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201. In Conversation with Edwin Boudreaux about Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
     March 25, 2025 - essential to maintaining patient safety, as suicide rates spike in the days after discharge. 17 Effective discharge … planning involves confirming that a robust safety plan is in place, 18 providing clear crisis resources

202. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. | PSNet
     psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
     October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…

203. How implicit bias harms patient care. | PSNet
     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…

204. Implementing a distraction-free practice with the Red Zone Medication Safety initiative. | PSNet
     psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
     November 16, 2022 - Commentary Implementing a distraction-free practice with the Red Zone Medication Safety initiative. Citation Text: Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…

205. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
     January 01, 2019 - Spotlight Spotlight "Do You Want Everything Done?": Clarifying Code Status Source and Credits • This presentation is based on the December 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus M…

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844988/psn-pdf
     February 22, 2023 - Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023 Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j.jcjq.2022.11.002. https://psn…

207. Pharmacist's Role in Medication Safety | PSNet
     psnet.ahrq.gov/primer/pharmacists-role-medication-safety
     March 14, 2018 - Pharmacist's Role in Medication Safety Citation Text: The Pharmacist's Role in Medication Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7…

208. Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study. | PSNet
     psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
     September 05, 2018 - Study Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study. Citation Text: Kirwan G, O’Leary A, Walsh C, et al. Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study…

209. Leading change: why transformation efforts fail. | PSNet
     psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
     March 03, 2021 - Commentary Classic Leading change: why transformation efforts fail. Citation Text: Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Copy Citation Save Save to your library …

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33572/psn-pdf
     December 15, 2024 - Checklists December 15, 2024 Checklists. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/checklists 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 safety field. Last reviewed in 2024. Background …

211. 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…

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50929/psn-pdf
     February 26, 2020 - Discharged with IV antibiotics: When issues arise, who manages the complications? February 26, 2020 Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the complications? PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-…

213. Discharged with IV antibiotics: When issues arise, who manages the complications? | PSNet
     psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
     October 10, 2017 - SPOTLIGHT CASE Discharged with IV antibiotics: When issues arise, who manages the complications? Citation Text: Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the complications?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

214. The Unhappy Patient Leaves Against Medical Advice. | PSNet
     psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
     January 31, 2024 - The Unhappy Patient Leaves Against Medical Advice. Citation Text: Nichols A. The Unhappy Patient Leaves Against Medical Advice.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar …

215. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. | PSNet
     psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
     December 18, 2013 - Study "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Citation Text: Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…

216. 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 patient … discharge.

217. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet
     psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
     March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 Innovation Contact …

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846127/psn-pdf
     March 15, 2023 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists March 15, 2023 Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among- spec…

219. A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic | PSNet
     psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
     October 30, 2024 - Virtual hospitalists also conducted discharge planning and provided bereavement support and staffing

220. What cannot be said on television about health care. | PSNet
     psnet.ahrq.gov/issue/what-cannot-be-said-television-about-health-care
     January 10, 2018 - Commentary What cannot be said on television about health care. Citation Text: Emanuel EJ. What Cannot Be Said on Television About Health Care. JAMA. 2007;297(19). doi:10.1001/jama.297.19.2131. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…