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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - It is unclear if transitions of care
occurred in this case, but patient volume and turnover demands
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psnet.ahrq.gov/web-mm/over-not-so-easy
April 01, 2005 - March 10, 2021
Crossing the communication chasm: challenges and opportunities in transitions
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - Transitions in care: inpatient anticoagulation. In: Fang MC, ed.
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - into computerized prescriber order entry systems
Forcing Functions and Fail-Safes
Including transitions
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - First, there should be a thorough medication reconciliation at all care transitions.
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - January 2, 2017
View More
Related Resources
Handoffs and transitions
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - February 13, 2019
Optimizing patient safety in clinical trials by improving transitions
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions
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psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
September 09, 2020 - EMERGING INNOVATIONS
Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic
Citation Text:
Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - Conversation With… David Meltzer, MD, PhD
November 1, 2018
Promoting effective transitions … May 1, 2008
Perspective
Care Transitions
December
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - And she has an idea for a class on code response off-unit including transitions of leadership and plans
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - Identifying Safety Events in the Prehospital Setting
May 16, 2022
Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
Introduction
Measuring and monitoring patient safety in …
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - Mark My Limb
December 1, 2004
Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/mark-my-limb
The Case
A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the
surgeon marked the proper leg prior to bringing the patient to the O…
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Breadcrumb
Home
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Curated Libraries
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Rapid Response Systems
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Created By: AHRQ
Date Created: January 24, 20…
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - In Conversation With... Dr. Michelle Schreiber on
Measuring Patient Safety
December 14, 2022
In Conversation With.. Dr. Michelle Schreiber on Measuring Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
Editor’s Note: Michelle Schr…
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - program to evaluate teaching institutions in six focus areas: patient safety, quality improvement, transitions
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - Transitions through pregnancy and birth can pose complex safety challenges, and normal physiologic changes
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Transitions through pregnancy and birth can pose complex safety challenges, and normal physiologic changes
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - SPOTLIGHT CASE
The Case of Mistaken Intubation
Citation Text:
Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX End…
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - Dropping to New Lows
April 1, 2016
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/dropping-new-lows
Case Objectives
State how to manage diabetes medications when patients are admitted to the hospital
Describe a guideline-recommended insulin regimen for a hospitaliz…