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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73987/psn-pdf
    October 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47024/psn-pdf
    November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46792/psn-pdf
    February 14, 2018 - Emerging trends in perinatal quality and risk with recommendations for patient safety. February 14, 2018 Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294. https://psnet.ahrq.gov/issue/emerging-tr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74847/psn-pdf
    February 16, 2022 - Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. February 16, 2022 Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA. 2022;327(8):719-720. doi:10.1001/ja…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866645/psn-pdf
    September 04, 2024 - Technology-related safety event analysis in community clinical informatics: a case study. September 4, 2024 Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. doi:10.3233/shti240189. https://psne…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41759/psn-pdf
    October 10, 2012 - Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. October 10, 2012 Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50688/psn-pdf
    November 20, 2019 - Roles and role ambiguity in patient- and caregiver- performed outpatient parenteral antimicrobial therapy. November 20, 2019 Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qual Patient Saf. 2019;45(11):763…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44737/psn-pdf
    December 16, 2015 - How effective are incident-reporting systems for improving patient safety? A systematic literature review. December 16, 2015 Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866. https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- systematic-literature …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44968/psn-pdf
    January 23, 2017 - Financial incentives and mortality: taking pay for performance a step too far. January 23, 2017 Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. https://psnet.ahrq.gov/issue/financial-ince…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42922/psn-pdf
    April 12, 2014 - Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. April 12, 2014 Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48018/psn-pdf
    July 31, 2019 - PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019 Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342. doi:10.1097/SIH.0000000000…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837961/psn-pdf
    August 31, 2022 - Risk reduction strategy to decrease incidence of retained surgical items. August 31, 2022 Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. https://psnet.ahrq.gov/issue/risk-reduc…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44981/psn-pdf
    June 07, 2016 - Simulation-based training: the missing link to lastingly improved patient safety and health? June 7, 2016 Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732. https://psnet.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48011/psn-pdf
    May 29, 2019 - Is it time for safeguards in the adoption of robotic surgery? May 29, 2019 Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. https://psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery The FDA recently raised …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44579/psn-pdf
    September 01, 2016 - Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. September 1, 2016 Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44049/psn-pdf
    September 12, 2016 - A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. September 12, 2016 Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 2015;157(4):752-63. doi:10.1016/j…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46994/psn-pdf
    October 31, 2018 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018 Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226. doi:10.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866857/psn-pdf
    October 02, 2024 - Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. October 2, 2024 Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Pediatr Qual Saf. 202…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60676/psn-pdf
    July 15, 2020 - Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. July 15, 2020 Rockville, MD; Agency for Healthcare Research and Quality: 2020. https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator- and-ppe-1-30 The COVI…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43715/psn-pdf
    November 26, 2014 - An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. November 26, 2014 Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. https://psnet.ahrq.gov/issue/inter…
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