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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47653/psn-pdf
    January 16, 2019 - Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. January 16, 2019 Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Res Social Adm Pharm…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44654/psn-pdf
    November 11, 2015 - Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. November 11, 2015 Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. https://psnet.ahrq.gov/issue/reduction-chemo…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864866/psn-pdf
    March 20, 2024 - 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. March 20, 2024 Baltimore, MD: US Department of Health and Human Services; 2024. https://psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms- quality-measures Data…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45673/psn-pdf
    December 07, 2016 - Report on the Safe Use of Pick Lists in Ambulatory Care Settings. December 7, 2016 Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings Standard term selection tools—like pick lists or drop-d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41917/psn-pdf
    May 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73298/psn-pdf
    May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. May 19, 2021 National Academies of Sciences, Engineering, and Medicine. Washington DC:  National Academies Press; 2021. ISBN: 9780309685061.  https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45896/psn-pdf
    March 15, 2017 - Medication governance: preventing errors and promoting patient safety. March 15, 2017 Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44918/psn-pdf
    April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44967/psn-pdf
    March 16, 2016 - Wrong site surgery: a critical incident analysis of a near miss. March 16, 2016 Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1- 2):11-5. https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss Despite efforts to prevent wrong-s…
  10. psnet.ahrq.gov/issue/what-has-been-impact-covid-19-safety-culture-case-study-large-metropolitan-teaching-hospital
    May 05, 2021 - Study What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Citation Text: Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49521/psn-pdf
    September 12, 2006 - A Troubling Amine September 1, 2006 Flynn EA. A Troubling Amine. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/troubling-amine The Case A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure. She was found to have severe mitral and tricuspid valve regurgi…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33856/psn-pdf
    April 01, 2018 - Many institutions have developed multipronged approaches to enhancing postdischarge care.
  13. psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
    March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Institute for Healthcare Improvement (IHI) …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44597/psn-pdf
    October 28, 2015 - Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. October 28, 2015 Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352. https://psnet.ahrq.gov/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857457/psn-pdf
    December 06, 2023 - 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. December 6, 2023 Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):34-41. doi:10.7748/en.2023.e2187. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74721/psn-pdf
    February 02, 2022 - Hospital at Home: setting a regulatory course to ensure safe, high-quality care. February 2, 2022 DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high- quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/j.jcjq.2021.12.003. https://psnet.a…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45073/psn-pdf
    May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS initiative. May 11, 2016 Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333. https://psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-ini…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73170/psn-pdf
    April 21, 2021 - Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. April 21, 2021 Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS. Jt Comm J Qual Patient Saf. 2021;47(6):394-397. doi:10.1016/j.jcjq.2021.03.013. https://psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-in…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44234/psn-pdf
    September 09, 2015 - Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. September 9, 2015 Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital d…

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