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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48013/psn-pdf
    May 29, 2019 - Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. May 29, 2019 Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult Service. J Manag Care Spec Pharm. 2…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60003/psn-pdf
    January 01, 2021 - Systemic causes of in-hospital intravenous medication errors: a systematic review. March 4, 2020 Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts.0000000000000632. https://psnet.ah…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47975/psn-pdf
    May 29, 2019 - Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. May 29, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice Introducing innovations in practice involves taking calculated ri…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39119/psn-pdf
    November 25, 2009 - Effect of a weight-based prescribing method within an electronic health record on prescribing errors. November 25, 2009 Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm. 2009;66(22):2037-41. doi:10.214…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45547/psn-pdf
    October 05, 2016 - Sick children face potentially deadly danger: medication errors. October 5, 2016 Furfaro H. Wall Street Journal. September 25, 2016. https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors Medication errors in pediatric care are common in the hospital and at home. This newspaper…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36895/psn-pdf
    March 10, 2011 - A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. March 10, 2011 Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44082/psn-pdf
    April 22, 2015 - Impact of including readmissions for qualifying events in the Patient Safety Indicators. April 22, 2015 Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/1062860613518341. https://psnet.ahrq.g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860724/psn-pdf
    January 17, 2024 - Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? January 17, 2024 Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-135. doi:10.1136/bmjqs-2023- 016…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867230/psn-pdf
    December 04, 2024 - Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. December 4, 2024 Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergen…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60726/psn-pdf
    January 01, 2021 - User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. July 29, 2020 Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Qual …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74151/psn-pdf
    January 01, 2022 - Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta- analysis. December 8, 2021 Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848366/psn-pdf
    May 03, 2023 - The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. May 3, 2023 Ward CE, Taylor M, Keeney C, et al. The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. Prehosp Emerg Care. 2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43047/psn-pdf
    August 02, 2015 - Hospital readmission after noncardiac surgery: the role of major complications. August 2, 2015 Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45. https://psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34786/psn-pdf
    March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49394/psn-pdf
    April 01, 2003 - Premature or Overdue? April 1, 2003 Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/premature-or-overdue The Case A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history was unremarkable, and results of her prenatal …
  18. psnet.ahrq.gov/issue/transitions-care-toc-portal
    March 07, 2018 - Multi-use Website Transitions of Care (TOC) Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 27, 2013 This Web site provides resources for clinicians and patien…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47130/psn-pdf
    October 10, 2018 - Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. October 10, 2018 Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. doi:10.1016/j.nedt.2018.08.024. http…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46304/psn-pdf
    November 01, 2017 - Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. November 1, 2017 Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552. doi:10.1097/pe…

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