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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?
Citation Text:
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Nursing and Patient Safety
Citation Text:
Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures
Citation Text:
Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - Quality and safety challenges arise due to gaps in continuity of care, transitions in care, and communication … 24, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - February 20, 2019
Implementation of a discharge education program to improve transitions
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - June 24, 2010
Results of the Medications At Transitions and Clinical Handoffs (MATCH)
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - continuation of warfarin in the context of medication changes, acute illness, dietary
adjustments, and care transitions
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - post-operatively.5,12,13
Systems Optimization
A health system approach to safely manage medication transitions
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - the History
March 21, 2009
Perspective
Care Transitions
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - used appropriately,
can help standardize and organize the most crucial aspects of care
during these transitions
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psnet.ahrq.gov/toolkits
March 01, 2025 - 2024-2025 edition includes new practices that are associated with tranexamic acid wrong-route errors, transitions
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - 27, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - 28, 2011
Patient Safety Primers
Discharge Planning and Transitions
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - Transitions in care: inpatient anticoagulation. In: Fang MC, ed. Inpatient Anticoagulation. 1st ed.
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psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—II. The Duke Experience
May 1, 2005
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
Pe…
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Patient handoffs occurring at transitions between providers—either
across levels of care or at change
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - Together, they
provide care coordination, wellness education and coaching, and transitions support after
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions