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161. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. | PSNet
     psnet.ahrq.gov/issue/deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
     January 25, 2017 - direct communication occurred rarely, and the primary means of communication (the dictated discharge summary … March 3, 2010 Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary.

162. Care Delivery within Community Mental Health Teams. | PSNet
     psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams
     April 26, 2023 - Information Summary Free full text (PDF) Save Save to your library Print … Summary of Highlights, Themes and Future Work.

163. Access to Clinical Information at the Bedside. | PSNet
     psnet.ahrq.gov/issue/access-clinical-information-bedside
     March 16, 2022 - Available at Summary (PDF) Free full text (PDF) Save Save to your library Print … February 22, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

164. 2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in Patient Safety. | PSNet
     psnet.ahrq.gov/issue/2015-rosenthal-symposium-protecting-patients-advances-and-future-directions-patient-safety
     January 26, 2022 - June 15, 2011 Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary … July 27, 2011 Health Literacy: Past, Present, and Future: Workshop Summary.

165. Administering High-Strength Insulin from a Pen Device in Hospital. | PSNet
     psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital
     September 21, 2022 - Available at Free full text (PDF) Summary (PDF) Save Save to your library Print … Summary of Highlights, Themes and Future Work.

166. Burnout Among Health Professionals and Its Effect on Patient Safety | PSNet
     psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
     December 22, 2018 - Clinicians with burnout may also have impaired attention, memory, and executive function that decrease … One such intervention is executive coaching. … Summary Clinician burnout is prevalent across health care settings and may impair clinicians' ability

167. The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. | PSNet
     psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
     July 27, 2011 - Free full text Summary (PDF) Save Save to your library Print Download PDF … Same Author(s) Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary

168. Preventing Medication Errors: A $21 Billion Opportunity. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
     December 03, 2008 - December 14, 2016 Facilitating Patient Understanding of Discharge Instructions: Workshop Summary … November 15, 2011 Health Literacy: Past, Present, and Future: Workshop Summary.

169. Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. | PSNet
     psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer-hampton-va-medical
     July 26, 2023 - July 26, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … April 19, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … April 19, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental

170. Patient Safety Leadership WalkRounds. | PSNet
     psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
     January 02, 2017 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

171. Preventing Medication Errors: Quality Chasm Series. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
     January 04, 2009 - Available at Summary (PDF) Save Save to your library Print Download PDF … July 5, 2016 Facilitating Patient Understanding of Discharge Instructions: Workshop Summary … September 23, 2015 Health Literacy: Past, Present, and Future: Workshop Summary.

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49819/psn-pdf
     February 01, 2018 - consisted of six major complementary components organized around "I-PASS" (I: Illness Severity, P: Patient Summary … level of detail is necessary in the verbal handoff and in the printed handoff document (the Patient Summary … Starmer AJ, O'Toole JK, Rosenbluth G, et al; I-PASS Study Education Executive Committee. … Starmer AJ, Landrigan C, Srivastava R, et al; I-PASS Education Executive Committee.

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33836/psn-pdf
     June 01, 2017 - Interventions. 2013 ACCF/AHA guideline for the management of ST- elevation myocardial infarction: executive … summary: a report of the American College of Cardiology Foundation/American Heart Association Task

174. Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. | PSNet
     psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-creating-national-agenda-systemic-change-enhanced
     April 28, 2021 - April 28, 2021 ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient … March 1, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

175. Information exchange among physicians caring for the same patient in the community. | PSNet
     psnet.ahrq.gov/issue/information-exchange-among-physicians-caring-same-patient-community
     March 28, 2011 - November 25, 2009 Creating a better discharge summary: improvement in quality and timeliness … using an electronic discharge summary.

176. 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 …

177. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. | PSNet
     psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-health-equity
     September 12, 2018 - Summary Free full text Related webinar recording Save Save to your library … January 9, 2024 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49700/psn-pdf
     February 01, 2014 - interventions, including use of automated external defibrillators and rapid response teams.(8,9) In summary … Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation

179. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet
     psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
     October 30, 2024 - Innovator Summary … medication lists to SNF-administered medication records. 2   Discussions between the teams include summary … Engaging directly with the executive leadership helps to ensure support. … Patient Safety Innovations Rescue Improvement Conference Innovation Summary

180. Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates | PSNet
     psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
     October 30, 2024 - Innovator Summary … Additionally, advocacy efforts may be needed to receive buy-in from the executive level to prioritize … System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary … Patient Safety Innovations Rescue Improvement Conference Innovation Summary