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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backgroun…
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psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
July 27, 2011 - Book/Report
The Future of Nursing: Leading Change, Advancing Health.
Citation Text:
The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. Washington, DC: The National Academies Press: 2011.
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psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop
September 12, 2018 - Meeting/Conference Proceedings
Communicating Clearly About Medicines: Proceedings of a Workshop.
Citation Text:
Communicating Clearly About Medicines: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017.…
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psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
March 01, 2023 - Book/Report
Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona.
Citation Text:
Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Fol…
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psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
December 29, 2014 - Study
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.
Citation Text:
Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…
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psnet.ahrq.gov/node/46513/psn-pdf
June 19, 2018 - Development of a trigger tool to identify adverse events
and no-harm incidents that affect patients admitted to
home healthcare.
June 19, 2018
Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and
no-harm incidents that affect patients admitted to home healthcar…
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psnet.ahrq.gov/node/45683/psn-pdf
January 23, 2017 - Consensus bundle on prevention of surgical site
infections after major gynecologic surgery.
January 23, 2017
Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After
Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. doi:10.1097/AOG.0000000000001751.
htt…
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psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
March 05, 2013 - Government Resource
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs.
Citation Text:
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001. AHRQ …
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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - Book/Report
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.
Citation Text:
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023.
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psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
November 17, 2014 - Study
Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover.
Citation Text:
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …
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psnet.ahrq.gov/node/37004/psn-pdf
July 08, 2008 - Tying up loose ends: discharging patients with
unresolved medical issues.
July 8, 2008
Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues.
Arch Intern Med. 2007;167(12):1305-11.
https://psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-is…
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psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
July 05, 2016 - Book/Report
Classic
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Citation Text:
Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Healt…
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psnet.ahrq.gov/issue/new-ahrq-surveys-patient-safety-culturetm-diagnostic-safety-supplemental-items-medical
July 14, 2021 - December 20, 2023
Patient Safety Research Summaries.
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - be compromised if telehealth encounters do
not integrate easy access to tools such as after visit summaries
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - electrocardiograms, cross-sectional body images, endoscopic findings, microscopic reports, and
pathologic summaries
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psnet.ahrq.gov/primer/handoffs-and-signouts
October 18, 2023 - Handoffs and Signouts
Citation Text:
Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - Handoffs
Citation Text:
Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download…
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psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
January 04, 2009 - Book/Report
Classic
Preventing Medication Errors: Quality Chasm Series.
Citation Text:
Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …
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psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
April 26, 2006 - Book/Report
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities.
Citation Text:
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Washington, DC: VA Office of Inspector General; April 20, 201…
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psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
September 12, 2018 - Book/Report
Building a Better Delivery System: A New Engineering/Health Care Partnership.
Citation Text:
Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…