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  1. Opioids for pain management in older adults: strategies for safe prescribing. | PSNet

    psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
    January 26, 2022 - Commentary Opioids for pain management in older adults: strategies for safe prescribing. Citation Text: Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. Copy Citation Format: DOI Google Scholar BibTeX E…

  2. 2009 National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/2009-national-patient-safety-goals
    August 03, 2016 - Commentary 2009 National Patient Safety Goals. Citation Text: Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  3. Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet

    psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
    July 10, 2017 - Commentary Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. Citation Text: Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…

  4. The quality of pharmacologic care for vulnerable older patients. | PSNet

    psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
    August 27, 2012 - Study The quality of pharmacologic care for vulnerable older patients. Citation Text: Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20. Copy Citation Format: Google Scholar PubMe…

  5. Drug shortages continue to compromise patient care. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
    February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

  6. What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet

    psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use
    September 14, 2016 - Newspaper/Magazine Article What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. Citation Text: What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-p…

  7. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet

    psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
    June 24, 2020 - Newspaper/Magazine Article Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. Citation Text: Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. Copy …

  8. Major congenital malformations after first-trimester exposure to ACE inhibitors. | PSNet

    psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
    July 10, 2008 - Study Major congenital malformations after first-trimester exposure to ACE inhibitors. Citation Text: Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. Major Congenital Malformations after First-Trimester Exposure to ACE Inhibitors. New England Journal of Medicine. 2006;354(23). doi:10.…

  9. Ethical and practical aspects of disclosing adverse events in the emergency department. | PSNet

    psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
    April 04, 2011 - Review Ethical and practical aspects of disclosing adverse events in the emergency department. Citation Text: Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714. Copy Citat…

  10. Error disclosure and apology in radiology: the case for further dialogue. | PSNet

    psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue
    October 19, 2022 - Commentary Error disclosure and apology in radiology: the case for further dialogue. Citation Text: Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126. Copy Citation …

  11. Workplace bullying in the OR: results of a descriptive study. | PSNet

    psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
    December 21, 2017 - Study Workplace bullying in the OR: results of a descriptive study. Citation Text: Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015. Copy Citation Format: DOI Googl…

  12. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
    April 19, 2011 - Study Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. Citation Text: Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…

  13. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet

    psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
    October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…

  14. Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. | PSNet

    psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
    December 07, 2022 - Study Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Citation Text: Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Jørgensen IF, Brunak S. NPJ Digital Med. 2021;4(1):12. Copy Citation …

  15. 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? | PSNet

    psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
    July 19, 2023 - Newspaper/Magazine Article 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Citation Text: 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Renault M. STAT. February 6, 2023. Copy Citation …

  16. How to use online clinician rating systems. | PSNet

    psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
    April 19, 2016 - Commentary How to use online clinician rating systems. Citation Text: Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA. 2015;314(13):1418. doi:10.1001/jama.2015.11957. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  17. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
    July 19, 2017 - Newspaper/Magazine Article Sounding the alarm. Nurses, organizations work to address alarm fatigue. Citation Text: Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. Copy Citation Format: Google Scholar PubMed…

  18. Recognizing the importance of whistleblowers in healthcare. | PSNet

    psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
    June 24, 2009 - Commentary Recognizing the importance of whistleblowers in healthcare. Citation Text: O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56. doi:10.1097/01.nurse.0000736912.14380.65. Copy Citation Format: DOI Google Scholar …

  19. Surgical 'never events': how common are adverse occurrences? | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
    November 16, 2022 - Commentary Surgical 'never events': how common are adverse occurrences? Citation Text: West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. Copy Citation Format: DOI Google Sc…

  20. Are apologies a way to reduce malpractice risks?. | PSNet

    psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
    October 23, 2018 - Commentary Are apologies a way to reduce malpractice risks?. Citation Text: Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772. Copy Citation Format: DOI Google Sch…
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