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  1. 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 - outcomes and safety, it is important to focus on the needs of vulnerable patients with challenges that fall
  2. psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
    March 29, 2023 - August 30, 2023 ‘I felt like I was dying’: how women with postpartum depression fall
  3. psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
    August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015  Also Read an Essay Citation Text: In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…
  4. psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx Spotlight The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Source and Credits • This presentation is based on the November 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahr…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836941/psn-pdf
    April 27, 2022 - Post-Acute Transitional Services: Safety in Home-Based Care Programs April 27, 2022 McElroy V, Ordona RB, Bakerjian D. Post-Acute Transitional Services: Safety in Home-Based Care Programs. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs Backgr…
  6. psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
    June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed? Helen Haskell, MA | June 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Haskell H. Patient Advocacy in Patient Safety: Have Things Changed?. PSNet [internet]. Ro…
  7. psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - Opioid Overdose as a Patient Safety Problem Irene Berita Murimi, PhD, MA, and G. Caleb Alexander, MD, MS | May 22, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Murimi IB, Alexander CG. Opioid Overdose as a Patient Safet…
  8. psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - One is that diagnostic errors are not quite as obvious as a fall or a medication error.
  9. psnet.ahrq.gov/perspective/conversation-james-augustine-md
    July 28, 2021 - In Conversation With... James Augustine, MD July 28, 2021  Also Read the Essay Citation Text: In Conversation With.. James Augustine, MD. PSNet [internet]. 2021.In Conversation With... James Augustine, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
  10. psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
    February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD | February 28, 2024  Also Read the Essay Citation Text: In Conversation With..Stephen Hines, PhD an…
  11. psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
    August 01, 2012 - SPOTLIGHT CASE The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Citation Text: Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
  12. psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - Post-Acute Transitional Services: Safety in Home-Based Care Programs Citation Text: McElroy V, Ordona RB, Bakerjian D. Post-Acute Transitional Services: Safety in Home-Based Care Programs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
  13. psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
    May 22, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017  Also Read an Essay Citation Text: In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  14. psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
    August 01, 2015 - New Insights on Safety and Health IT A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Hettinger ZA, Ratwani RM, Fairbanks RJ. New …
  15. psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
    May 01, 2014 - In Conversation With… Didier Pittet, MD, MS May 1, 2014  Also Read an Essay Citation Text: In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
  16. psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - Every outpatient clinical setting needs to have active tracking systems for things that we know can fall
  17. psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
    August 01, 2014 - Every outpatient clinical setting needs to have active tracking systems for things that we know can fall
  18. psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - One is that diagnostic errors are not quite as obvious as a fall or a medication error.
  19. psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
    August 30, 2023 - It’s like Kathy says, that whole continuum of care, and how can we make it seamless so people don’t fall
  20. psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
    August 30, 2023 - It’s like Kathy says, that whole continuum of care, and how can we make it seamless so people don’t fall

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