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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44233/psn-pdfNovember 09, 2015 - ASHP guidelines: minimum standard for ambulatory care pharmacy practice. November 9, 2015 Buxton JA, Babbitt RM, Clegg CA, et al. ASHP guidelines: Minimum standard for ambulatory care pharmacy practice. Am J Health-Syst Pharm. 2015;72(14):1221-1236. doi:10.2146/sp150005. https://psnet.ahrq.gov/issue/ashp-guideline… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73283/psn-pdfMay 19, 2021 - Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. May 19, 2021 Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075. doi:10.1001/jamanetworkopen.2021.8075. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60159/psn-pdfMarch 25, 2020 - Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. March 25, 2020 Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement pro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73580/psn-pdfAugust 11, 2021 - Prevalence, nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. August 11, 2021 Alshehri GH, Ashcroft DM, Nguyen J, et al. Prevalence, nature, severity and preventability of adverse drug events in … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47465/psn-pdfOctober 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. October 17, 2018 ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4. https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery- units-continue-… -
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.htmlJuly 01, 2023 - Labor and Delivery Unit Staff Safety Assessment AHRQ Safety Program for Perinatal Care Purpose: To tap into the knowledge and experiences of labor and delivery (L&D) providers and other clinical and nonclinical staff (e.g., health unit coordinators and environmental services personnel) to find ou…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73621/psn-pdfAugust 25, 2021 - Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. August 25, 2021 Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. JAMA. 2021;326(5):411-419. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845353/psn-pdfMarch 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52. https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73879/psn-pdfSeptember 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45096/psn-pdfMay 05, 2016 - Patient safety at the crossroads. May 5, 2016 Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. https://psnet.ahrq.gov/issue/patient-safety-crossroads This commentary discusses findings from the National Patient Safety Foundation report in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44153/psn-pdfDecember 05, 2018 - A factorial survey on safety behavior providing opportunities to improve safety. December 5, 2018 Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.0000000000000192. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42621/psn-pdfOctober 31, 2014 - The global burden of unsafe medical care: analytic modelling of observational studies. October 31, 2014 Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi:10.1136/bmjqs-2012-001748. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44886/psn-pdfSeptember 27, 2016 - Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? September 27, 2016 Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47204/psn-pdfJuly 18, 2018 - The burden of opioid-related mortality in the United States. July 18, 2018 Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217. https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837150/psn-pdfMay 18, 2022 - Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. May 18, 2022 White AA, King AM, D’Addario AE, et al. Video-based communication assessment of physician error … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61026/psn-pdfOctober 14, 2020 - A blinded, prospective study of error detection during physician chart rounds in radiation oncology. October 14, 2020 Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45577/psn-pdfFebruary 08, 2017 - EHR-related medication errors in two ICUs. February 8, 2017 Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. https://psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus Despite the demonstrated success of technology … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837705/psn-pdfJuly 20, 2022 - Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. July 20, 2022 Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73168/psn-pdfApril 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021 Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45013/psn-pdfApril 13, 2016 - Good Practice Guides on Medication Errors: Part 1 and Part 2. April 13, 2016 Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264- 016-0410-4. https://psnet.ahrq.gov/issue/go…
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