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  1. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet

    psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
    June 11, 2010 - Study Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. Citation Text: O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…

  2. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
    November 01, 2011 - Spotlight Case July 2008 Spotlight Case Near Miss with Bedside Medications * * Source and Credits This presentation is based on the November 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…

  3. Communication between primary and secondary care: deficits and danger. | PSNet

    psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
    September 23, 2020 - Study Communication between primary and secondary care: deficits and danger. Citation Text: Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. Copy Citation Format…

  4. Digital Health Literacy | PSNet

    psnet.ahrq.gov/primer/digital-health-literacy
    August 30, 2023 - Digital Health Literacy Citation Text: Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  5. Critical Echocardiogram Result Lost to Follow-up | PSNet

    psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
    July 31, 2023 - , a role that could have helped draw attention to the vegetation finding in this case earlier after patient … discharge and transfer back to the SNF.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47207/psn-pdf
    July 19, 2018 - National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. July 19, 2018 Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…

  7. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet

    psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - Homes February 24, 2022 Patient Safety Primers Discharge … Planning and Transitions of Care March 25, 2020 WebM&M Cases

  8. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. | PSNet

    psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
    November 26, 2014 - Study Classic Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Citation Text: O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…

  9. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? | PSNet

    psnet.ahrq.gov/issue/how-do-patients-and-care-partners-describe-diagnostic-uncertainty-emergency-department-or
    October 23, 2024 - Study How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Citation Text: DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…

  10. Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. | PSNet

    psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial
    May 11, 2016 - Newspaper/Magazine Article Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. Citation Text: Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. Rau J. Washington Post. May 17, 2016. Copy Cit…

  11. The development of a patient safety program across the continuum of care. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
    September 21, 2009 - Commentary The development of a patient safety program across the continuum of care. Citation Text: Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307. Copy Citation Format: Google Scholar Pub…

  12. The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
    June 08, 2011 - Study The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. Citation Text: Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…

  13. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. | PSNet

    psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events-general-medicine
    November 16, 2022 - Study Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. Citation Text: Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine service…

  14. Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. | PSNet

    psnet.ahrq.gov/issue/hospital-testing-effectiveness-co-designed-educational-materials-improve-patient-and-visitor
    February 28, 2024 - Study Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. Citation Text: King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational m…

  15. Please reconcile, not wait a while. | PSNet

    psnet.ahrq.gov/issue/please-reconcile-not-wait-while
    April 19, 2023 - Commentary Please reconcile, not wait a while. Citation Text: Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. Copy Citation Format: DOI Google Scholar BibTe…

  16. The ins and outs of change of shift handoffs between nurses: a communication challenge. | PSNet

    psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge
    October 19, 2022 - Study The ins and outs of change of shift handoffs between nurses: a communication challenge. Citation Text: Carroll JS, Williams M, Gallivan TM. The ins and outs of change of shift handoffs between nurses: a communication challenge. BMJ Qual Saf. 2012;21(7):586-93. doi:10.1136/bmjqs-2…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74149/psn-pdf
    January 07, 2022 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings January 7, 2022 Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/multiple-missed-opportu…

  18. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
    January 01, 2023 - • Strong discharge planning support is needed to refer the patient to appropriate resources, such

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
    September 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case September 2007 Medication Reconciliation: Whose Job Is It? Source and Credits This presentation is based on the September 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric G. Poon, MD, MPH, Ha…

  20. Handoffs | PSNet

    psnet.ahrq.gov/primer/handoffs
    October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. 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 XML Endnote tagged PubMedId RIS Download…
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