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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46064/psn-pdf
    April 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic health record cohort study. April 19, 2017 Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch…
  2. 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…
  3. 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—…
  4. 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…
  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/44328/psn-pdf
    August 22, 2015 - Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. August 22, 2015 Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post Study Following Implementation of …
  7. 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…
  8. 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. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - radiologist follow-up recommendation rates may be due to lack of consensus on best practices even when evaluating
  10. psnet.ahrq.gov/web-mm/death-pca
    January 06, 2017 - The action during which the medication product and the patient intersect Monitoring Involves evaluating
  11. psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
    September 01, 2017 - Thus, it is essential that clinicians in the primary care or emergency setting who are evaluating patients
  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. psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax Citation Text: Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73240/psn-pdf
    May 12, 2021 - Comparison of methods to reduce bias from clinical prediction models of postpartum depression. May 12, 2021 Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/jamanetworkopen.2021.3909. https://…
  15. 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…
  16. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41095/psn-pdf
    February 01, 2012 - Intervention to reduce transmission of resistant bacteria in intensive care. February 1, 2012 Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18. doi:10.1056/NEJMoa1000373. https://psnet.ahrq.gov/issue/intervent…
  18. 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…
  19. 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):…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39338/psn-pdf
    April 30, 2014 - The effect of multidisciplinary care teams on intensive care unit mortality. April 30, 2014 Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369-76. doi:10.1001/archinternmed.2009.521. https://psnet.ahrq.gov/issue/effect-…

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