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  1. Use of heuristics during the clinical decision process from family care physicians in real conditions. | PSNet

    psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions
    March 09, 2022 - Study Use of heuristics during the clinical decision process from family care physicians in real conditions. Citation Text: Fernández‐Aguilar C, Martín‐Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions…

  2. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. | PSNet

    psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
    July 21, 2021 - Study Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. Citation Text: Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staf…

  3. Over-the-Counter Oversight | PSNet

    psnet.ahrq.gov/web-mm/over-counter-oversight
    March 21, 2009 - New Oral Anticoagulants December 1, 2013 Anticoagulant medication errors in nursing … homes: characteristics, causes, outcomes, and association with patient harm.

  4. A Seasonal Care Transition Failure | PSNet

    psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - Handoffs in which the patient resides in the clinical setting (e.g., nursing homes, acute hospital) do

  5. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - Patients admitted from nursing homes and other institutional settings were at increased risk of PIM at

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60242/psn-pdf
    March 01, 2021 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovatio…

  7. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
    November 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case November 2003 The Missing Suction Tip Source and Credits This presentation is based on the Nov. 2003 AHRQ WebM&M Spotlight Case in Surgery See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Eric J. Thomas, MD,…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60625/psn-pdf
    June 24, 2020 - pandemic has highlighted a range of weaknesses in the health care system including supply chain gaps, nursing … home vulnerabilities and racial inequity.

  9. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
    May 01, 2015 - PowerPoint Presentation Spotlight Errors in Sepsis Management This presentation is based on the May 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: David Shimabukuro, MD, University of California, San Francisco (UCSF) Editor, AHRQ WebM&M: Rober…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42663/psn-pdf
    October 16, 2023 - challenges that emerged in prominence due to the COVID-19 pandemic (health disparities, inequities and nursing … home care failures), as well as core topics such as high reliability, human factors engineering and

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845472/psn-pdf
    March 15, 2023 - mind would be places like assisted living because they are not necessarily clinical settings like a nursing … homes or long term care where they might already have the ability to do vital signs.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40856/psn-pdf
    October 19, 2011 - Safer care at home: use of simulation training to improve standards. October 19, 2011 Unsworth J, Tuffnell C, Platt A. Safer care at home: use of simulation training to improve standards. Br J Community Nurs. 2011;16(7):334-9. https://psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards …

  13. Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey. | PSNet

    psnet.ahrq.gov/issue/factors-affecting-attitudes-and-barriers-medical-emergency-team-among-nurses-and-medical
    March 27, 2024 - Study Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey. Citation Text: Radeschi G, Urso F, Campagna S, et al. Factors affecting attitudes and barriers to a medical emergency team among nurses and medical doctors:…

  14. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet

    psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
    January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

  15. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet

    psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
    October 30, 2024 - Safety Innovations Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing … Home Residents July 28, 2021 Patient Safety Innovations

  16. Pediatric emergency nurses self-reported medication safety practices. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
    March 03, 2019 - Study Pediatric emergency nurses self-reported medication safety practices. Citation Text: Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. Copy Citation Format: …

  17. Critical care nurses' role in rapid response teams: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/critical-care-nurses-role-rapid-response-teams-qualitative-systematic-review
    May 18, 2022 - Review Critical care nurses' role in rapid response teams: a qualitative systematic review. Citation Text: Holtsmark C, Larsen MH, Steindal SA, et al. Critical care nurses' role in rapid response teams: a qualitative systematic review. J Clin Nurs. 2024;33(10):3831-3843. doi:10.1111/jocn…

  18. Solving alarm fatigue with smartphone technology. | PSNet

    psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
    October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  19. Missed Patient Assignment: Is Anyone There? | PSNet

    psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
    September 01, 2017 - Missed Patient Assignment: Is Anyone There? Citation Text: Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google …

  20. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet

    psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
    September 01, 2003 - SPOTLIGHT CASE Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Citation Text: Gibbs VC. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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