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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Barcode medication administration: supporting transitions in articulation work.
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - Labor and delivery is a busy environment, which involves patient transitions from triage to a
labor
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - Patients are very good at seeing their care across the continuum, across
transitions, and understanding
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meps.ahrq.gov/data_files/publications/rf40/rf40.pdf
January 01, 2019 - Uninsurance and Insurance Transitions, 2012–2013 through 2014–2015:
Estimates for U.S., Non-Elderly
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meps.ahrq.gov/data_files/publications/rf35/rf35.shtml
August 01, 2017 - Uninsurance and Insurance Transitions, 2012–2013 through 2014–2015: Estimates for U.S., Non-Elderly Adults
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - Imaging
July 8, 2022
WebM&M Cases
Lost in Transitions
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - August 22, 2014
Patient Safety Primers
Inpatient Transitions
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - doctors' experiences of patient safety in health information exchange during interorganizational care transitions
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - More
Related Resources
WebM&M Cases
Lost in Transitions
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hcup-us.ahrq.gov/reports/statbriefs/sb140.pdf
August 01, 2011 - August 2
Readm
Elizabeth
M.P.H., an
Introduct
Readmiss
and costly
variation i
transitions
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018773-cummins-final-report-2013.pdf
January 01, 2013 - facilitate effective communication
with supporting documentation that accompanies each patient through transitions … Promoting effective transitions of care at hospital discharge: a
review of key issues for hospitalists … Patient transitions from inpatient to outpatient: where are the risks? Can we address them?
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/hypertensive-disorders-pregnancy-screening
September 19, 2023 - Opportunities to be screened during the postpartum period may be limited due to clinician and insurance transitions
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/NZcLsqV-5K7hyfot-qHQp9
November 01, 2004 - Screening for Bladder Cancer: A Brief Evidence Update
Epidemiology
The incidence of bladder cancer in the United
States in the year 2000 was approximately 21 per
100,000 persons.3 The American Cancer Society
estimates that 60,240 new cases of bladder cancer
will be diagnosed in the United States during 2004
(about 4…
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience
Karen Frush, MD | May 1, 2005
View more articles from the same authors.
Citation Text:
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Discharged Blindly
Citation Text:
Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - Amended Lab Results: Communication Slip
Citation Text:
Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/node/73554/psn-pdf
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/ems-patient-safety-field
Introduction
Emergency medical services (EMS) personnel serve a critical role within the care continuum. They ar…
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - Procedural Mishap: Learning Curve?
February 1, 2003
Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
The Case
A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had
undesired fert…
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psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - Hip Fractures in Older Patients: the Case for Geriatrics
Comanagement
April 1, 2019
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
The Case
An 82-year-old man …
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www.ahrq.gov/sops/news/previous-announcements.html
March 01, 2025 - Previous Announcements About SOPS Surveys
2022 Announcements Date Announcements December 2022 AHRQ Post-Webcast Materials for “Understanding SOPS Surveys: A Primer for New Users” This webcast provided an overview of the Surveys on Patient Safety Culture (SOPS) Surveys. Speakers described the SOPS program, surve…