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4821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39175/psn-pdf
      December 16, 2009 - Impact of a standard medication chart on prescribing errors: a before-and-after audit. December 16, 2009 Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.1136/qshc.2007.025296. https://psn…

4822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43233/psn-pdf
      June 17, 2014 - Quality and safety education for nurses: a nursing leadership skills exercise. June 17, 2014 Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…

4823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38171/psn-pdf
      June 29, 2009 - An educational and audit tool to reduce prescribing error in intensive care. June 29, 2009 Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. https://psnet.ahrq.gov/issue/educationa…

4824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41161/psn-pdf
      February 22, 2012 - An education-service partnership to achieve safety and quality improvement competencies in nursing. February 22, 2012 Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916- 02. …

4825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33829/psn-pdf
      March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…

4826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49867/psn-pdf
      July 02, 2019 - Diuretics and Electrolyte Abnormalities July 2, 2019 Dreischulte T. Diuretics and Electrolyte Abnormalities. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities Case Objectives Recognize that thiazide diuretics can lead to serious adverse events. State how commonly used t…

4827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49619/psn-pdf
      February 01, 2011 - Paradoxical Pulse February 1, 2011 Roy CL. Paradoxical Pulse. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/paradoxical-pulse The Case An 80-year-old man with paroxysmal atrial fibrillation and symptomatic bradycardia underwent successful pacemaker placement as an outpatient. The patient was restarted on …

4828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72737/psn-pdf
      February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates February 9, 2021 https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data- driven-decision Summary The team at Geisinger sought to develop a…

4829. In Conversation With... Cindy Brach | PSNet
      psnet.ahrq.gov/perspective/conversation-cindy-brach
      December 27, 2019 - We worked together on developing a conceptual model of how cultural competence might reduce disparities

4830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42401/psn-pdf
      July 10, 2013 - TeamGAINS: a tool for structured debriefings for simulation-based team trainings. July 10, 2013 Kolbe M, Weiss M, Grote G, et al. TeamGAINS: a tool for structured debriefings for simulation-based team trainings. BMJ Qual Saf. 2013;22(7):541-53. doi:10.1136/bmjqs-2012-000917. https://psnet.ahrq.gov/issue/teamgains-…

4831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44232/psn-pdf
      January 29, 2019 - Optimizing medication safety in the home. January 29, 2019 LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. https://psnet.ahrq.gov/issue/optimizing-medication-safety-home Patients who receive home care services are vulnerable to a…

4832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37115/psn-pdf
      October 04, 2011 - Evaluation of an anonymous system to report medical errors in pediatric inpatients. October 4, 2011 Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33. https://psnet.ahrq.gov/issue/evaluation-anonymous-system-re…

4833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41631/psn-pdf
      September 24, 2016 - Interruption handling strategies during paediatric medication administration. September 24, 2016 Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. https://psnet.ahrq.gov/issue/interruption-handling-stra…

4834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39807/psn-pdf
      December 29, 2014 - Perspectives in quality: designing the WHO Surgical Safety Checklist. December 29, 2014 Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039. https://psnet.ahrq.gov/issue/perspectives-qual…

4835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40923/psn-pdf
      July 06, 2012 - Decision support for sensible dosing in electronic prescribing systems. July 6, 2012 Coleman JJ, Nwulu U, Ferner RE. Decision support for sensible dosing in electronic prescribing systems. J Clin Pharm Ther. 2012;37(4):415-9. doi:10.1111/j.1365-2710.2011.01310.x. https://psnet.ahrq.gov/issue/decision-support-sensi…

4836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44110/psn-pdf
      May 13, 2015 - Simulation in Anaesthesia and Surgery. May 13, 2015 Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96. https://psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery In the last decade, simulation has emerged as an educational strategy for teaching clinical skills. Articles in this sp…

4837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39576/psn-pdf
      September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital. September 25, 2010 Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital This guide provides patients with information they need t…

4838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48131/psn-pdf
      August 14, 2019 - Teaching nurses to make clinical judgments that ensure patient safety. August 14, 2019 Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. https://psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-e…

4839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37269/psn-pdf
      November 30, 2016 - ACOG Committee Opinion #681: disclosure and discussion of adverse events. November 30, 2016 Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. https://psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adv…

4840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34869/psn-pdf
      April 04, 2005 - Assessing patient safety in the United States: challenges and opportunities. April 4, 2005 Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47. https://psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenge…