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  1. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
    December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

  2. ASHP guidelines on the safe use of automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
    July 05, 2017 - Organizational Policy/Guidelines ASHP guidelines on the safe use of automated dispensing devices. Citation Text: Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. …

  3. Physician communication when prescribing new medications. | PSNet

    psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
    December 16, 2009 - Study Physician communication when prescribing new medications. Citation Text: Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862. Copy Citation Format: Google Scholar PubMed BibTeX E…

  4. Do not let "Depo-" medications be a depot for mistakes. | PSNet

    psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
    March 15, 2022 - Newspaper/Magazine Article Do not let "Depo-" medications be a depot for mistakes. Citation Text: Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4. Copy Citation Save Save to your libra…

  5. Malnutrition in Hospitalized Adults: A Systematic Review. | PSNet

    psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
    December 21, 2022 - Book/Report Malnutrition in Hospitalized Adults: A Systematic Review. Citation Text: Malnutrition in Hospitalized Adults: A Systematic Review. Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021.  AHRQ Publication No. 21(22)…

  6. Tackling implicit bias in health care. | PSNet

    psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
    December 01, 2021 - Commentary Tackling implicit bias in health care. Citation Text: Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  7. CMS's hospital-acquired condition lists link hospital payment, patient safety. | PSNet

    psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
    May 20, 2009 - Commentary CMS's hospital-acquired condition lists link hospital payment, patient safety. Citation Text: Clancy CM. CMS's hospital-acquired condition lists link hospital payment, patient safety. Am J Med Qual. 2009;24(2):166-8. doi:10.1177/1062860608331241. Copy Citation Format: …

  8. 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…

  9. Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. | PSNet

    psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
    June 24, 2020 - Newspaper/Magazine Article Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Citation Text: Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. Gillispie-Bell V. USA Today. April 14, 2023. Copy Citation S…

  10. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet

    psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
    July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…

  11. Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. | PSNet

    psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
    August 16, 2023 - Newspaper/Magazine Article Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. Citation Text: Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. West S. KFF Health News. August 24, 2023. Copy Citatio…

  12. 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…

  13. Online consultations in cyberpharmacies: completeness and patient safety. | PSNet

    psnet.ahrq.gov/issue/online-consultations-cyberpharmacies-completeness-and-patient-safety
    January 12, 2022 - Study Online consultations in cyberpharmacies: completeness and patient safety. Citation Text: Orizio G, Schulz PJ, Domenighini S, et al. Online Consultations in Cyberpharmacies: Completeness and Patient Safety. Telemedicine and e-Health. 2009;15(10). doi:10.1089/tmj.2009.0069. Copy …

  14. Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. | PSNet

    psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
    February 24, 2016 - Newspaper/Magazine Article Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. Citation Text: Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…

  15. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet

    psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
    October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

  16. Preventing pressure ulcers: the goal is zero. | PSNet

    psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
    September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. Citation Text: Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  17. A mediation skills model to manage disclosure of errors and adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
    May 31, 2017 - Commentary A mediation skills model to manage disclosure of errors and adverse events to patients. Citation Text: Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…

  18. Restoring trust in VA health care. | PSNet

    psnet.ahrq.gov/issue/restoring-trust-va-health-care
    June 21, 2016 - Commentary Restoring trust in VA health care. Citation Text: Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  19. Enteral feeding misconnections: a consortium position statement. | PSNet

    psnet.ahrq.gov/issue/enteral-feeding-misconnections-consortium-position-statement
    June 17, 2009 - Organizational Policy/Guidelines Enteral feeding misconnections: a consortium position statement. Citation Text: Guenter P, Hicks RW, Simmons D, et al. Enteral feeding misconnections: a consortium position statement. Jt Comm J Qual Patient Saf. 2008;34(5):285-92, 245. Copy Citation …

  20. Increasing demands for quality measurement. | PSNet

    psnet.ahrq.gov/issue/increasing-demands-quality-measurement
    November 16, 2022 - Commentary Increasing demands for quality measurement. Citation Text: Panzer RJ, Gitomer RS, Greene WH, et al. Increasing demands for quality measurement. JAMA. 2013;310(18):1971-80. doi:10.1001/jama.2013.282047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
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