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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46754/psn-pdf
    April 11, 2018 - Opioids and Dentistry. April 11, 2018 Opioids and Dentistry. J Am Dent Assoc. 2018;149(4):237-272. doi:10.1016/j.adaj.2018.02.015. https://psnet.ahrq.gov/issue/opioids-and-dentistry The use of opioids in various care environments to address acute pain contributes to the opioid crisis. This special collection explo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74691/psn-pdf
    January 01, 2021 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor- college-medicine Summary The Revised Safer Dx Instr…
  3. psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
    October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2020 …
  4. psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…
  5. psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840165/psn-pdf
    November 16, 2022 - Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. November 16, 2022 Washington, DC: Veterans Affairs Office of Inspector General; 2022. Report No. 22-00818-03. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45453/psn-pdf
    November 02, 2016 - Creating highly reliable health care: how reliability- enhancing work practices affect patient safety in hospitals. November 2, 2016 Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759. https://psnet.ahrq.gov/issue/creating-highly-reliable-health-care-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845652/psn-pdf
    March 14, 2023 - Controlled substance drug diversion by healthcare workers as a threat to patient safety. March 14, 2023 ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4):1-4; March 9, 2023:28(5):1-4. https://psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety D…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838316/psn-pdf
    October 12, 2022 - The Lancet Commission on lessons for the future from the COVID-19 pandemic. October 12, 2022 Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. https://psnet.ahrq.gov/issue/lancet-com…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43989/psn-pdf
    March 18, 2015 - Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. March 18, 2015 Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general med…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48037/psn-pdf
    May 29, 2019 - Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. May 29, 2019 Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 2019;132(5):556-563. doi:10.1016/j.amj…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35596/psn-pdf
    February 17, 2011 - Disciplinary action by medical boards and prior behavior in medical schools. February 17, 2011 Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82. https://psnet.ahrq.gov/issue/disciplinary-action-medical-boards-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45245/psn-pdf
    June 27, 2018 - Medication Without Harm: WHO's Third Global Patient Safety Challenge. June 27, 2018 Geneva, Switzerland: World Health Association; 2017. https://psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge Adverse drug events are likely the most common source of preventable harm in both …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46164/psn-pdf
    August 30, 2017 - Electronic health record alert–related workload as a predictor of burnout in primary care providers. August 30, 2017 Gregory ME, Russo E, Singh H. Electronic Health Record Alert-Related Workload as a Predictor of Burnout in Primary Care Providers. Appl Clin Inform. 2017;8(3):686-697. doi:10.4338/ACI-2017-01-RA-0003…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46719/psn-pdf
    December 20, 2017 - Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. December 20, 2017 Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility The promise of health information technology has yet to be…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45368/psn-pdf
    September 27, 2016 - Access to prescription opioids—Primum Non Nocere: a teachable moment. September 27, 2016 Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926. https://psnet.ahrq.gov/issue/access-prescription…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43933/psn-pdf
    March 04, 2015 - How informatics nurses use bar code technology to reduce medication errors. March 4, 2015 Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. https://psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-t…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44716/psn-pdf
    April 15, 2016 - An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. April 15, 2016 Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. …

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