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1541. When Patients and Providers Speak Different Languages | PSNet
      psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
      December 08, 2021 - Race/ethnicity, language, and patients' assessments of care in Medicaid managed care.

1542. Challenges of Diabetes Management and Medication Reconciliation | PSNet
      psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
      March 15, 2023 - Pharmacist medication assessments in a surgical preadmission clinic.

1543. 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…

1544. 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…

1545. 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…

1546. 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…

1547. 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…

1548. In Conversation with David W. Bates about Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
      February 26, 2025 - Pressure injuries are better assessed, although those assessments are very difficult to do, especially

1549. Are We Safer Today? | PSNet
      psnet.ahrq.gov/perspective/are-we-safer-today
      February 26, 2025 - Pressure injuries are better assessed, although those assessments are very difficult to do, especially

1550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46046/psn-pdf
      April 19, 2017 - Teaching students to administer medications safely. April 19, 2017 Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62- 66. doi:10.1097/01.NAJ.0000511573.73435.72. https://psnet.ahrq.gov/issue/teaching-students-administer-medications-safely Students are likely to m…

1551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60851/psn-pdf
      August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…

1552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47842/psn-pdf
      April 10, 2019 - Learning From Invited Reviews. April 10, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/learning-invited-reviews Physical demands and technical complexities can affect surgical safety. This resource is designed to capture frontline perceptions of surgeons in the United Ki…

1553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60766/psn-pdf
      August 05, 2020 - Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. August 5, 2020 McFarling UL. Stat. July 21, 2020. https://psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms- care-patients-color Dermatologists rely on v…

1554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50575/psn-pdf
      October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift handover communication. October 23, 2019 Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. https://psnet.ahrq.gov/issue/dynam…

1555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49536/psn-pdf
      May 01, 2007 - On the Other Hand May 1, 2007 Henneman EA. On the Other Hand. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/other-hand The Case A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain. The patient had been diagnosed with Takayasu's a decade earlier. The disease results…

1556. ISMP medication error report analysis. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
      September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…

1557. AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. | PSNet
      psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
      December 24, 2008 - Government Resource AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. Citation Text: AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; January 2015. Copy Citation Save S…

1558. Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. | PSNet
      psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-safety-and-quality
      October 23, 2019 - Toolkit Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Citation Text: Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Rockville, MD: Agency for Healthc…

1559. Costs and Benefits of Health Information Technology. | PSNet
      psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
      July 27, 2018 - Government Resource Costs and Benefits of Health Information Technology. Citation Text: Costs and Benefits of Health Information Technology. Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006. Cop…

1560. Ordering of continuous renal replacement therapy in a computerized provider order entry system. | PSNet
      psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
      April 01, 2024 - Commentary Ordering of continuous renal replacement therapy in a computerized provider order entry system. Citation Text: Ordering of continuous renal replacement therapy in a computerized provider order entry system. Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR. Copy Citation …