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  1. psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid
    October 19, 2022 - Study Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. Citation Text: Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…
  2. 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
  3. 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
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. psnet.ahrq.gov/issue/focusing-health-care-safety
    January 16, 2008 - Special or Theme Issue Focusing on Health Care Safety. Citation Text: Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778. Copy Citation Save Save to your library Print Down…
  10. psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
    October 23, 2019 - Book/Report Iowans' Views on Medical Errors: Iowa Patient Safety Study. Citation Text: Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018. Copy Citation Save Save to your library Print …
  11. psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
    May 05, 2018 - Newspaper/Magazine Article Oral chemotherapy: not just an ordinary pill. Citation Text: Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2. Copy Citation Save Save to your library Print Download PDF …
  12. psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
    June 13, 2018 - Toolkit ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Citation Text: ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018. Copy Citation Save Save to your library …
  13. psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
    May 11, 2017 - Organizational Policy/Guidelines ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Citation Text: ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Horsham, PA: Institute for Safe Medication Practices; May 2017. Copy Citation …
  14. psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
    August 01, 2012 - Book/Report Classic Advances in Patient Safety: New Directions and Alternative Approaches. Citation Text: Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publicatio…
  15. psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
    July 17, 2024 - Toolkit TeamSTEPPS for Diagnosis Improvement. Citation Text: TeamSTEPPS for Diagnosis Improvement. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your librar…
  16. psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
    August 30, 2023 - Newspaper/Magazine Article NHS staff cried in safety interviews, says watchdog. Citation Text: NHS staff cried in safety interviews, says watchdog. Reed J. BBC. February 27, 2023. Copy Citation Save Save to your library Print Download PDF Share…
  17. 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…
  18. 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…
  19. psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191. Copy Citation Format: …
  20. 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 …

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