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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Transfer Troubles
June 1, 2012
Hains IM. Transfer Troubles. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfer-troubles
Case Objectives
Recognize that transfer of patients between hospitals is common.
Understand the frequency of errors and adverse events in the transfer of patients between hospitals.
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www.ahrq.gov/patient-safety/reports/hotline/intro1.html
May 01, 2016 - the past, but it also indicated that the problem persists: there were 121 adverse events per 1,000 hospitalizations
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psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
June 15, 2005 - Newspaper/Magazine Article
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult.
Citation Text:
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Connolly C. Washington Post. March…
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psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
August 02, 2017 - Book/Report
Antibiotic Stewardship in Acute Care: A Practical Playbook.
Citation Text:
Antibiotic Stewardship in Acute Care: A Practical Playbook. National Quality Partners. Washington, DC: National Quality Forum; 2016.
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psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
January 29, 2019 - Book/Report
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Citation Text:
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. Geneva, Switzerland: World Health Organization; 2011.
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psnet.ahrq.gov/issue/mha-person-and-family-centered-care
May 13, 2024 - Toolkit
MHA Person- and Family-Centered Care.
Citation Text:
MHA Person- and Family-Centered Care. MHA Keystone Center. Michigan Health and Hospital Association.
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psnet.ahrq.gov/issue/nurses-say-stress-interferes-caring-their-patients
August 29, 2018 - Newspaper/Magazine Article
Nurses say stress interferes with caring for their patients.
Citation Text:
Nurses say stress interferes with caring for their patients. Yu A. Health Shots. National Public Radio. April 15, 2016.
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psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
September 13, 2017 - Newspaper/Magazine Article
Why are medical errors still a leading cause of death?
Citation Text:
Why are medical errors still a leading cause of death? Headley M.
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psnet.ahrq.gov/issue/checklists-improve-patient-safety
July 31, 2013 - Book/Report
Checklists to Improve Patient Safety.
Citation Text:
Checklists to Improve Patient Safety. Chicago, IL: Health Research & Educational Trust; June 2013.
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psnet.ahrq.gov/issue/sound-alarm
May 11, 2019 - Newspaper/Magazine Article
Sound the alarm.
Citation Text:
Sound the alarm. Addis LM, Cadet VN, Graham KC. Patient Saf Qual Healthc. May/June 2014.
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psnet.ahrq.gov/issue/quick-safety
May 30, 2012 - Newsletter/Journal
Quick Safety.
Citation Text:
Quick Safety. Oakbrook Terrace, IL: The Joint Commission.
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Ma…
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psnet.ahrq.gov/issue/sentinel-event-alert
May 30, 2012 - Newsletter/Journal
Sentinel Event Alert.
Citation Text:
Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission.
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psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians
May 09, 2018 - Newspaper/Magazine Article
Care transitions know-how not just for clinicians.
Citation Text:
Care transitions know-how not just for clinicians. Ready T. HealthLeaders Media. September 26, 2017.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
May 06, 2015 - Toolkit
Improving Diagnosis in Medicine Change Package.
Citation Text:
Improving Diagnosis in Medicine Change Package. Chicago, IL: Health Research & Educational Trust; 2018.
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psnet.ahrq.gov/issue/parenteral-nutrition-safety
October 23, 2019 - Newspaper/Magazine Article
Parenteral nutrition safety.
Citation Text:
Parenteral nutrition safety. Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20.
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psnet.ahrq.gov/issue/warning-missed-patient-safety-alerts-nhs
August 30, 2023 - Newspaper/Magazine Article
Warning of missed patient safety alerts in NHS.
Citation Text:
Warning of missed patient safety alerts in NHS. Hughes J. BBC News. August 12, 2010.
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psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
August 24, 2016 - Newspaper/Magazine Article
Beth Israel cited for residents' long hours—facing review for accreditation.
Citation Text:
Beth Israel cited for residents' long hours—facing review for accreditation. Kowalczyk L.
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psnet.ahrq.gov/issue/charting-course-launching-patient-centric-healthcare
December 19, 2018 - Book/Report
Charting the Course: Launching Patient-Centric Healthcare.
Citation Text:
Charting the Course: Launching Patient-Centric Healthcare. Nance JJ, Bartholomew KM. Boseman, MT: Second River Healthcare Press; 2012. ISBN: 9781936406128.
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psnet.ahrq.gov/issue/elderly-falls
March 30, 2016 - Special or Theme Issue
Elderly Falls.
Citation Text:
Elderly Falls. J Safety Res. 2011;42(6):415-542.
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psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-patterns
March 27, 2005 - Newspaper/Magazine Article
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.
Citation Text:
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Collins TR. The Hospitalist. July 2011.
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