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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
August 10, 2025 - The gap between physicians, nurses, and midwives was largest with regard to perceived openness to sharing
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - thoroughly addressed in this report, nor has it been firmly established in the safety field.( 9 ) This gap
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - In Conversation with... Christie Allen about Maternal
Safety and Perinatal Mental Health
March 28, 2023
In Conversation with.. Christie Allen about Maternal Safety and Perinatal Mental Health. PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal…
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - This is really a gap area.
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - Clinician data scientists can help bridge the gap of where to apply novel algorithms and how to design
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Critical Echocardiogram Result Lost to Follow-up
June 14, 2023
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
The Case
A 63-year-old man with history of stroke, systolic heart failure, and ventric…
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psnet.ahrq.gov/node/837605/psn-pdf
June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American
Lives and on the Health of our Nation.
June 29, 2022
Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.
https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
Health inequities are receiving increased …
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
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 safet…
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Annual Perspective
Computerized Provider Order Entry and Patient Safety
Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…
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psnet.ahrq.gov/topics-0
March 03, 2025 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: March 3, 2025
…
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - An Outpatient 'Zebra'
Citation Text:
Berkowitz L. An Outpatient 'Zebra'. 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 PubMe…
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - follow-up care to all patients discharged on IV antibiotics is an effective way to remedy this potential gap
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - I feel like that's a big gap.
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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…
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - The challenge is to bridge the gap between community pharmacies and medical practices; opportunities
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psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies. Technical Review 9.
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - follow-up care before discharge and direct follow-up with patients after discharge can help
bridge the gap
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psnet.ahrq.gov/node/49651/psn-pdf
May 01, 2012 - records.(15) The proper use of this
technology during handoffs remains an unaddressed educational gap
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - However, the fact that the patient eloped reveals a major gap in
care, in that this patient who warranted
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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…