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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73966/psn-pdf
    October 13, 2021 - Prescribing errors with low-molecular-weight heparins. October 13, 2021 Slikkerveer M, van de Plas A, Driessen JHM, et al. Prescribing errors with low-molecular-weight heparins. J Patient Saf. 2021;17(7):e587-e592. doi:10.1097/pts.0000000000000417. https://psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weigh…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43365/psn-pdf
    November 19, 2016 - Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. November 19, 2016 Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design System Using Patient Simulation a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42623/psn-pdf
    October 02, 2013 - Unintended adverse consequences of introducing electronic health records in residential aged care homes. October 2, 2013 Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82(9):772-88. doi:10.1016/j.ijmedinf.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37612/psn-pdf
    February 15, 2011 - Can we use incident reports to detect hospital adverse events? February 15, 2011 Blais R; Bruno D; Bartlett G; Tamblyn R. https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events Incident reporting systems are ubiquitous, despite a lack of evidence supporting their utility in identif…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44724/psn-pdf
    November 25, 2015 - What's in your kit? A safety checkup may be in order. November 25, 2015 Paparella S. What's In Your Kit? A Safety Checkup May Be In Order. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2015;41(6):513-5. doi:10.1016/j.jen.2015.07.001. https://psnet.ahrq.gov…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36952/psn-pdf
    September 09, 2011 - Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. September 9, 2011 Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. Phar…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33904/psn-pdf
    January 25, 2016 - Healthcare Cost and Utilization Project (HCUP). January 25, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup The Healthcare Cost and Utilization Project (HCUP) is a family of databases and related software tools and products developed throug…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47129/psn-pdf
    September 05, 2018 - Impact of medication reconciliation for improving transitions of care. September 5, 2018 Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of care. Cochrane Database Syst Rev. 2018;8(8):CD010791. doi:10.1002/14651858.CD010791.pub2. https://psnet.ahrq.gov/issue/…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74129/psn-pdf
    January 01, 2022 - Factors influencing providers' willingness to deprescribe medications. December 1, 2021 Davila H, Rosen AK, Stolzmann K, et al. Factors influencing providers' willingness to deprescribe medications. J Am Coll Clin Pharm. 2022;5:15-25. doi:10.1002/jac5.1537. https://psnet.ahrq.gov/issue/factors-influencing-provider…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46663/psn-pdf
    November 29, 2017 - ISMP survey shows provider text messaging often runs afoul of patient safety. November 29, 2017 ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5. https://psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety Texting medication orders is convenient …

  11. West Virginia Practice Based Research Network | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/communities/pbrn/registry/west-virginia-practice-based-research-network.html
    December 03, 2013 - West Virginia Practice Based Research Network Status: Active Registered Date: December 3, 2013 PBRN Acronym: WVPBRN PBRN Type: Family Medicine Network (at least 75% are Family Medicine Clinicians) Network Category: Affiliate City: Morgantown State: West Virg…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44009/psn-pdf
    July 18, 2016 - Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. July 18, 2016 Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45122/psn-pdf
    October 08, 2016 - Transformational leadership in nursing and medication safety education: a discussion paper. October 8, 2016 Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper.  J Nurs Manag. 2016;24(7):970-980. doi:10.1111/jonm.12387. https://psn…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44641/psn-pdf
    October 26, 2016 - Resident Safety Practices in Nursing Home Settings. October 26, 2016 Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-EHC022-EF. https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings E…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42539/psn-pdf
    September 27, 2016 - Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. September 27, 2016 Keers RN, Williams SD, Cooke J, et al. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. Drug Saf. 2013;36(1…

  16. Other HHS Agencies | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/hhs-agencies/index.html
    July 01, 2025 - Other HHS Agencies Information about other U.S. Department of Health & Human Services (HHS) Agencies. The U.S. Department of Health and Human Services' programs are administered by 10 principal HHS operating divisions in addition to the Agency for Healthcare Research and Quality (AHRQ). In addition to the s…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46600/psn-pdf
    December 06, 2017 - Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. December 6, 2017 Eccleston C, Fisher E, Thomas KH, et al. Interventions for the reduction of prescribed opioid use in chronic non-cancer pain. Cochrane Database Syst Rev. 2017;11:CD010323. doi:10.1002/14651858.CD010323.pub3. http…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34652/psn-pdf
    March 04, 2011 - Epidemiology of medical error. March 4, 2011 Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7. https://psnet.ahrq.gov/issue/epidemiology-medical-error This article summarizes the epidemiology of medical errors. The authors provide findings from benchmark studies to…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44002/psn-pdf
    March 25, 2015 - Preventing medication errors in transitions of care: a patient case approach. March 25, 2015 Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509. https://psnet.ahrq.gov/issue/prevent…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36684/psn-pdf
    June 13, 2011 - Implementation of an electronic system for medication reconciliation. June 13, 2011 Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. https://psnet.ahrq.gov/issue/implementation-elect…
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