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401. 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…

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850361/psn-pdf
     June 14, 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.

403. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. | PSNet
     psnet.ahrq.gov/issue/medication-management-strategies-community-dwelling-older-adults-multisite-qualitative
     November 20, 2024 - Study Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. Citation Text: Jallow F, Stehling E, Sajwani-Merchant Z, et al. Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. J Patient Sa…

404. Creating a safer operating room: groups, team dynamics and crew resource management principles. | PSNet
     psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
     June 11, 2008 - Review Emerging Classic Creating a safer operating room: groups, team dynamics and crew resource management principles. Citation Text: Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…

405. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
     psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
     August 21, 2005 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing Citation Text: Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836941/psn-pdf
     April 27, 2022 - primer/post-acute-transitional-services-safety-home-based-care-programs https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care

407. 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…

408. Surgeon agreement at the time of handover, a prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study
     July 19, 2010 - Study Surgeon agreement at the time of handover, a prospective cohort study. Citation Text: Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6. Copy Citation For…

409. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. | PSNet
     psnet.ahrq.gov/issue/qualitative-exploration-patients-attitudes-towards-participate-inform-notice-know-pink
     July 06, 2012 - Study A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. Citation Text: Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patien…

410. Lack of patient knowledge regarding hospital medications. | PSNet
     psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
     September 20, 2006 - Study Lack of patient knowledge regarding hospital medications. Citation Text: Lack of patient knowledge regarding hospital medications. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

411. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. | PSNet
     psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
     March 18, 2020 - Study Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Citation Text: van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …

412. What 'patient-centered' should mean: confessions of an extremist. | PSNet
     psnet.ahrq.gov/issue/what-patient-centered-should-mean-confessions-extremist
     August 04, 2021 - Commentary What 'patient-centered' should mean: confessions of an extremist. Citation Text: Berwick DM. What 'patient-centered' should mean: confessions of an extremist. Health Aff (Millwood). 2009;28(4):w555-65. doi:10.1377/hlthaff.28.4.w555. Copy Citation Format: DOI Goog…

413. Safety lessons from the NIH Clinical Center. | PSNet
     psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
     April 10, 2024 - Commentary Safety lessons from the NIH Clinical Center. Citation Text: Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60611/psn-pdf
     June 24, 2020 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing June 24, 2020 Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50698/psn-pdf
     November 27, 2019 - Missed Opportunities for Suicide Risk Assessment November 27, 2019 Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…

416. A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. | PSNet
     psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
     December 04, 2016 - Review A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. Citation Text: Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. Copy Cita…

417. Competition and health plan performance: evidence from health maintenance organization insurance markets. | PSNet
     psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance
     July 14, 2009 - Study Competition and health plan performance: evidence from health maintenance organization insurance markets. Citation Text: Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care.…

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851568/psn-pdf
     July 31, 2023 - Strong discharge planning support is needed to refer the patient to appropriate resources, such as substance

419. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
     psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
     June 14, 2023 - Strong discharge planning support is needed to refer the patient to appropriate resources, such as substance

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49568/psn-pdf
     September 01, 2008 - Failure to Latch September 1, 2008 Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/failure-latch The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed to breastfeeding exclusively for 6 months. However, early br…