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psnet.ahrq.gov/node/867649/psn-pdf
January 01, 2015 - Improving Pain Management for Hospitalized Medical
Patients.
January 1, 2015
Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients.
https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
Pain management presents complex patient safety concerns. Info…
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psnet.ahrq.gov/node/866115/psn-pdf
June 12, 2024 - Defining, identifying and addressing problematic
polypharmacy within multimorbidity in primary care: a
scoping review.
June 12, 2024
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy
within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0…
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psnet.ahrq.gov/node/866244/psn-pdf
July 10, 2024 - Optimizing the use of dose error reduction software on
intravenous infusion pumps.
July 10, 2024
Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous
infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385.
https://psnet.ahrq.gov/issue/optimizi…
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psnet.ahrq.gov/node/47770/psn-pdf
February 13, 2019 - Patient participation in patient safety—an exploration of
promoting factors.
February 13, 2019
Sahlström M, Partanen P, Azimirad M, et al. Patient participation in patient safety-An exploration of
promoting factors. J Nurs Manag. 2019;27(1):84-92. doi:10.1111/jonm.12651.
https://psnet.ahrq.gov/issue/patient-partic…
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psnet.ahrq.gov/node/840144/psn-pdf
November 16, 2022 - Dedicated teams to optimize quality and safety of
surgery: a systematic review.
November 16, 2022
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and
safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.
doi:10.1093/intqhc/mzac078.
ht…
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psnet.ahrq.gov/node/842422/psn-pdf
January 11, 2023 - The REPAIR Project: a prospectus for change toward
racial justice in medical education and health sciences
research: REPAIR project steering committee.
January 11, 2023
REPAIR Project Steering Committee. Acad Med. 2022;97(12):1753-1759.
https://psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-rac…
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psnet.ahrq.gov/node/764400/psn-pdf
March 02, 2022 - A mixed methods evaluation of medication reconciliation
in the primary care setting.
March 2, 2022
Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation
in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journal.pone.0260882.
https://psnet.ahr…
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psnet.ahrq.gov/node/33610/psn-pdf
April 01, 2005 - Through these sites—AHRQ WebM&M and AHRQ PSNet—our aim is to provide a rich exposure to cases,
commentaries
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psnet.ahrq.gov/node/43151/psn-pdf
April 30, 2014 - Open for Better Care.
April 30, 2014
Health Quality & Safety Commission New Zealand.
https://psnet.ahrq.gov/issue/open-better-care
This Web site hosts tools and resources associated with a national campaign to augment patient care. The
initiative aims to build collaborative programs across New Zealand to reduce fa…
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psnet.ahrq.gov/node/37233/psn-pdf
December 15, 2011 - Nurses improve medication safety with medication allergy
and adverse drug reports.
December 15, 2011
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug
reports. J Nurs Care Qual. 2007;22(4):322-7.
https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-me…
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psnet.ahrq.gov/node/45022/psn-pdf
April 20, 2016 - Clinical decision support for early recognition of sepsis.
April 20, 2016
Amland RC, Hahn-Cover KE. Clinical decision support for early recognition of sepsis. Am J Med Qual.
2016;31(2):103-10. doi:10.1177/1062860614557636.
https://psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis
Sepsis is a…
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psnet.ahrq.gov/node/33952/psn-pdf
July 16, 2009 - Bar code label requirement for human drug products and
biological products.
July 16, 2009
Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171.
https://psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products
The US Food and Drug Administration (FDA) require…
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psnet.ahrq.gov/node/44481/psn-pdf
September 09, 2015 - When doctors get it wrong: misdiagnoses are getting a
closer look.
September 9, 2015
Olsen J. Star Tribune. August 30, 2015.
https://psnet.ahrq.gov/issue/when-doctors-get-it-wrong-misdiagnoses-are-getting-closer-look
Diagnostic error is garnering increased attention as a patient safety problem. This news article r…
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psnet.ahrq.gov/node/42320/psn-pdf
June 12, 2013 - Development of a checklist for documenting team and
collaborative behaviors during multidisciplinary bedside
rounds.
June 12, 2013
Henneman EA, Kleppel R, Hinchey KT. Development of a checklist for documenting team and collaborative
behaviors during multidisciplinary bedside rounds. J Nurs Adm. 2013;43(5):280-5.
…
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psnet.ahrq.gov/node/866521/psn-pdf
August 14, 2024 - High reliability in a safety net hospital leading to
operational excellence.
August 14, 2024
Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational
excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236.
https://psnet.ahrq.gov/issue/high-re…
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psnet.ahrq.gov/node/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review.
March 6, 2024
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a
systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.
doi:10.1097/cin.0000000000001112.
…
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psnet.ahrq.gov/node/866640/psn-pdf
September 04, 2024 - Improving resident physician participation in reporting
patient safety and quality concerns.
September 4, 2024
Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and
quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.24.0016.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - must not simply try to avoid the use of nonanalytic, pattern recognition
decision-making but instead aim
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psnet.ahrq.gov/node/837501/psn-pdf
June 22, 2022 - Development and validation of a brief culture-of-safety
survey.
June 22, 2022
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt
Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
https://psnet.ahrq.gov/issue/development-and-validati…
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psnet.ahrq.gov/node/48046/psn-pdf
August 21, 2019 - Educational targets to reduce medication errors by
general surgery residents.
August 21, 2019
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General
Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
https://psnet.ahrq.gov/issue/educat…