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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39821/psn-pdf
    July 16, 2014 - Performance of a fail-safe system to follow up abnormal mammograms in primary care. July 16, 2014 Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. https://psnet.ahrq.gov/issue/performance-fail-safe-system-fol…

  2. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
    October 01, 2011 - Spotlight Case [MONTH] 2003 Spotlight Case Mobility Lost in the ICU * * Source and Credits This presentation is based on the October 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33569/psn-pdf
    June 15, 2024 - Readmissions and Adverse Events After Discharge June 15, 2024 Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that t…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33744/psn-pdf
    February 01, 2013 - In Conversation With… Beverley H. Johnson February 1, 2013 In Conversation With… Beverley H. Johnson. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson Editor's note: Beverley H. Johnson is the President and Chief Executive Officer of the Institute for Patient- and Family-…

  5. Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet

    psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
    January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866217/psn-pdf
    July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives July 10, 2024 Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety Initiatives. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…

  7. Engineering a foundation for partnership to improve medication safety during care transitions. | PSNet

    psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
    July 20, 2022 - Commentary Engineering a foundation for partnership to improve medication safety during care transitions. Citation Text: Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. …

  8. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73153/psn-pdf
    April 28, 2021 - Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough April 28, 2021 Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough Disclosure of Relev…

  10. The management of test results in primary care: does an electronic medical record make a difference? | PSNet

    psnet.ahrq.gov/issue/management-test-results-primary-care-does-electronic-medical-record-make-difference
    April 12, 2011 - Study The management of test results in primary care: does an electronic medical record make a difference? Citation Text: Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med. 2010;42(5):327-33…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838972/psn-pdf
    October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice. October 27, 2022 Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice The Case A 61-year-old woman was placed on bedrest following major surgery. Her posto…

  12. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
    October 20, 2021 - Review The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. Citation Text: Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satis…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49570/psn-pdf
    October 01, 2008 - Recurrent Hypoglycemia: A Care Transition Failure? October 1, 2008 Eytan T. Recurrent Hypoglycemia: A Care Transition Failure? PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure Case Objectives Understand the complementary abilities of an electronic health record a…

  14. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
    October 30, 2024 - Study Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. Citation Text: Hattingh HL, Edmunds C, Gillespie BM. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. J Pharm Pol…

  15. Handoffs and Transitions | PSNet

    psnet.ahrq.gov/perspective/handoffs-and-transitions
    February 01, 2007 - Annual Perspective Handoffs and Transitions Niraj Sehgal, MD, MPH | January 22, 2014  View more articles from the same authors. Citation Text: Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…

  16. Patient access to electronic health records during hospitalization. | PSNet

    psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
    October 19, 2022 - Study Patient access to electronic health records during hospitalization. Citation Text: Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. Copy Citation F…

  17. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings | PSNet

    psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
    May 26, 2021 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings Citation Text: Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

  18. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet

    psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
    July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives Amy Helwig, MD, MS, FAAFP, Zoe Sousane, BS, Sarah Mossburg, RN, PhD | July 10, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Helwig A, Sousane Z, …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50930/psn-pdf
    February 21, 2020 - Pharmacist Role in Patient Safety February 21, 2020 Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety Background: The Evolving Role of the Pharmacist Medication errors are highly pervasive across all settings of care,[1] w…

  20. Performance of a fail-safe system to follow up abnormal mammograms in primary care. | PSNet

    psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
    September 11, 2013 - Study Performance of a fail-safe system to follow up abnormal mammograms in primary care. Citation Text: Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. Copy Citation Format:…
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