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  1. The heart of health care: parents' perspectives on patient safety. | PSNet

    psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
    April 24, 2018 - Commentary The heart of health care: parents' perspectives on patient safety. Citation Text: Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004. Copy Citation Format:…

  2. FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. | PSNet

    psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
    March 12, 2010 - Government Resource FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. Citation Text: FDA identifies harm reported from sudden discontinuation of opioid pain medicines and …

  3. FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. | PSNet

    psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
    April 08, 2020 - Government Resource FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. Citation Text: FDA Drug Safety Communication: FDA cautions about dosing errors when switchi…

  4. Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. | PSNet

    psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees
    December 31, 2012 - Study Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. Citation Text: Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…

  5. Building nursing intellectual capital for safe use of information technology: a systematic review. | PSNet

    psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review
    June 23, 2009 - Review Building nursing intellectual capital for safe use of information technology: a systematic review. Citation Text: Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…

  6. Home | PSNet

    psnet.ahrq.gov/
    March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33735/psn-pdf
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective At any point in time, …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49441/psn-pdf
    March 01, 2004 - Fumbled Handoff March 1, 2004 Vidyarthi A. Fumbled Handoff. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/fumbled-handoff The Case A 73-year-old female with history of hypertension, non-insulin dependent diabetes mellitus (NIDDM), and chronic renal insufficiency was admitted for an elective sigmoid resect…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33715/psn-pdf
    July 01, 2011 - Becoming a Patient Safety Organization July 1, 2011 Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization Perspective While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story …

  10. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet

    psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
    October 24, 2021 - In Conversation With... Georgia Galanou Luchen, Pharm. D. October 24, 2021  Also Read the Essay Citation Text: In Conversation With.. Georgia Galanou Luchen, Pharm. D. PSNet [internet]. 2021.In Conversation With... Georgia Galanou Luchen, Pharm. D.. PSNet [interne…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866562/psn-pdf
    January 01, 2025 - Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial. August 21, 2024 Hampton S, Murray J, Lawton R, et al. Understanding the challenges and successes of implementing ‘hybrid’ interventions in he…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867636/psn-pdf
    February 26, 2025 - Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. February 26, 2025 Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize behavioral and communication dis…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73188/psn-pdf
    April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837512/psn-pdf
    January 01, 2024 - Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022 Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Hum Factors. 2024;6…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60299/psn-pdf
    May 06, 2020 - Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. May 6, 2020 Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60641/psn-pdf
    July 01, 2020 - Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. July 1, 2020 Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035471. doi:10.1136/bmjopen-2019-035471.…

  17. You're the boss at the hospital. | PSNet

    psnet.ahrq.gov/issue/youre-boss-hospital
    February 28, 2024 - Newspaper/Magazine Article You're the boss at the hospital. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 28, 2016 This article shares guidelines for accompanying a fa…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73095/psn-pdf
    March 31, 2021 - Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. March 31, 2021 Zheng Y, Jiang Y, Dorsch MP, et al. Work effort, readability and quality of pharmacy transcription of patient directions from electronic…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46024/psn-pdf
    June 15, 2017 - Introductions during time-outs: do surgical team members know one another's names? June 15, 2017 Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1016/j.jcjq.2017.03.001. https://p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866565/psn-pdf
    August 21, 2024 - Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. August 21, 2024 White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. JAMA Netw Open. 2024;7(8):e2425923. doi:10.1001…
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