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  1. psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high-quality-care-and
    June 23, 2021 - Special or Theme Issue Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. Citation Text: Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. Rimondini M, Busch IM, eds. Int J Envir…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49441/psn-pdf
    March 01, 2004 - Fumbled Handoff March 1, 2004 Vidyarthi A. Fumbled Handoff. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/fumbled-handoff The Case A 73-year-old female with history of hypertension, non-insulin dependent diabetes mellitus (NIDDM), and chronic renal insufficiency was admitted for an elective sigmoid resect…
  3. psnet.ahrq.gov/web-mm/hard-swallow
    April 26, 2023 - Hard to Swallow Citation Text: Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  4. psnet.ahrq.gov/web-mm/miscalculated-risk
    March 01, 2015 - Miscalculated Risk Citation Text: Strassels SA. Miscalculated Risk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  5. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
    January 01, 2021 - Spotlight Spotlight Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care Source and Credits • This presentation is based on the November 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Han…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49547/psn-pdf
    October 01, 2007 - Code Blue—Where To? October 1, 2007 Adams BD. Code Blue—Where To? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/code-blue-where The Case An 80-year-old man with a history of coronary artery disease, hypertension, and schizophrenia was admitted to an inpatient psychiatry service for hallucinations and anxi…
  7. psnet.ahrq.gov/web-mm/case-patient-flow-management
    February 23, 2019 - The Case for Patient Flow Management Citation Text: Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X…
  8. psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
    January 31, 2024 - In Conversation with...Richard Ricciardi about Office-Based Patient Safety Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN | January 31, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Ricciardi R, Lee M, Mossburg S. In Conversatio…
  9. psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
    January 31, 2024 - Patient Safety in Office-Based Care Settings Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | January 31, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Ricciardi R, L…
  10. psnet.ahrq.gov/web-mm/forgotten-line
    March 11, 2011 - The Forgotten Line Citation Text: Render ML. The Forgotten Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  11. psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
    September 27, 2023 - SPOTLIGHT CASE Missed Opportunities for Suicide Risk Assessment Citation Text: Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation For…
  12. psnet.ahrq.gov/issue/mapping-resilience-performance-community-pharmacy-maintain-patient-safety-during-covid-19
    June 29, 2022 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursinghome: a before-after study.
  13. psnet.ahrq.gov/issue/opioid-prescribing-after-childbirth-and-risk-serious-opioid-related-events-cohort-study
    September 23, 2020 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursinghome: a before-after study.
  14. psnet.ahrq.gov/issue/allergic-adverse-drug-events-after-alert-overrides-hospitalized-patients
    May 25, 2022 - May 25, 2022 Drug-related problems and polypharmacy in nursing home residents: a cross-sectional
  15. psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
    December 16, 2020 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursinghome residents.
  16. psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
    September 23, 2020 - November 16, 2022 Communication disparities between nursing home team members.
  17. psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review
    July 14, 2010 - A national implementation project to prevent catheter-associated urinary tract infection in nursinghome residents.
  18. psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
    January 12, 2022 - October 4, 2023 Do not PIMP my nursing home ride!
  19. psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
    May 20, 2020 - August 10, 2022 Drug-related problems and polypharmacy in nursing home residents: a cross-sectional
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49755/psn-pdf
    February 01, 2016 - Good Night's Sleep Gone Wrong February 1, 2016 Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong The Case A 64-year-old woman came to the emergency department complaining of cough and shortness of breath, along with an…

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