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psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-transitions
November 20, 2024 - Commentary
A call to bridge across silos during care transitions.
Citation Text:
Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006.
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psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
April 22, 2011 - Study
Impact of patient communication problems on the risk of preventable adverse events in acute care settings.
Citation Text:
Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…
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psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
January 31, 2024 - Study
Caregiver and clinician perspectives on discharge medication counseling: a qualitative study.
Citation Text:
Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - Are Two Insulin Pumps Better Than One?
January 1, 2009
Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
The Case
A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass
graft surge…
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psnet.ahrq.gov/topics-0
March 03, 2025 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: March 3, 2025
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole
Werner, PhD
November 16, 2022
In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
Editor’s note: Dr. Pascale Carayon, PhD, is a p…
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psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
July 23, 2008 - Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing … home residents.
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
October 31, 2023 - Protocols During a Time of Crisis
March 15, 2023
Communication disparities between nursing … home team members.
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psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation
September 24, 2010 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.
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psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
March 24, 2019 - April 15, 2020
Is there a link between nursing home reported quality and COVID-19 cases
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psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
June 24, 2010 - January 5, 2017
Advancing nursing home quality through quality improvement itself.
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psnet.ahrq.gov/issue/aging-surgeon
February 22, 2019 - October 7, 2020
Medication discrepancy rates and sources upon nursing home intake: a
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psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
January 19, 2022 - January 19, 2022
Nursing home patient safety culture perceptions among US and immigrant
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psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
September 24, 2014 - February 22, 2019
Nurses' communication of safety events to nursing home residents and
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Copy Citation
Related Resources From the Same Author(s)
Trends in Nursing … Home Deficiencies and Complaints.
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psnet.ahrq.gov/issue/national-plan-health-workforce-well-being
November 13, 2019 - June 16, 2012
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment
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psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update
February 17, 2010 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - August 14, 2019
Communication disparities between nursing home team members.
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psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
February 15, 2023 - March 8, 2023
Expanding frontiers of risk management: care safety in nursing home during
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psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
September 07, 2021 - May 11, 2022
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment