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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - Transitions of care: the presence of written interfacility
transfer guidelines and agreements for pediatric
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Transitions of care: the presence of written interfacility transfer guidelines and agreements for pediatric
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - In Conversation with... Joan Stanley about The Role of
Undergraduate Nursing Education in Patient Safety
November 27, 2023
Stanley J. In Conversation with.. Joan Stanley about The Role of Undergraduate Nursing Education in
Patient Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-joa…
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Together, they provide care coordination, wellness education and coaching, and transitions support after … Related Resources
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - The bundle is focused on best practices, including transitions of care, screening, and referral. … clinical challenges related to the onset, screening, and the challenges around coordination of care, transitions … healthcare, communication is a critical aspect of maintaining a safe environment to support care transitions
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psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
July 08, 2015 - Newspaper/Magazine Article
Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices.
Citation Text:
Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…
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psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
November 01, 2016 - Book/Report
Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary.
Citation Text:
Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…
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psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
October 23, 2019 - Webinar
Introducing the New SOPS Hospital Survey 2.0.
Citation Text:
Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019.
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psnet.ahrq.gov/issue/leadership-committed-safety
December 23, 2016 - Sentinel Event Alerts
Leadership committed to safety.
Citation Text:
Leadership committed to safety. Sentinel Event Alert. August 27, 2009;(43):1-3.
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psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
May 11, 2016 - Book/Report
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance.
Citation Text:
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Resear…
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psnet.ahrq.gov/issue/spikes-demand-coronavirus-patients-are-creating-shortages-asthma-drugs-and-sedatives
May 11, 2016 - Newspaper/Magazine Article
Spikes in demand from coronavirus patients are creating shortages of asthma drugs and sedatives for ventilator patients.
Citation Text:
Spikes in demand from coronavirus patients are creating shortages of asthma drugs and sedatives for ventilator patients. Rowl…
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psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - Sentinel Event Alerts
Safely implementing health information and converging technologies.
Citation Text:
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
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psnet.ahrq.gov/issue/whistleblowing-and-patient-safety-patients-or-professions-interests-stake
June 10, 2020 - Commentary
Whistleblowing and patient safety: the patient's or the profession's interests at stake.
Citation Text:
Bolsin S, Pal R, Wilmshurst P, et al. Whistleblowing and patient safety: the patient's or the profession's interests at stake? J R Soc Med. 2011;104(7):278-82. doi:10.1258/…
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psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
April 05, 2013 - Commentary
Public reporting of surgical outcomes: surgeons, hospitals, or both?
Citation Text:
Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815.
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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-medical-schools
March 23, 2011 - Commentary
The WHO patient safety curriculum guide for medical schools.
Citation Text:
Walton M, Woodward H, Van Staalduinen S, et al. The WHO patient safety curriculum guide for medical schools. Qual Saf Health Care. 2010;19(6):542-6. doi:10.1136/qshc.2009.036970.
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psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs
April 12, 2023 - Newspaper/Magazine Article
Second opinions improve healthcare outcomes and reduce costs.
Citation Text:
Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News. 2020;June 8.
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psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
June 30, 2021 - Study
Classic
Costs of medical injuries in Utah and Colorado.
Citation Text:
Costs of medical injuries in Utah and Colorado. Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA
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psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
March 22, 2023 - Commentary
To err is human, unless you are a healthcare provider.
Citation Text:
To err is human, unless you are a healthcare provider. Zajicek J. Belmont Health Law J. 2020;4:79-135.
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psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
March 29, 2012 - Review
Life after death: the aftermath of perioperative catastrophes.
Citation Text:
Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77.
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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - Study
Interruptions and miscommunications in surgery: an observational study.
Citation Text:
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
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