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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49679/psn-pdf
    March 01, 2013 - The Unfamiliar Catheter March 1, 2013 Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/unfamiliar-catheter The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department with sudden onset of severe shortness of breath…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4n Selected Best Practices and Suggestions for Improvement IQI: Mortality Review of Select Procedures and Conditions Why Focus on Mortality Review? …
  3. psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
    September 01, 2012 - Add-on Case and the Missing Checklist Citation Text: Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
  4. effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-search-strategies.ppt
    June 01, 2012 - www.ebscohost.com/cinahl Nursing Allied health EMBASE www.embase.com Biomedical with emphases on drugs … and pharmaceuticals More non–U.S. coverage than MEDLINE IPA (International Pharmaceutical Abstracts … ) www.csa.com/factsheets/ipa-set-c.php Drugs and pharmaceuticals MANTIS (Manual Alternative and Natural … require subscriptions and include EMBASE, which covers many non–U.S. studies and has an emphasis on pharmaceuticals
  5. digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
    June 01, 2010 - The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature       The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature Prepared for: Agency for Healthcare Research and Quality U.S. Department …
  6. digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-nationwide-summary-appendices.pdf
    July 01, 2007 - The client has a long history of using various drugs and alcohol that is relevant for medical diagnosis … the parents want to review the ER record and lab results to see if their child tested positive for drugs … Company A to review the companies’ employees’ prescription drug use and the associated costs of the drugs
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42669/psn-pdf
    September 27, 2017 - Patient-reported missed nursing care correlated with adverse events. September 27, 2017 Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-car…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867443/psn-pdf
    January 08, 2025 - Investigating the impact of a pharmacist intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled trial. January 8, 2025 Garcia BH, Omma KK, Småbrekke L, et al. Investigating the impact of a pharmacist inter…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867638/psn-pdf
    February 26, 2025 - Artificial intelligence related safety issues associated with FDA medical device reports. February 26, 2025 Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5. https://psnet.ahr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45117/psn-pdf
    August 03, 2016 - Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. August 3, 2016 Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41876/psn-pdf
    December 04, 2016 - Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. December 4, 2016 Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866526/psn-pdf
    August 14, 2024 - Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. August 14, 2024 Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and evaluating the frequency of adverse …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37130/psn-pdf
    March 24, 2011 - Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. March 24, 2011 Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. Qual Saf Health …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73064/psn-pdf
    March 24, 2021 - Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021 Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors: Findings from two national surveillance systems, United S…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37260/psn-pdf
    January 02, 2017 - A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. January 2, 2017 Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35. https://psnet.ahr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38260/psn-pdf
    April 22, 2011 - Information exchange among physicians caring for the same patient in the community. April 22, 2011 van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430. https://psnet.ahrq.gov/issue/informa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46267/psn-pdf
    December 21, 2017 - Pictograms, units and dosing tools, and parent medication errors: a randomized study. December 21, 2017 Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237. https://psnet.ahrq.gov/is…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851349/psn-pdf
    July 12, 2023 - Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. July 12, 2023 Rowily AA, Jalal Z, Paudyal V. Contributory factors and patient harm including deaths…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43679/psn-pdf
    May 22, 2015 - Patient safety goals for the proposed Federal Health Information Technology Safety Center. May 22, 2015 Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988. https://psnet.a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837424/psn-pdf
    June 15, 2022 - Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. June 15, 2022 Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. J Allergy Clin Im…