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  1. psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - Health Plan Patient Safety Initiatives Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Helwig A, Sousane Z, Mossburg S. Health Plan Patient S…
  2. psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization
    December 01, 2021 - Study Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. Citation Text: Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…
  3. psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
    October 21, 2016 - Book/Report National Action Plan to Improve Health Literacy. Citation Text: National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.   Copy Citation Save Save to your library Pri…
  4. psnet.ahrq.gov/issue/investigation-electronic-prescribing-and-medicines-administration-systems-and-safe-discharge
    April 01, 2019 - Book/Report Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. Citation Text: Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. Farnborough, UK: Healthcare Safety Investigation Branch; Octobe…
  5. psnet.ahrq.gov/issue/rx-medication-errors
    July 19, 2023 - Newspaper/Magazine Article Rx for medication errors. Citation Text: Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8. Copy …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50754/psn-pdf
    December 18, 2019 - "Do You Want Everything Done?": Clarifying Code Status December 18, 2019 Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status Disclosure of Relevant Financial Relationships: As a p…
  7. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
    January 01, 2021 - Spotlight Spotlight Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Source and Credits • This presentation is based on the April 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Verna Gibbs, MD o AHRQ W…
  8. psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
    November 15, 2023 - Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 7, 2021 Innovation…
  9. psnet.ahrq.gov/web-mm/mobility-lost-icu
    August 01, 2018 - Acute care physical therapy examination and discharge planning. In: Malone DJ, Lindsay KLB, eds.
  10. psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
    March 27, 2024 - SPOTLIGHT CASE "Do You Want Everything Done?": Clarifying Code Status Citation Text: Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. …
  11. psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
    January 07, 2015 - Study Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. Citation Text: Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - Handoffs June 15, 2024 Handoffs and Signouts. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/handoffs 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. Backgroun…
  13. psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-30-day-returns-hospital-randomized
    September 15, 2021 - Study Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial. Citation Text: Ceschi A, Noseda R, Pironi M, et al. Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical t…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846170/psn-pdf
    March 15, 2023 - reports/engage/interventions/teachback.html https://psnet.ahrq.gov//#6 https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
  15. psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
    January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
  16. psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
    December 06, 2023 - Study Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. Citation Text: Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of …
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
    November 01, 2010 - participants should be able to: Understand types and frequencies of adverse events occurring between patientdischarge from the hospital and first outpatient appointment.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49840/psn-pdf
    September 01, 2018 - interventions span the entire transitional period and include elements of medication reconciliation, dischargeplanning, patient (and family/caregiver) discharge education, health and general literacy awareness
  19. psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
    December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…
  20. psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
    April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

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