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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/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/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/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/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…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis in a Patient With a Known Allergy
1
This presentation is based on the October 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/
CME credit is available
Commentary by: Jacob Reider,…
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psnet.ahrq.gov/issue/deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
January 25, 2017 - Review
Classic
Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.
Citation Text:
Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication a…
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psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - caregiver, the primary care physician, medical specialists, outpatient medical records,
hospital discharge summaries
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psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - A great example of this is the issue of the
Meaningful Use standard for discharge summaries.
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - techniques
include verbal, face-to-face, and interactive questioning that is coordinated with written summaries
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psnet.ahrq.gov/issue/sound-alarm
May 11, 2019 - Newspaper/Magazine Article
Sound the alarm.
Citation Text:
Sound the alarm. Addis LM, Cadet VN, Graham KC. Patient Saf Qual Healthc. May/June 2014.
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psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following-childbirth
April 01, 2019 - Book/Report
Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth.
Citation Text:
Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019.
Co…
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psnet.ahrq.gov/issue/investigation-electronic-prescribing-and-medicines-administration-systems-and-safe-discharge
April 01, 2019 - Book/Report
Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.
Citation Text:
Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. Farnborough, UK: Healthcare Safety Investigation Branch; Octobe…
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psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
April 28, 2021 - Press Release/Announcement
NAM Scholars in Diagnostic Excellence program.
Citation Text:
NAM Scholars in Diagnostic Excellence program. National Academy of Medicine and the Council of Medical Specialty Societies.
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psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-quality-information
December 17, 2008 - Audiovisual Presentation
National Survey on Consumers' Experiences With Patient Safety and Quality Information.
Citation Text:
National Survey on Consumers' Experiences With Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation, Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/medlineplus-patient-safety
September 29, 2017 - Multi-use Website
MedlinePlus: Patient Safety.
Citation Text:
MedlinePlus: Patient Safety. National Library of Medicine.
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psnet.ahrq.gov/issue/safety-numbers-try-connectivity
October 07, 2008 - Newspaper/Magazine Article
Safety in numbers? Try connectivity.
Citation Text:
Safety in numbers? Try connectivity. Dyell D.
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psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
June 15, 2011 - Multi-use Website
NAM Action Collaborative on Clinician Well-Being and Resilience.
Citation Text:
NAM Action Collaborative on Clinician Well-Being and Resilience. Washington, DC: National Academy of Medicine.
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psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
July 27, 2011 - Book/Report
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety.
Citation Text:
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.
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