 29, 2020 - Management November 1, 2011 Patient Safety Primers DischargePlanning and Transitions of Care March 25, 2020 WebM&M Cases
  10. psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost
    May 20, 2009 - In this commentary, AHRQ Director Carolyn Clancy discusses effective patient discharge as an important
  11. psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
    July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. Citation Text: Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…
  12. psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
    February 06, 2008 - Newspaper/Magazine Article The best medicine for fixing the modern hospital. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 12, 2012 View more articles from the same auth…
  13. psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
    September 09, 2013 - interventions span the entire transitional period and include elements of medication reconciliation, dischargeplanning, patient (and family/caregiver) discharge education, health and general literacy awareness,
  14. psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
    August 05, 2009 - Discharge Instructions in the PACU: Who Remembers? Citation Text: Engel KG. Discharge Instructions in the PACU: Who Remembers?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar B…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846922/psn-pdf
    March 29, 2023 - community partners and tracked updates in a shared database for recording patient progress and needs after patientdischarge.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38853/psn-pdf
    January 04, 2010 - Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. January 4, 2010 Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25(1):73-79. doi:10.1097/NCQ.0b013e3…
  17. psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
    December 04, 2019 - Newspaper/Magazine Article How implicit bias harms patient care. Citation Text: How implicit bias harms patient care. Bendix J. Med Econ. November 25, 2019;96(23);10-14. Copy Citation Save Save to your library Print Download PDF Share Faceb…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49813/psn-pdf
    January 01, 2018 - Dying in the Hospital With Advanced Dementia December 1, 2017 Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia Case Objectives Recognize the importance of eliciting patient preferences and go…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836939/psn-pdf
    April 27, 2022 - Virtual hospitalists also conducted discharge planning and provided bereavement support and staffing
  20. psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care-transitions
    December 23, 2011 - Study A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. Citation Text: Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care p…

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