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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD
May 14, 2020
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Citation Text:
In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.In Conversation With... Joel Willis, DO, PA,…
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety
Joan Stanley, PhD, NP, FAAN, FAANP | November 27, 2023
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Citation Text:
Stanley J. In Conversat…
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - Take-Home Points
Anticoagulation, transitions from inpatient to home, and complex regimens are high-risk
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - transition points may lie between or among hospital teams or units, as in this case
(including such transitions
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - 19, 2020
Patient Safety Primers
Discharge Planning and Transitions
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - transition points may lie between or among hospital teams or units, as in this case (including such transitions
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
was ordered at transitions
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Such a system could help track responsible providers in the context of care transitions.
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - dangerously increased production
pressure, cognitive aid from planned organized handover checklists for transitions
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - October 5, 2022
WebM&M Cases
Lost in Transitions of Care
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - I have done a lot of work in handoff communication and care transitions. … May 7, 2014
Systematically improving physician assignment during in-hospital transitions
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history calle…
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - COVID-19 and the Built Environment
June 30, 2021
Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/covid-19-and-built-environment
Introduction
The “built environment” in healthcare refers to the hospital structure and any other fix…
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - An Outpatient 'Zebra'
Citation Text:
Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient
June 22, 2022 - Press Release/Announcement
Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety.
Citation Text:
Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Agency for Healthcare Research and…
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psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
June 08, 2010 - Review
Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke.
Citation Text:
Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…
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psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
June 29, 2011 - Study
Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system.
Citation Text:
Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system. Internation…
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psnet.ahrq.gov/issue/necessary-sea-change-nurse-faculty-development-spotlight-quality-and-safety
May 25, 2011 - Commentary
A necessary sea change for nurse faculty development: spotlight on quality and safety.
Citation Text:
Thornlow D, McGuinn K. A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs. 2010;26(2):71-81. doi:10.1016/j.profnurs.2009.10.00…
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psnet.ahrq.gov/issue/iatrogenic-events-resulting-intensive-care-admission-frequency-cause-and-disclosure-patients
September 30, 2010 - Study
Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.
Citation Text:
Lehmann LS, Puopolo AL, Shaykevich S, et al. Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patient…
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psnet.ahrq.gov/issue/infection-prevention-emergency-department
July 13, 2016 - Review
Infection prevention in the emergency department.
Citation Text:
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
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