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psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
March 03, 2011 - 27, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
January 18, 2013 - June 14, 2017
Improving end-of-rotation transitions of care among ICU patients
December
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psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
August 28, 2017 - integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions
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psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
February 23, 2011 - July 2, 2014
Medication errors during patient transitions into nursing homes: characteristics
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psnet.ahrq.gov/issue/changing-working-while-sick-culture
March 14, 2018 - 27, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/practice-respect-icu
August 09, 2018 - April 22, 2015
An intervention to improve transitions from NICU to ambulatory care: quasi-experimental
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psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
October 31, 2017 - 23, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
August 30, 2017 - Surgical residents, duty hours restrictions, and shift transitions.
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psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
June 18, 2008 - Surgical residents, duty hours restrictions, and shift transitions.
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors
February 18, 2011 - August 4, 2021
Work system barriers and facilitators in inpatient care transitions of
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psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many
January 29, 2010 - November 23, 2016
Promoting effective transitions of care at hospital discharge: a review
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psnet.ahrq.gov/issue/partners-our-care-patient-safety-patient-perspective
December 04, 2016 - patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions
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psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
January 03, 2017 - December 19, 2012
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Related Resources
Handoffs and transitions
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Safety Culture in EMS
May 26, 2021
Also Read the Conversation
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Citation Text:
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US…
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.
Citation Text:
Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
Also Read a Conversation
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Citation Text:
Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Hemolysis Holdup
Citation Text:
Lehman CM. Hemolysis Holdup. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - Computerized Provider Order Entry
March 15, 2025
Computerized Provider Order Entry. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice…
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - Amended Lab Results: Communication Slip
Citation Text:
Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Karen Frush, MD | May 1, 2005
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Citation Text:
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…