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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - Postdischarge Follow-Up Phone Call
March 1, 2012
Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
Case Objectives
Understand why preventing readmissions through postdischarge phone calls is important.
Describe evidence su…
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
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February 28, 2024
Innovation
Conta…
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Beyond the Hospital: the New Frontier of Patient Safety
August 22, 2014
Plews-Ogan M. Beyond the Hospital: the New Frontier of Patient Safety. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
Perspective
The frontier of patient safety outside the hospital has y…
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - SPOTLIGHT CASE
Lost in Transition
Citation Text:
Beach C. Lost in Transition. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens
Citation Text:
Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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…
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - Triple Handoff
September 1, 2006
Vidyarthi A. Triple Handoff. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/triple-handoff
Case Objectives
Appreciate the prevalence of handoffs and sign out related errors.
Understand the key elements of a safe and effective written and verbal sign out.
List Kotter’s 8 st…
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psnet.ahrq.gov/node/49548/psn-pdf
October 01, 2007 - Toxic Tachycardia
October 1, 2007
Wartofsky L. Toxic Tachycardia. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/toxic-tachycardia
The Case
A 66-year-old woman with a past medical history of hypertension and breast cancer was admitted with
abdominal pain. She complained of 3 weeks of progressive severe rig…
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psnet.ahrq.gov/node/50393/psn-pdf
September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet
September 1, 2019
Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
Perspective
Progress in any field requires scholarship and dissem…
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history calle…
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
November 13, 2013 - Newspaper/Magazine Article
Leapfrog hospital safety scores 'depressing.'
Citation Text:
Leapfrog hospital safety scores 'depressing.' Clark C. HealthLeaders Media. May 9, 2013.
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psnet.ahrq.gov/issue/how-american-health-care-killed-my-father
February 13, 2013 - Newspaper/Magazine Article
How American health care killed my father.
Citation Text:
How American health care killed my father. Goldhill D. The Atlantic. September 2009.
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psnet.ahrq.gov/issue/non-english-speakers-find-ers-hard-reach
January 18, 2023 - Newspaper/Magazine Article
Non-English speakers find ERs hard to reach.
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October 26, 2007
View more articles from the same authors.
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psnet.ahrq.gov/issue/bmj-open-quality
August 24, 2016 - Newsletter/Journal
BMJ Open Quality.
Citation Text:
BMJ Open Quality. Crisp H, ed. London, UK: BMJ Publishing Group Ltd; ISSN: 2399-6641.
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psnet.ahrq.gov/issue/cognitive-factors-health-care
November 19, 2014 - Special or Theme Issue
Cognitive Factors in Health Care.
Citation Text:
Cognitive Factors in Health Care. Rogers WA, ed. J Exp Psychol Appl. 2011;17(3):191-302.
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psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
March 03, 2019 - Newspaper/Magazine Article
A guide for HCAs on safe patient transfers.
Citation Text:
A guide for HCAs on safe patient transfers. Lees L.
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psnet.ahrq.gov/issue/not-what-doctor-ordered
November 23, 2016 - Newspaper/Magazine Article
Not what the doctor ordered.
Citation Text:
Not what the doctor ordered. Trebilcock B.
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psnet.ahrq.gov/issue/short-life-and-lonely-death-sabrina-seelig
October 08, 2008 - Newspaper/Magazine Article
The short life and lonely death of Sabrina Seelig.
Citation Text:
The short life and lonely death of Sabrina Seelig. Hartocollis A.
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psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
November 10, 2010 - Newspaper/Magazine Article
"I'm sorry": Why is that so hard for doctors to say?
Citation Text:
"I'm sorry": Why is that so hard for doctors to say? O'Reilly KB.
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psnet.ahrq.gov/issue/hospitals-may-be-worst-place-stay-when-youre-sick
December 19, 2007 - Newspaper/Magazine Article
Hospitals may be the worst place to stay when you're sick.
Citation Text:
Hospitals may be the worst place to stay when you're sick. Greider K.
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psnet.ahrq.gov/issue/crisis-do-not-revive-requests-dont-always-work
December 16, 2015 - Newspaper/Magazine Article
In a crisis, do-not-revive requests don't always work.
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January 3, 2007
View more articles from the same aut…