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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - between settings
Transfers from nursing homes to acute care are nearly 10% of all Medicare admissions
Transitions
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www.ahrq.gov/ncepcr/reports/primary-care-research/appendix-a.html
January 01, 2024 - Care Management [Coordination/Transitions in Care] (Y/N) defined as people or processes in the workflow
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
June 01, 2022 - Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript
Understanding SOPS Surveys: A Primer for New Users
February 19, 2020 – Webcast Transcript
Speakers:
Naomi Yount, Ph.D.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS), Westat (Moderator)
Laura Gra…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/psoriasis-chronic_disposition-comments.pdf
November 27, 2012 - Disposition of Comments Report for Biologic and Nonbiologic Systemic Agents and Phottherapy for Treatment of Chronic Plaque Psoriasis
Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=1325
Published Online: November 27, 2012
Comparative…
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psnet.ahrq.gov/node/74748/psn-pdf
February 09, 2022 - The abrupt expansion of ambulatory telemedicine:
implications for patient safety.
February 9, 2022
Khoong EC, Sharma AE, Gupta K, et al. The abrupt expansion of ambulatory telemedicine: implications for
patient safety. J Gen Intern Med. 2022;37(5):1270-1274. doi:10.1007/s11606-021-07329-9.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - Leveraging the science of teamwork to sustain handoff
improvements in cardiovascular surgery.
July 12, 2023
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in
cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…
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psnet.ahrq.gov/node/866075/psn-pdf
June 05, 2024 - Oncology patients' willingness to report their medication
safety concerns from home: a qualitative study.
June 5, 2024
Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety
concerns from home: a qualitative study. Support Care Cancer. 2024;32(6):352. doi:10.1007/s00520…
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psnet.ahrq.gov/node/849605/psn-pdf
May 31, 2023 - Identification of patient safety threats in a post-intensive
care clinic.
May 31, 2023
Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic.
Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118.
https://psnet.ahrq.gov/issue/identification-p…
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psnet.ahrq.gov/node/34993/psn-pdf
June 22, 2009 - Five system barriers to achieving ultrasafe health care.
June 22, 2009
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern
Med. 2005;142(9):756-64.
https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
This commentary builds on the…
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psnet.ahrq.gov/node/73595/psn-pdf
August 11, 2021 - Safety committees need to proactively address the risk of
accidental cerebral injection of intravenous (IV) drugs.
August 11, 2021
ISMP Medication Safety Alert! Acute care edition. July 29, 2021;26(15);1-5.
https://psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-
…
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psnet.ahrq.gov/node/866434/psn-pdf
August 07, 2024 - Measuring the overall development of patient safety in a
new hospital using trigger tools.
August 7, 2024
Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new
hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10.1093/intqhc/mzae064.
https://psn…
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - An Obstructed View
Citation Text:
Carter J. An Obstructed View. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - July Syndrome
June 1, 2016
Young JQ. July Syndrome. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/july-syndrome
The Case
A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower
lobe lung cancer. The attending surgeon saw the patient along with his fellow,…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - Key Words: hospital discharge; health care transitions; health information technology
The authors … Action: Transforming Health Care Quality:
28
Evidence of Effectiveness of Use of VPAs during Transitions … A timeline for patient interactions was set by the script-writing team to guide transitions
from each
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/avoiding-common-pitfalls
January 01, 2013 - It is essential to take a more active and coordinated approach in dealing with referrals and care transitions
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digital.ahrq.gov/organization/university-southern-mississippi
January 01, 2023 - University of Southern Mississippi
Creating Online Newborn Intensive Care Unit (NICU) Networks to Educate, Consult & Team - 2009
Principal Investigator
Rachal, Valerie
Project Name
Creating Online Newborn Intensive Care Unit (NICU) Networks to Educate, Consult & …
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psnet.ahrq.gov/node/836960/psn-pdf
April 20, 2022 - Effect of a multispecialty faculty handoff initiative on
safety culture and handoff quality.
April 20, 2022
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety
culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539.
…
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psnet.ahrq.gov/node/60792/psn-pdf
August 12, 2020 - Nurse workarounds in the electronic health record: an
integrative review.
August 12, 2020
Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative
review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050.
https://psnet.ahrq.gov/issue/nurse-workaroun…
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psnet.ahrq.gov/node/60049/psn-pdf
March 18, 2020 - Who gets the benefit of the doubt? Performance
evaluations, medical errors, and the production of gender
inequality in emergency medical education.
March 18, 2020
Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations,
Medical Errors, and the Production of Gender Inequal…
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psnet.ahrq.gov/node/43628/psn-pdf
October 29, 2014 - Factors associated with post-intensive care unit adverse
events: a clinical validation study.
October 29, 2014
Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a
clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.1111/nicc.12091.
https://psnet.…