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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…
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Establishing a Context for Successful Utilization of the Proposed Implementation Strategy
Hospitals
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psnet.ahrq.gov/node/45314/psn-pdf
September 01, 2018 - The "Seven Pillars" response to patient safety incidents:
effects on medical liability processes and outcomes.
September 1, 2018
Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents:
Effects on Medical Liability Processes and Outcomes. Health Serv Res. 2016;51(suppl 3)…
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psnet.ahrq.gov/node/46015/psn-pdf
August 15, 2018 - Patient mortality during unannounced accreditation
surveys at US hospitals.
August 15, 2018
Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US
Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685.
https://psnet.ahrq.gov/issue/patient-mo…
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psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - Hospital board checklist to improve culture and reduce
central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce
central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2010;36(11):525-8.
htt…
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psnet.ahrq.gov/node/43063/psn-pdf
May 01, 2015 - More Than 1,000 Preventable Deaths a Day Is Too Many:
The Need to Improve Patient Safety.
May 1, 2015
Hearing Before the Subcommittee on Primary Health and Aging, 113th Cong (July 17, 2014).
https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
A group of patient safety…
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psnet.ahrq.gov/node/44031/psn-pdf
November 03, 2015 - Diagnostic concordance among pathologists interpreting
breast biopsy specimens.
November 3, 2015
Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast
biopsy specimens. JAMA. 2015;313(11):1122-1132. doi:10.1001/jama.2015.1405.
https://psnet.ahrq.gov/issue/diagnostic…
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psnet.ahrq.gov/node/41779/psn-pdf
September 28, 2016 - Smartphone use during inpatient attending rounds:
prevalence, patterns and potential for distraction.
September 28, 2016
Katz-Sidlow RJ, Ludwig A, Miller S, et al. Smartphone use during inpatient attending rounds: prevalence,
patterns and potential for distraction. J Hosp Med. 2012;7(8):595-9. doi:10.1002/jhm.1950.…
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psnet.ahrq.gov/node/45905/psn-pdf
December 22, 2017 - Safe practice recommendations for the use of copy-
forward with nursing flow sheets in hospital settings.
December 22, 2017
Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward
with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qual Patient Saf. 2017;43(8):375…
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psnet.ahrq.gov/node/45804/psn-pdf
August 03, 2017 - Meaningful use of health information technology and
declines in in-hospital adverse drug events.
August 3, 2017
Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and
declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;24(4):729-736.
doi:10.1093/jamia/…
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psnet.ahrq.gov/node/42606/psn-pdf
September 25, 2013 - Health economic evaluation of an infection prevention
and control program: are quality and patient safety
programs worth the investment?
September 25, 2013
Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control
program: are quality and patient safety programs worth the in…
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - Cups of Error
Citation Text:
Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - To LP or Not LP
Citation Text:
Landrigan CP. To LP or Not LP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - These include: (i) establishing a no interruption zone (NIZ); (ii) ensuring a do-not-disturb approach … There are a number of pragmatic interventions—such as establishing an NIZ or silencing beepers and overhead
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - So it’s important to find ways to train providers to be thinking about that and to be establishing a … Checklist Centers for Disease Control and Prevention Telehealth and Telemedicine Publications and Resources Establishing
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - In Conversation with…William B. Munier, MD, MBA
July 1, 2011
Also Read an Essay
Citation Text:
In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
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psnet.ahrq.gov/node/47261/psn-pdf
August 15, 2018 - The association between professional burnout and
engagement with patient safety culture and outcomes: a
systematic review.
August 15, 2018
Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With
Patient Safety Culture and Outcomes: A Systematic Review. J Patient Saf. 2018;17(8)…
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psnet.ahrq.gov/node/47835/psn-pdf
April 24, 2019 - Facilitation of surgical innovation: is it possible to speed
the introduction of new technology while simultaneously
improving patient safety?
April 24, 2019
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the
Introduction of New Technology While Simultaneousl…
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psnet.ahrq.gov/node/43419/psn-pdf
October 20, 2014 - Impact of a reengineered electronic error-reporting
system on medication event reporting and care process
improvements at an urban medical center.
October 20, 2014
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication
event reporting and care process improvements …
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psnet.ahrq.gov/node/41257/psn-pdf
April 22, 2012 - Development of an evidence-based framework of factors
contributing to patient safety incidents in hospital
settings: a systematic review.
April 22, 2012
Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors
contributing to patient safety incidents in hospital settings: a sy…