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Showing results for "transitions".

  1. Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
    February 12, 2020 - Study Lessons learned from a systems approach to engaging patients and families in patient safety transformation. Citation Text: Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qua…

  2. Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. | PSNet

    psnet.ahrq.gov/issue/analysis-lawsuits-related-diagnostic-errors-point-care-ultrasound-internal-medicine
    October 27, 2021 - Study Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. Citation Text: Reaume M, Farishta M, Costello JA, et al. Analysis of lawsuits related to diagnostic errors from point-of-…

  3. The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies. | PSNet

    psnet.ahrq.gov/issue/impact-health-care-strikes-patient-mortality-systematic-review-and-meta-analysis
    April 27, 2022 - Review The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies. Citation Text: Essex R, Weldon SM, Thompson T, et al. The impact of health care strikes on patient mortality: a systematic review and meta‐analysis of observatio…

  4. Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-different-interventions-help-primary-care-clinicians-avoid-unsafe-opioid-prescribing
    October 26, 2022 - Study Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial. Citation Text: Kraemer KL, Althouse AD, Salay M, et al. Effect of different interventions to he…

  5. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet

    psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
    March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

  6. Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet

    psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
    September 23, 2020 - Study Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. Citation Text: Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;3…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - This model to assess processes and adverse events has been used in settings such as intensive care, transitions

  8. National Patient Safety Goals | PSNet

    psnet.ahrq.gov/primer/national-patient-safety-goals
    January 16, 2025 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions

  9. Strategies and Approaches for Investigating Patient Safety Events | PSNet

    psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    March 15, 2025 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions

  10. Digital Health Literacy | PSNet

    psnet.ahrq.gov/primer/digital-health-literacy
    August 30, 2023 - Related Resources Patient Safety Primers Inpatient Transitions

  11. Reconciling Doses | PSNet

    psnet.ahrq.gov/web-mm/reconciling-doses
    August 14, 2017 - access to the list of medications that the patient was taking prior to admission, what was ordered at transitions

  12. Hold the tPA | PSNet

    psnet.ahrq.gov/web-mm/hold-tpa
    July 29, 2020 - Hold the tPA Citation Text: Fagan SC. Hold the tPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49580/psn-pdf
    March 21, 2009 - Medication Reconciliation Victory After an Avoidable Error March 21, 2009 Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error The Case A 91-year-old woman, previously active and indepen…

  14. One ACE Too Many | PSNet

    psnet.ahrq.gov/web-mm/one-ace-too-many
    June 21, 2016 - One ACE Too Many Citation Text: Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  15. In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet

    psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
    August 30, 2023 - We know transitions of care are a critical safety point, and it sounds like the vision for this model … will have a big impact on transitions of care as people move into and out of the hospital to home, to … 24, 2024 Annual Perspective Communication During Transitions

  16. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges | PSNet

    psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
    August 30, 2023 - We know transitions of care are a critical safety point, and it sounds like the vision for this model … will have a big impact on transitions of care as people move into and out of the hospital to home, to … 24, 2024 Annual Perspective Communication During Transitions

  17. Maternal Safety and Perinatal Mental Health | PSNet

    psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
    March 28, 2023 - healthcare, communication is a critical aspect of maintaining a safe environment to support care transitions … 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

  18. Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. | PSNet

    psnet.ahrq.gov/issue/effects-healthcare-organization-actions-and-policies-related-covid-19-perceived
    March 24, 2021 - Study Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. Citation Text: Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on…

  19. Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). | PSNet

    psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
    August 14, 2019 - Study Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). Citation Text: Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…

  20. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | PSNet

    psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
    December 21, 2017 - Study Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. Citation Text: Adelman JS, Applebaum JR, Southern WN, et al. Risk of Wrong-Patient Orders Among Multiple vs Singleton Births in the Neonatal Int…
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