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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43307/psn-pdf
    September 26, 2016 - Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. September 26, 2016 Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification and administration: interven…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47681/psn-pdf
    January 30, 2019 - Infection prevention in the operating room anesthesia work area. January 30, 2019 Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303. https://psnet.ahrq.gov/issue/infection-prevention-operat…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50557/psn-pdf
    October 16, 2019 - Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial October 16, 2019 Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial. JAMA Netw Open. 2019…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44554/psn-pdf
    November 20, 2015 - Hospice diagnosis: polypharmacy—a teachable moment. November 20, 2015 Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253. https://psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment Overprescribing can…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862153/psn-pdf
    February 07, 2024 - Anticipating patient safety events in psychiatric care. February 7, 2024 Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760. https://psnet.ahrq.gov/issue/anticipating-patient-safety-events-p…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37156/psn-pdf
    October 06, 2011 - Preventable harm occurring to critically ill children. October 6, 2011 Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. https://psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children This retrospective cohort…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43861/psn-pdf
    July 01, 2016 - Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. July 1, 2016 Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.1542/peds.2014-2171. https://psnet.ahr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39286/psn-pdf
    February 10, 2010 - Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. February 10, 2010 Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45752/psn-pdf
    January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. January 11, 2017 Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34644/psn-pdf
    December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9- year experience. December 23, 2008 Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39810/psn-pdf
    April 17, 2011 - The missing link: dedicated patient safety education within top-ranked US nursing school curricula. April 17, 2011 Howard JN. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. J Patient Saf. 2010;6(3):165-71. https://psnet.ahrq.gov/issue/missing-link-dedicated-pati…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47662/psn-pdf
    February 21, 2024 - Lucian Leape Patient Safety Fellowship Award. February 21, 2024 International Society for Quality in Health Care https://psnet.ahrq.gov/issue/lucian-leape-patient-safety-fellowship-award Inspired by the work and leadership of Dr. Lucian Leape, this award is a mentoring program to develop physicians and leaders see…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35740/psn-pdf
    May 27, 2011 - Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial. May 27, 2011 Colpaert K, Claus B, Somers A, et al. Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled c…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46138/psn-pdf
    May 31, 2017 - An innovative collaborative model of care for undiagnosed complex medical conditions. May 31, 2017 Nageswaran S, Donoghue N, Mitchell A, et al. An Innovative Collaborative Model of Care for Undiagnosed Complex Medical Conditions. Pediatrics. 2017;139(5):e20163373. doi:10.1542/peds.2016-3373. https://psnet.ahrq.gov…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836856/psn-pdf
    April 06, 2022 - To what extent are patients involved in researching safety in acute mental healthcare? April 6, 2022 Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x. https://psnet.ahr…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46650/psn-pdf
    July 12, 2018 - Towards a more patient-centered approach to medication safety. July 12, 2018 Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44365/psn-pdf
    November 20, 2015 - A prospective study of suicide screening tools and their association with near-term adverse events in the ED. November 20, 2015 Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED. Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j.ajem.2015.08.013. https://psn…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39517/psn-pdf
    May 25, 2010 - A prospective controlled trial of the effect of a multi- faceted intervention on early recognition and intervention in deteriorating hospital patients. May 25, 2010 Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and inter…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41191/psn-pdf
    March 21, 2012 - Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. March 21, 2012 Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews. Int J Med Inform. 2012;81(4):219-31. d…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45094/psn-pdf
    May 04, 2016 - Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. May 4, 2016 Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16- 328. https://psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care This analysis found that s…
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