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psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
October 19, 2022 - Study
Standardizing hospital discharge planning at the Mayo Clinic.
Citation Text:
Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36.
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psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
November 16, 2022 - Newspaper/Magazine Article
Reporting adverse events to patients: a step-by-step approach.
Citation Text:
Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9.
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psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
February 23, 2011 - Commentary
Postoperative complications due to a retained surgical sponge.
Citation Text:
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4.
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psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
November 16, 2022 - Study
Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping.
Citation Text:
Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Arch Dis Child. 2008;93(3):204-6.
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Commentary
Kenneth W. Kizer, MD, MPH: health care quality evangelist.
Citation Text:
Kizer KW. Kenneth W. Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. JAMA. 2001;285(7):869-71.
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psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
July 02, 2014 - Study
Ambiguities of chronic illness management and challenges to the medical error paradigm.
Citation Text:
Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25.
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psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
November 29, 2017 - Commentary
Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information.
Citation Text:
Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…
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psnet.ahrq.gov/node/42817/psn-pdf
December 18, 2013 - Medication Reconciliation for Hospitalists.
December 18, 2013
Society of Hospital Medicine.
https://psnet.ahrq.gov/issue/medication-reconciliation-hospitalists
This Web site provides resources to help health systems implement the Multi-Center Medication
Reconciliation Quality Improvement Study (MARQUIS) medication…
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - internal facilitator will work with the coordinating center to identify barriers and facilitators in
implementing
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Implementing various safety curricula in large institutions requires attention not only to the content
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - Implementing steps to reduce errors related to look-alike and sound-alike medications, utilization of
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Mitigating distractions in healthcare settings and implementing pre-test pauses, as operating rooms
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psnet.ahrq.gov/node/49820/psn-pdf
February 01, 2018 - A
common barrier to implementing transitional care in SNFs is the scarcity of clinical staff for delivering
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psnet.ahrq.gov/node/35814/psn-pdf
April 05, 2006 - Patient-safety and quality initiatives in the intensive-care
unit.
April 5, 2006
Winters B; Dorman T.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit
The authors summarize several initiatives being implemented in intensive care units to help ensure patient
safety.
https://…
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psnet.ahrq.gov/node/35260/psn-pdf
January 25, 2010 - The enterprise take on patient safety.
January 25, 2010
Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16-
7.
https://psnet.ahrq.gov/issue/enterprise-take-patient-safety
This article reports on two efforts to reduce medical errors through information technology …
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - from human factors engineering and other disciplines to design safer systems of care, rather than
implementing
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - In this case, changing staffing patterns or implementing 7-day access to specific services would not
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in
implementing
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - April 24, 2018
Enhancing patient safety in pediatric primary care: implementing a patient
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - Physicians in practice might consider implementing a telephone case review as a regular part of staff