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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.…
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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 patient … discharge.
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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…
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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…
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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…
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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…
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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…
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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, …
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - Management
November 1, 2011
Patient Safety Primers
Discharge … Planning and Transitions of Care
March 25, 2020
WebM&M Cases
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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
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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…
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psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
February 06, 2008 - Newspaper/Magazine Article
The best medicine for fixing the modern hospital.
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December 12, 2012
View more articles from the same auth…
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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, discharge … planning, patient (and family/caregiver) discharge education, health and general literacy awareness,
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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.
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Format:
Google Scholar B…
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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 patient … discharge.
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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…
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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.
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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…
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - Virtual
hospitalists also conducted discharge planning and provided bereavement support and staffing
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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…