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psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
January 02, 2017 - Commentary
Communication about harm reduction with patients who have opioid use disorder.
Citation Text:
Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307.
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psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
June 07, 2023 - Study
Inadequate preoperative team briefings lead to more intraoperative adverse events.
Citation Text:
Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181.
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psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
March 23, 2022 - Study
The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations.
Citation Text:
Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…
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psnet.ahrq.gov/issue/developing-measure-value-health-care
February 10, 2021 - Commentary
Developing a measure of value in health care.
Citation Text:
Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009.
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DOI Google Scholar BibTe…
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psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
April 18, 2018 - Review
Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.
Citation Text:
Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.…
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psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
October 19, 2022 - Study
Effect of genetic diagnosis on patients with previously undiagnosed disease.
Citation Text:
Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458.
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psnet.ahrq.gov/issue/high-reliability-organization-mindset
April 01, 2020 - Commentary
A high-reliability organization mindset.
Citation Text:
Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086.
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - Our contributions to date include summarizing existing information sources (e.g., case reports), establishing
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - way to mitigate this risk is by standardizing opioid prescribing patterns, leveraging technology and
establishing
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psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - Take-Home Points
The initial assessment in managing patients with chronic non-cancer pain should involve establishing
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - List common pitfalls when establishing a postdischarge phone call program.
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - Recognizing this, some hospitals are
establishing teams of emergency department and intensive care unit
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - assessment that includes the
musculoskeletal and vascular system may have increased the likelihood of establishing
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Establishing a centralized transfer center or dedicated hotline for
organizing transport and facilitating
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 2023 - This case raises important questions about assessing suicide risk, establishing
the most likely underlying
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - whether and
how to disclose the error to the patient or family.(2) Specifically, they must commit to establishing
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - all that is needed, and bleeding is minimal.( 12,13 ) The first 2 weeks after birth are crucial for establishing
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Reducing Preventable Patient Harm Due to Retained
Surgical Items: The RSI Bundle
May 29, 2024
https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Summary
Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common
catego…
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the
Senior Clinical Data Analyst at Atrium Health, and Rhonda
Dickman, MSN, RN, CPHQ, the Director of the Tennessee
Hospital Association PSO
January 12, 2022
In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and
Rhonda…