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psnet.ahrq.gov/node/47973/psn-pdf
July 18, 2019 - Transition planning for the senior surgeon: guidance and
recommendations from the Society of Surgical Chairs.
July 18, 2019
Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and
Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653.
doi:10…
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psnet.ahrq.gov/node/44663/psn-pdf
September 27, 2016 - Impact of regionalized care on concordance of plan and
preventable adverse events on general medicine services.
September 27, 2016
Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and
preventable adverse events on general medicine services. J Hosp Med. 2016;11(9):620-…
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psnet.ahrq.gov/node/60562/psn-pdf
June 03, 2020 - A case-controlled study of relatives' complaints
concerning patients who died in hospital: the role of
treatment escalation/limitation planning.
June 3, 2020
Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning
patients who died in hospital: the role of treatment e…
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psnet.ahrq.gov/node/45818/psn-pdf
September 29, 2017 - National Action Plan for Adverse Drug Event Prevention:
recommendations for safer outpatient opioid use.
September 29, 2017
Ducoffe AR, York A, Hu DJ, et al. National Action Plan for Adverse Drug Event Prevention:
Recommendations for Safer Outpatient Opioid Use. Pain Med. 2016;17(12):2291-2304.
doi:10.1093/pm/pnw1…
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psnet.ahrq.gov/node/43550/psn-pdf
October 15, 2014 - Contingency planning for electronic health record–based
care continuity: a survey of recommended practices.
October 15, 2014
Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a
survey of recommended practices. Int J Med Inform. 2014;83(11):797-804.
doi:10.1016…
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - required to discuss new symptoms, the side effects of medications, or that follow-up is not proceeding as planned
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psnet.ahrq.gov/node/39584/psn-pdf
June 11, 2010 - Patterns of nurse–physician communication and
agreement on the plan of care.
June 11, 2010
O'Leary KJ, Thompson JA, Landler MP, et al. Patterns of nurse-physician communication and agreement
on the plan of care. Qual Saf Health Care. 2010;19(3):195-9. doi:10.1136/qshc.2008.030221.
https://psnet.ahrq.gov/issue/patt…
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - to ensure their safety by asking patients to promise that they won't self-harm and will follow up as planned
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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - Study
Use of board certification and recertification of pediatricians in health plan credentialing policies.
Citation Text:
Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…
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psnet.ahrq.gov/node/842775/psn-pdf
January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce
Safety
January 18, 2023
Cambridge, MA: Institute for Healthcare Improvement: January 2023.
https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
The National Steering Committee for Patient Safety (NSC) was formed to engage w…
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing
Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to
Prevent Patient Falls. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…
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psnet.ahrq.gov/node/38853/psn-pdf
January 04, 2010 - Introduction of discharge plan to reduce adverse events
within 72 hours of discharge from the ICU.
January 4, 2010
Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72
hours of discharge from the ICU. J Nurs Care Qual. 2010;25(1):73-79.
doi:10.1097/NCQ.0b013e3…
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psnet.ahrq.gov/node/34950/psn-pdf
June 23, 2009 - Competition and health plan performance: evidence from
health maintenance organization insurance markets.
June 23, 2009
Scanlon D, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from
health maintenance organization insurance markets. Med Care. 2005;43(4):338-346.
https://psnet.a…
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psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act.
April 10, 2024
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf.
2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identi…
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psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - The problem with Plan-Do-Study-Act cycles.
February 20, 2016
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52.
doi:10.1136/bmjqs-2015-005076.
https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been embraced as an approach t…
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psnet.ahrq.gov/node/42658/psn-pdf
March 17, 2014 - Systematic review of the application of the plan-do-study-
act method to improve quality in healthcare.
March 17, 2014
Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act
method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health
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psnet.ahrq.gov/node/45812/psn-pdf
June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles
in practice, not just in name.
June 22, 2017
Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name.
BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245.
https://psnet.ahrq.gov/issue/primer-pdsa-execu…
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psnet.ahrq.gov/node/60676/psn-pdf
July 15, 2020 - Northeastern University Hospital Surge Capacity Planning
Model: Bed, Ventilator, and PPE 1-30 Day Demand.
July 15, 2020
Rockville, MD; Agency for Healthcare Research and Quality: 2020.
https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-
and-ppe-1-30
The COVI…
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
March 27, 2024
Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
Introduction
The integration of information technology (I…