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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72544/psn-pdf
    December 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41011/psn-pdf
    March 04, 2015 - Ambulatory prescribing errors among community-based providers in two states. March 4, 2015 Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345. https://psnet.ahrq.gov/issue/amb…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. August 1, 2016 Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46598/psn-pdf
    March 20, 2018 - Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures. March 20, 2018 Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Job Performance and a Review of Potentia…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849599/psn-pdf
    May 31, 2023 - Racial inequality in receipt of medications for opioid use disorder. May 31, 2023 Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412. https://psnet.ahrq.gov/issue/racial-inequality-receipt-me…
  6. www.ahrq.gov/teamstepps-program/curriculum/implement/index.html
    January 01, 2024 - Implementing TeamSTEPPS 3.0 in an Organization or Unit The primary users of this Implementation section will be individuals or teams responsible for implementing and sustaining the use of TeamSTEPPS concepts or tools within an organization or unit and people equipping them with needed resources. The first part …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60551/psn-pdf
    January 01, 2021 - Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. June 3, 2020 Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. J Patient …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43090/psn-pdf
    November 23, 2016 - Safety Is Personal: Partnering With Patients and Families for the Safest Care. November 23, 2016 NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National Patient Safety Foundation; March 2014. https://psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45240/psn-pdf
    June 15, 2016 - Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. June 15, 2016 Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. Nurs Inq. 2…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40260/psn-pdf
    February 08, 2017 - A case for safety leadership team training of hospital managers. February 8, 2017 Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d. https://psnet.ahrq.gov/issue/case-safety-leadership-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36205/psn-pdf
    May 27, 2011 - Physician characteristics, attitudes, and use of computerized order entry. May 27, 2011 Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43764/psn-pdf
    July 03, 2016 - Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. July 3, 2016 Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579. https://psnet.ahr…
  13. HHCEB Presentation (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
    May 20, 2012 - HHCEB Presentation * VTE Prevention: An Institution-wide Initiative University of Michigan Caprini VTE risk assessment May 20, 2012 Marc Moote, PA-C Chief Physician Assistant University of Michigan Health System * * Key Strategies Scope: ALL adult inpatients Standardized VTE Protocol – Caprini model Mandato…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44761/psn-pdf
    January 06, 2016 - Two fatal cases of accidental intrathecal vincristine administration: learning from death events. January 6, 2016 Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemotherapy (Los Angel). 2016;61(2):108-110. d…
  15. www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/cus.html
    May 01, 2023 - Tool: CUS Using the CUS technique provides another tool for advocacy, assertion, and mutual support. Signs with words such as "danger," "warning," and "caution" are common in the medical arena. They catch the viewer’s attention. In verbal communication, "CUS" and other signal phrases have a similar effect. If a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36380/psn-pdf
    February 28, 2011 - Graduate medical education and patient safety: a busy-- and occasionally hazardous--intersection. February 28, 2011 Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8. https://psnet.ahrq.gov/issue/gra…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40524/psn-pdf
    March 04, 2019 - Principles of pediatric patient safety: reducing harm due to medical care. March 4, 2019 Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542/peds.2018-3649. https://psnet.ahrq.gov/issue/principles-pedi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47415/psn-pdf
    December 05, 2018 - Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? December 5, 2018 Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:10.1515/dx-2018-0030. https://psn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47382/psn-pdf
    August 29, 2018 - Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. August 29, 2018 Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJMp1807117. https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36003/psn-pdf
    March 28, 2011 - The "To Err Is Human Report" and the patient safety literature. March 28, 2011 Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature This study …