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  1. psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
    November 09, 2022 - Commentary A call for a systems-thinking approach to medication adherence: stop blaming the patient. Citation Text: Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/j…
  2. psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
    August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…
  3. psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
    September 29, 2017 - Study Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. Citation Text: Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49647/psn-pdf
    February 01, 2012 - Assuming a diagnosis of gestational hypertension, the resident initiated discharge planning, including
  5. psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
    January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …
  6. psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
    December 02, 2020 - Study Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Citation Text: Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…
  7. psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
    February 10, 2010 - Residual Anesthesia: Tepid Burn Citation Text: Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…
  8. psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - information into the EHR (or a team list) about patients with long inpatient courses and complex post-dischargeplanning needs.
  9. psnet.ahrq.gov/issue/team-training-medical-students-21st-century-would-flexner-approve
    November 21, 2012 - Commentary Team training of medical students in the 21st century: would Flexner approve? Citation Text: Morrison G, Goldfarb S, Lanken PN. Team training of medical students in the 21st century: would Flexner approve? Acad Med. 2010;85(2):254-9. doi:10.1097/ACM.0b013e3181c8845e. Copy …
  10. psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19
    June 14, 2017 - Commentary How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? Citation Text: Chopra V, Toner E, Waldhorn R, et al. How Should U.S. Hospitals Prepare for Coronavirus Disease 2019 (COVID-19)? Ann Intern Med. 2020;172(9):621-622. doi:10.7326/m20-0907. Copy Citation…
  11. psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
    September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. Citation Text: Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…
  12. psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
    August 01, 2012 - information into the EHR (or a team list) about patients with long inpatient courses and complex post-dischargeplanning needs.
  13. psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing
    May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …
  14. psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services
    August 30, 2023 - Review Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review. Citation Text: DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services i…
  15. psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
    September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…
  16. psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
    April 22, 2020 - Study Parents' understanding of medication at discharge and potential harm in children with medical complexity. Citation Text: Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…
  17. psnet.ahrq.gov/issue/preventable-hospital-admissions-related-medication-harm-cost-analysis-harm-study
    April 27, 2022 - Study Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Citation Text: Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1)…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback February 28, 2024 https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking- and-performance Summary To improve patient care and outcomes in the intensive care unit (ICU…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38411/psn-pdf
    December 16, 2014 - A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. December 16, 2014 Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. https://psnet.ahrq.gov/issue/reengine…
  20. psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
    January 12, 2022 - Study Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors. Citation Text: Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to improve transitions of care for patients …

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