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psnet.ahrq.gov/issue/patient-safety-papers-4
November 10, 2010 - Ambulatory Care
Health Care Executives and Administrators
Policy Makers
Discontinuities, Gaps
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-25
December 30, 2014 - Pharmacists
Hospital Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps
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psnet.ahrq.gov/issue/patient-safety-3
November 14, 2011 - Care Executives and Administrators
Non-Health Care Professionals
Pediatrics
Discontinuities, Gaps
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psnet.ahrq.gov/node/41461/psn-pdf
April 05, 2013 - hour limits further and added a significant
cost burden to teaching institutions in covering provider gaps
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psnet.ahrq.gov/issue/bmj-open-quality
August 24, 2016 - Care Providers
Health Care Executives and Administrators
Hospital Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/node/45360/psn-pdf
July 27, 2016 - //psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
Gaps
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psnet.ahrq.gov/issue/hidden-dangers-outsourcing-radiology
December 19, 2007 - Emergency Departments
Patients
Radiology
Radiograph Interpretation Error
Discontinuities, Gaps
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psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
November 21, 2018 - See More About The Topic
Outpatient Pharmacy
Pharmacists
Pharmacy
Discontinuities, Gaps
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psnet.ahrq.gov/node/41003/psn-pdf
April 16, 2018 - Gap assessment of hospitals' adoption of the just culture
principles.
April 16, 2018
Barger DM; Marella W; Charney FJ.
https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
This article reports that Pennsylvania health care organizations overestimated their adoption of just culture…
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - A Sweet Case of Hidden Hydrogen Ions
Citation Text:
Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 X…
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psnet.ahrq.gov/node/38864/psn-pdf
July 08, 2013 - Addressing the quality and safety gap—parts I-III.
July 8, 2013
Princeton, NJ: Robert Wood Johnson Foundation; November 2010.
https://psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii
Part I of this three-part series examines the quality improvement experience of four health care
organizations and…
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psnet.ahrq.gov/issue/bridging-gap-framework-and-strategies-integrating-quality-and-safety-mission-teaching
April 24, 2018 - Commentary
Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education.
Citation Text:
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Saf…
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - the hospital and home can jeopardize patient safety for a myriad of reasons,
such as communication gaps … the hospital and home can jeopardize patient safety for a myriad of reasons,
such as communication gaps
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psnet.ahrq.gov/node/46055/psn-pdf
July 26, 2017 - Bridging the gap between work-as-imagined and work-as-
done.
July 26, 2017
Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83.
https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done
Understanding what is possible in the context of frontline practice is key when designing enhancements …
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psnet.ahrq.gov/web-mm/it-safe-be-direct
September 30, 2015 - direct admission process can be complex and, like all complex systems, can be aggravated by inherent gaps … Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320:791-794. … See More About The Topic
Hospitals
Gynecology
Cardiology
Discontinuities, Gaps
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - between institutions or between the inpatient and outpatient setting, in-hospital signouts represent gaps … patients at increased risk for harm.( 3 ) Although practitioners are generally effective in bridging gaps … Gaps in the continuity of care and progress on patient safety.
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psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
May 13, 2015 - February 16, 2022
Fighting a common enemy: a catalyst to close intractable safety gaps
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psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience
December 20, 2017 - December 20, 2017
Fighting a common enemy: a catalyst to close intractable safety gaps
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psnet.ahrq.gov/issue/patient-safety-5
February 22, 2006 - More
See More About The Topic
Quality and Safety Professionals
Discontinuities, Gaps
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psnet.ahrq.gov/node/37147/psn-pdf
October 04, 2011 - Design and implementation of a point-of-care
computerized system for drug therapy in Stockholm
metropolitan health region--bridging the gap between
knowledge and practice.
October 4, 2011
SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care
computerized system for drug therapy …