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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866405/psn-pdf
    July 31, 2024 - Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. July 31, 2024 Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in response to fa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860715/psn-pdf
    January 17, 2024 - Development of prescribing indicators related to opioid- related harm in patients with chronic pain in primary care- a modified e-Delphi study. January 17, 2024 Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care—…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39581/psn-pdf
    January 03, 2017 - An implementation strategy for a multicenter pediatric rapid response system in Ontario. January 3, 2017 Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient Safety. 2016;36(6). doi:10.1016/s1553…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39729/psn-pdf
    September 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38891/psn-pdf
    January 04, 2010 - Do calculation errors by nurses cause medication errors in clinical practice? A literature review. January 4, 2010 Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009. https://psnet.ahrq.gov/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37776/psn-pdf
    January 31, 2011 - Barcoded medication administration: a last line of defense. January 31, 2011 Cescon DW, Etchells E. Barcoded medication administration: a last line of defense. JAMA. 2008;299(18):2200-2. doi:10.1001/jama.299.18.2200. https://psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense Barcoding techn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867013/psn-pdf
    October 23, 2024 - Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. October 23, 2024 Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri- anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
  8. psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
    October 30, 2024 - At the home visits, the APRNs answered questions about medications, corrected medication errors, and evaluated
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49733/psn-pdf
    May 01, 2015 - She was evaluated by adult cardiology and cardiac surgery, and she was advised to undergo an aortic
  10. psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - Throughout this case, the patient experienced significant delays in being evaluated.
  11. psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
    June 15, 2024 - What was remarkable about this program, and AHRQ was an early supporter of it and evaluated the work
  12. psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
    November 01, 2016 - Study Classic A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. Citation Text: Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36909/psn-pdf
    January 05, 2017 - Medical team training: applying crew resource management in the Veterans Health Administration. January 5, 2017 Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325. https://psnet.ahrq.gov/i…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47733/psn-pdf
    April 27, 2019 - Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. April 27, 2019 Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 2019;45(4):231-240. doi:10.1016/j.jc…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45694/psn-pdf
    June 15, 2017 - Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. June 15, 2017 Lashoher A, Schneider EB, Juillard C, et al. Implementation of the World Health Organization Trauma Care Checklist Program in 11 Centers Across…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50458/psn-pdf
    October 09, 2019 - Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. October 9, 2019 Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40932/psn-pdf
    July 05, 2016 - Health IT and Patient Safety: Building Safer Systems for Better Care. July 5, 2016 Committee on Patient Safety and Health Information Technology, Board on Health Care Services, Institute of Medicine. Washington, DC: National Academies Press; 2011. ISBN: 9780309221122. https://psnet.ahrq.gov/issue/health-it-and-pat…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849595/psn-pdf
    May 31, 2023 - Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. May 31, 2023 Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized c…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46904/psn-pdf
    August 20, 2018 - Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. August 20, 2018 Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA. 201…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846160/psn-pdf
    March 15, 2023 - Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. March 15, 2023 Terregino CA, Jagpal S, Parikh P, et al. Critical Care Teamwork in the Future: The Role of Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and …

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