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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41606/psn-pdf
    February 01, 2019 - Safe use of opioids in hospitals. December 23, 2016 Sentinel Event Alert. 2012;49:1-5. https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals Opioid pain medications are considered high-risk medications due to the potential for respiratory depression and other adverse effects. Because these medications are freque…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38448/psn-pdf
    March 04, 2009 - Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. March 4, 2009 van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. Qual Saf Health Car…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36433/psn-pdf
    February 10, 2011 - Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. February 10, 2011 Hunt DL, Haynes RB, Hanna SE, et al. Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes. JAMA. 2003;280(15):1339-1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45971/psn-pdf
    April 21, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. April 21, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 2018. https://psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and- families Patient engagement i…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46054/psn-pdf
    January 01, 2021 - Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. April 12, 2017 Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Patient Saf. 2021;17(3):e177-e185. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47423/psn-pdf
    January 27, 2019 - A health system–wide initiative to decrease opioid-related morbidity and mortality. January 27, 2019 Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003. https://psnet.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43958/psn-pdf
    April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. April 22, 2015 Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6. doi:10.10…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836753/psn-pdf
    March 16, 2022 - Inequities in quality and safety outcomes for hospitalized children with intellectual disability. March 16, 2022 Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(3):314-322. doi:10.1111/dmcn.15066…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45687/psn-pdf
    October 31, 2017 - Determining current insulin pen use practices and errors in the inpatient setting. October 31, 2017 Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109-X. https://psnet.ahrq.gov/issu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838644/psn-pdf
    October 19, 2022 - Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. October 19, 2022 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 29, 2022. https://psnet.ahrq.gov/issue/golden-state-medical-sup…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44877/psn-pdf
    April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. April 27, 2016 Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16- 158. https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and- pre…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43175/psn-pdf
    December 12, 2014 - Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. December 12, 2014 Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database Syst Rev. 2014;(4):CD007768. d…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44253/psn-pdf
    August 24, 2015 - Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. August 24, 2015 Cho IS, Lee J-H, Choi S-K, et al. Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the Unit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866855/psn-pdf
    October 02, 2024 - Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. October 2, 2024 Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Contemp Nurse. 2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50823/psn-pdf
    January 22, 2020 - Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. January 22, 2020 Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy- led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385. https://psnet.ahrq.gov/issue/reduci…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844759/psn-pdf
    September 18, 2019 - Saving Patient Ryan- can advanced electronic medical records make patient care safer? September 18, 2019 Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059. https://psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient- care-safer This observational study examin…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60950/psn-pdf
    September 23, 2020 - An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. September 23, 2020 Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. J Law Med Eth…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60724/psn-pdf
    July 29, 2020 - The safety of health care for ethnic minority patients: a systematic review. July 29, 2020 Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. doi:10.1186/s12939-020-01223-2. https://psnet.ahrq.gov/issue/safety-heal…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60046/psn-pdf
    March 18, 2020 - Adverse outcomes of polypharmacy in older people: systematic review of reviews. March 18, 2020 Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):181-187. doi:10.1016/j.jamda.2019.10.022. https://psnet.ahrq.gov/issu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47277/psn-pdf
    August 08, 2018 - Students have a key role in a culture of safety: analysis of student-associated medication incidents. August 8, 2018 ISMP Medication Safety Alert! Acute care edition. July 26, 2018;23:1-4. https://psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication- incidents Previous…