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441. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet
     psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
     October 27, 2022 - SPOTLIGHT CASE Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations Citation Text: Tan F, Johl K, Kotova M. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations. PSNet [internet]. Rockville (MD): Agency for He…

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46830/psn-pdf
     May 30, 2018 - A call to bridge across silos during care transitions. May 30, 2018 Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…

443. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet
     psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
     July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 28, 2021 Innovation Contact …

444. Long-term reduction in adverse drug events: an evidence-based improvement model. | PSNet
     psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
     August 28, 2024 - Study Long-term reduction in adverse drug events: an evidence-based improvement model. Citation Text: Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. Copy Citation …

445. Patient safety: what about the patient? | PSNet
     psnet.ahrq.gov/issue/patient-safety-what-about-patient
     January 22, 2025 - Commentary Classic Patient safety: what about the patient? Citation Text: Vincent C, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

446. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. | PSNet
     psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
     January 16, 2013 - Study Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. Citation Text: Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…

447. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. | PSNet
     psnet.ahrq.gov/issue/diagramming-patients-views-root-causes-adverse-drug-events-ambulatory-care-online-tool
     April 27, 2010 - Study Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. Citation Text: Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online …

448. ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. | PSNet
     psnet.ahrq.gov/issue/ashp-standard-certification-center-excellence-medication-use-safety-and-pharmacy-practice
     December 14, 2022 - Organizational Policy/Guidelines ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. Citation Text: ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. Am J Health Syst Pharm. 2022…

449. Agreement of expert judgment in causality assessment of adverse drug reactions. | PSNet
     psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions
     November 29, 2023 - Study Agreement of expert judgment in causality assessment of adverse drug reactions. Citation Text: Arimone Y, Bégaud B, Miremont-Salamé G, et al. Agreement of expert judgment in causality assessment of adverse drug reactions. Eur J Clin Pharmacol. 2005;61(3):169-73. Copy Citation …

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49504/psn-pdf
     March 01, 2006 - Liposuction Gone Awry March 1, 2006 Yates JA. Liposuction Gone Awry. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/liposuction-gone-awry The Case A 54-year-old man with HIV was referred to a plastic surgeon for cosmetic surgery. In the plastic surgeon’s office, he underwent neck and facial liposuction wit…

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60242/psn-pdf
     March 01, 2021 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovatio…

452. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet
     psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006
     April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

453. Interventions to engage patients and families in patient safety: a systematic review. | PSNet
     psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
     March 04, 2020 - Review Interventions to engage patients and families in patient safety: a systematic review. Citation Text: Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…

454. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
     January 01, 2021 - Spotlight Spotlight Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations Source and Credits • This presentation is based on the September 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary …

455. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet
     psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
     July 12, 2017 - Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text: Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…

456. Checklists | PSNet
     psnet.ahrq.gov/primer/checklists
     September 15, 2024 - Checklists Citation Text: Checklists. 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 Citation…

457. The most crucial half-hour at a hospital: the shift change. | PSNet
     psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
     August 17, 2016 - Newspaper/Magazine Article The most crucial half-hour at a hospital: the shift change. Citation Text: The most crucial half-hour at a hospital: the shift change. Landro L. Copy Citation Save Save to your library Print Download PDF Share Faceb…

458. Many well-known hospitals fail to score high in Medicare rankings. | PSNet
     psnet.ahrq.gov/issue/many-well-known-hospitals-fail-score-high-medicare-rankings
     June 01, 2016 - Newspaper/Magazine Article Many well-known hospitals fail to score high in Medicare rankings. Citation Text: Many well-known hospitals fail to score high in Medicare rankings. Rau J. National Public Radio. July 27, 2016. Copy Citation Save Save to your library …

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49522/psn-pdf
     November 01, 2006 - Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality November 1, 2006 Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-…

460. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
     psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
     October 01, 2004 - SPOTLIGHT CASE Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality Citation Text: Lindenauer PK. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality. PSNet [internet]. Rockville (MD): Agency for Healthcare Res…