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Showing results for "transitions".

  1. Continuing Education | PSNet

    psnet.ahrq.gov/continuing-education
    February 26, 2025 - Preoperative Complications (1) Transfusion Complications (3) Transitions

  2. Delayed Recognition of a Positive Blood Culture | PSNet

    psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
    January 29, 2020 - 2011 Patient Safety Primers Discharge Planning and Transitions

  3. Watch the Warfarin! | PSNet

    psnet.ahrq.gov/web-mm/watch-warfarin
    December 01, 2013 - continuation of warfarin in the context of medication changes, acute illness, dietary adjustments, and care transitions

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49484/psn-pdf
    June 01, 2005 - Two Pills, Same Drug June 1, 2005 Horsky J, Patel VL. Two Pills, Same Drug. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/two-pills-same-drug The Case A 34-year-old woman with AIDS developed a fever and hypotension due to suspected pneumonia. Her past medical history included several AIDS-related complica…

  5. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet

    psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
    March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay Citation Text: O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: G…

  6. The "Customer" Is Always Right | PSNet

    psnet.ahrq.gov/web-mm/customer-always-right
    January 22, 2014 - From the Same Author(s) Annual Perspective Handoffs and Transitions

  7. Discharged with IV antibiotics: When issues arise, who manages the complications? | PSNet

    psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
    October 10, 2017 - team before a patient is discharged Appreciate the importance of open and clear communication in transitions

  8. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. | PSNet

    psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
    October 27, 2021 - Study Classic Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Citation Text: Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performanc…

  9. Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? | PSNet

    psnet.ahrq.gov/issue/using-harm-based-weights-ahrq-patient-safety-selected-indicators-composite-psi-90-does-it
    March 15, 2016 - Study Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? Citation Text: Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Bas…

  10. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. | PSNet

    psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
    June 16, 2021 - EMERGING INNOVATIONS eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. Citation Text: Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support duri…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33728/psn-pdf
    May 01, 2012 - In Conversation With…David C. Classen, MD, MS May 1, 2012 In Conversation With…David C. Classen, MD, MS. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms Editor's note: David C. Classen, MD, MS, is Chief Medical Information Officer for Pascal Metrics and an Associa…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846935/psn-pdf
    March 29, 2023 - of healthcare, communication is a critical aspect of maintaining a safe environment to support care transitions

  13. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
    January 01, 2021 - contributed to 81% of events where delays in treatment resulted in death or permanent loss of function • Transitions

  14. Looking for Meds in All the Wrong Places | PSNet

    psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
    June 16, 2021 - Interprofessional and intraprofessional communication about older people's medications across transitions

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49770/psn-pdf
    September 01, 2016 - First, there should be a thorough medication reconciliation at all care transitions.

  16. Chemotherapy Administration Safety Standards | PSNet

    psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
    March 30, 2016 - WebM&M Cases Steroids and Safety: Preventing Medication Adverse Events During Transitions

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49751/psn-pdf
    January 01, 2016 - Patient identity is verified at key points or transitions in the care process (e.g., rooming patient,

  18. Toxic Tachycardia | PSNet

    psnet.ahrq.gov/web-mm/toxic-tachycardia
    March 01, 2005 - June 24, 2020 Information flow during pediatric trauma care transitions: things falling

  19. Building a Safety Program Using Principles of Resilience Engineering | PSNet

    psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
    October 23, 2013 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

  20. Patient Safety and Opioid Medications | PSNet

    psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
    January 01, 2015 - 27, 2024 Annual Perspective Communication During Transitions
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