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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety
Paul J. Sharek, MD, MPH | May 1, 2012
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Sharek PJ. The Emergence of the Trigger Tool as the …
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - In Conversation With... Chris Cebollero, BS, CCEMT-P
May 26, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Chris Cebollero, BS, CCEMT-P. PSNet [internet]. 2021.In Conversation With... Chris Cebollero, BS, CCEMT-P. PSNet [internet]. Rockville (MD)…
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - A framework for assessing reasoning about controversial
end-of-life clinical decisions.
December 14, 2022
Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of-
life clinical decisions. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/framework-assessing-reasonin…
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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - Under Pressure: Delayed Diagnosis of Compartment
Syndrome after Lower Leg Fracture.
April 24, 2024
Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment
Syndrome after Lower Leg Fracture. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-comp…
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.
Citation Text:
Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Safety Culture in EMS
May 26, 2021
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Citation Text:
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Annual Perspective
Diagnostic Errors
Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014
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Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - Transitions between the nursing home, the emergency room, and the hospital are very common in this patient
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - This model to assess processes and adverse events has been used in settings such as intensive care, transitions
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - This model to assess processes and adverse events has been used in settings such as intensive care, transitions
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - good handoffs, timely responses to patients and families, appropriate sharing of information, and good transitions … 10, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
Handoffs and transitions
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - August 7, 2024
Handoffs and transitions of care: a systematic review, meta-analysis,
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - dx.doi.org/10.1016/S0140-6736(08)60601-7
https://psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - Barcode medication administration: supporting transitions in articulation work.
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - Patients are very good at seeing their care across the continuum, across transitions, and understanding
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - 27, 2024
Annual Perspective
Communication During Transitions
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR
Citation Text:
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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