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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73327/psn-pdf
    January 25, 2022 - ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings The perioperative setting is a high-risk area for medication errors, should they occur. This asses…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40519/psn-pdf
    June 08, 2011 - A public health approach to patient safety reporting systems is urgently needed. June 8, 2011 Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. https://psnet.ahrq.gov/issue/public-hea…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50577/psn-pdf
    October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers Report. October 23, 2019 Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400. https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report Ambulatory surgery centers (ASC) play an increasing role in com…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39865/psn-pdf
    May 28, 2014 - Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. May 28, 2014 Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066. https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third- edition This publication p…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50786/psn-pdf
    January 08, 2020 - Patient Safety. January 8, 2020 Halamek LP, ed. Semin Perinatol. 2019;43(8):151172-151182.   https://psnet.ahrq.gov/issue/patient-safety-18 The neonatal intensive care unit (NICU) is a complex environment that serves a vulnerable population at increased risk for harm should errors occur. This special iss…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47142/psn-pdf
    June 13, 2018 - Managing health IT risks: reflections and recommendations. June 13, 2018 Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. https://psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations Health information t…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41797/psn-pdf
    August 20, 2018 - Risk models to improve safety of dispensing high-alert medications in community pharmacies. August 20, 2018 Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-602. https://psnet.ahrq.gov/issue…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38728/psn-pdf
    June 09, 2011 - Between choice and chance: the role of human factors in acute care equipment decisions. June 9, 2011 Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0b013e3181a974d9. https://psnet.ahrq.g…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44159/psn-pdf
    July 08, 2016 - Vital Signs: Core Metrics for Health and Health Care Progress. July 8, 2016 Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939. https://psnet.ahrq.gov/issue/vital-signs-cor…

  10. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. | PSNet

    psnet.ahrq.gov/issue/medication-attributed-adverse-effects-placebo-groups-implications-assessment-adverse-effects
    January 08, 2018 - Review Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Citation Text: Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for assessment of adverse effects. Arch Intern Med. 2006;166(…

  11. Assessment of adverse drug events among patients in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…

  12. Assessment of latent factors contributing to error: addressing surgical pathology error wisely. | PSNet

    psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
    September 01, 2012 - Study Assessment of latent factors contributing to error: addressing surgical pathology error wisely. Citation Text: Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011…

  13. Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. | PSNet

    psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
    June 25, 2014 - Study Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. Citation Text: Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…

  14. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. | PSNet

    psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
    August 11, 2021 - Study Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. Citation Text: Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1…

  15. A novel approach for assessing bias during team-based clinical decision-making. | PSNet

    psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
    April 10, 2024 - Study A novel approach for assessing bias during team-based clinical decision-making. Citation Text: Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.101477…

  16. Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. | PSNet

    psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review
    June 02, 2019 - Review Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. Citation Text: Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Contro…

  17. Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. | PSNet

    psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
    November 16, 2015 - Newspaper/Magazine Article Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. Citation Text: Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…

  18. Burns surgery handover study: trainees' assessment of current practice in the British Isles. | PSNet

    psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
    February 01, 2013 - Study Burns surgery handover study: trainees' assessment of current practice in the British Isles. Citation Text: Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…

  19. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet

    psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

  20. Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? | PSNet

    psnet.ahrq.gov/issue/improving-medical-residents-self-assessment-their-diagnostic-accuracy-does-feedback-help
    September 14, 2022 - Study Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Citation Text: Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-2…
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