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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849615/psn-pdf
    May 31, 2023 - Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. May 31, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications- community-languages Gaps in patient…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34844/psn-pdf
    February 24, 2011 - Communication factors in the follow-up of abnormal mammograms. February 24, 2011 Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. https://psnet.ahrq.gov/issue/communication-factors-follow…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865339/psn-pdf
    March 27, 2024 - Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. March 27, 2024 Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Safety Sci. 2024;174:106488. doi:10.1016/j.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60558/psn-pdf
    June 03, 2020 - Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing. June 3, 2020 Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing. Br J Su…

  5. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. | PSNet

    psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
    March 11, 2020 - Study Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. Citation Text: Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…

  6. Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. | PSNet

    psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
    April 17, 2019 - Study Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. Citation Text: McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837705/psn-pdf
    July 20, 2022 - Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. July 20, 2022 Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46979/psn-pdf
    January 01, 2021 - Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. April 4, 2018 Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863650/psn-pdf
    February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback February 28, 2024 https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking- and-performance Summary To improve patient care and outcomes in the intensive care unit (ICU…

  10. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/867461
    January 31, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Patient and Family Engagement in Long Term Care Curated Library Foundations Long-term Care and Patient Safety Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024 A large and growing number of Americans require care in skilled nursin…

  11. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49653/psn-pdf
    May 01, 2012 - The Forgotten Line May 1, 2012 Render ML. The Forgotten Line. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/forgotten-line The Case An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and chronic kidney disease was transferred to a referral hospital for p…

  13. Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. | PSNet

    psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews
    September 11, 2018 - Book/Report Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. Citation Text: Understanding the knowledge gaps in whistleblowing and speaking up…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46042/psn-pdf
    July 12, 2017 - Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. July 12, 2017 McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to develop context-sensitive inte…

  15. Challenges in communication from referring clinicians to pathologists in the electronic health record era. | PSNet

    psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
    June 29, 2011 - Study Challenges in communication from referring clinicians to pathologists in the electronic health record era. Citation Text: Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60314/psn-pdf
    May 13, 2020 - Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. May 13, 2020 Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br J Anaesth. 2020;125(2):e236-e239. doi:10.…

  17. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. | PSNet

    psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
    January 02, 2017 - Commentary Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Citation Text: Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…

  18. The Forgotten Line | PSNet

    psnet.ahrq.gov/web-mm/forgotten-line
    March 11, 2011 - The Forgotten Line Citation Text: Render ML. The Forgotten Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38260/psn-pdf
    April 22, 2011 - Information exchange among physicians caring for the same patient in the community. April 22, 2011 van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430. https://psnet.ahrq.gov/issue/informa…

  20. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
    November 30, 2016 - Review Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Citation Text: Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English pr…
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