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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867804/psn-pdf
    February 26, 2025 - Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/are-we-safer-today In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the National Academy of Medicine) drew on two lar…
  2. psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
    February 02, 2022 - high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-basedpractice.
  3. psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes
    October 13, 2018 - Study Delayed medical emergency team calls and associated outcomes. Citation Text: Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/american-geriatrics-society-2019-updated-ags-beers-criteria-potentially-inappropriate
    August 16, 2023 - Organizational Policy/Guidelines Classic American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappro…
  5. psnet.ahrq.gov/issue/systematic-review-clinical-debriefing-tools-attributes-and-evidence-use
    March 20, 2024 - Review Systematic review of clinical debriefing tools: attributes and evidence for use. Citation Text: Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-01…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42064/psn-pdf
    March 16, 2013 - Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. March 16, 2013 Shekelle PG, Pronovost PJ, Wachter RM, Rao JK, Mulrow CD, eds. Ann Intern Med. 2013;158(5 Pt 2):365- 440.   https://psnet.ahrq.gov/issue/making-health-care-safer-critical-review-moder…
  7. psnet.ahrq.gov/issue/does-app-day-keep-doctor-away-ai-symptom-checker-applications-entrenched-bias-and
    March 14, 2018 - Commentary Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. Citation Text: Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibi…
  8. psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
    August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33747/psn-pdf
    March 01, 2013 - The Literature on Health Care Simulation Education: What Does It Show? March 1, 2013 Cook DA. The Literature on Health Care Simulation Education: What Does It Show? PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show Perspective The education o…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34103/psn-pdf
    February 24, 2011 - Measuring errors and adverse events in health care. February 24, 2011 Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x. https://psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care This article discusses t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840139/psn-pdf
    November 16, 2022 - CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. November 16, 2022 Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42072/psn-pdf
    August 03, 2016 - Innovation in Perioperative Patient Safety. August 3, 2016 Miller DR, Merry AF, eds. Can J Anesth. 2013;60(2):7-220. https://psnet.ahrq.gov/issue/innovation-perioperative-patient-safety Articles in this special issue discuss strategies to improve safety in anesthesia, including simulation training, perioperative c…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41732/psn-pdf
    October 03, 2012 - Double checking the administration of medicines: what is the evidence? A systematic review. October 3, 2012 Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093. https://p…
  14. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
    November 01, 2012 - Spotlight Case July 2008 Spotlight Case Transfusion Overload 1 2 Source and Credits This presentation is based on the November 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Manish S. Patel, MD, and Jeffrey L. Carson, MD, of UMDNJ−Robert Wood …
  15. psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - The right stuff: getting the right data at the right time and using that data to drive evidence-basedpractice and policy.
  16. psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - The right stuff: getting the right data at the right time and using that data to drive evidence-basedpractice and policy.
  17. psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
    March 29, 2007 - Commentary Reducing medical error in the Military Health System: how can team training help? Citation Text: Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.101…
  18. psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
    February 17, 2011 - Commentary Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting. Citation Text: Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during p…
  19. psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
    March 21, 2012 - Organizational Policy/Guidelines ISMP Targeted Medication Safety Best Practices for Community Pharmacy. Citation Text: ISMP Targeted Medication Safety Best Practices for Community Pharmacy. Institute for Safe Medication Practices: March 2025. Copy Citation Save Sa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35300/psn-pdf
    March 04, 2011 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. March 4, 2011 Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ? blockers in non-cardiac surgery? Sys…

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