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  1. psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
    June 01, 2018 - why the full spectrum of education, competency assessment, and ongoing quality control needs to be implemented
  2. psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Conclusion   If implemented appropriately, telehealth can be an incredibly effective approach to ensuring
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73654/psn-pdf
    September 01, 2021 - CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. September 1, 2021 Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038. https:…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45016/psn-pdf
    April 27, 2016 - Medication safety systems and the important role of pharmacists. April 27, 2016 Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists Preventin…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46383/psn-pdf
    September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and Evidence. September 20, 2017 Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017. https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence Health care has been exploring a variety of strategies to mitigate the opioid ep…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46289/psn-pdf
    January 01, 2021 - Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. August 9, 2017 Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washington State Hospitals. J Patient …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47830/psn-pdf
    February 27, 2019 - Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. February 27, 2019 Poirier RH; Brown CS; Baggenstos YT; Walden SG; Gann NY; Patty CM; Sandoval RA; McNulty JR. https://psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-o…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45073/psn-pdf
    May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS initiative. May 11, 2016 Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333. https://psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-ini…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73871/psn-pdf
    September 22, 2021 - Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). September 22, 2021 Rockville, MD: Agency for Healthcare Research and Quality; September 9, 2021. PA-21-267.  https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44235/psn-pdf
    January 22, 2016 - Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta- analysis. January 22, 2016 Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic review and meta-analysis. Int J…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45050/psn-pdf
    May 03, 2016 - Digital health and patient safety. May 3, 2016 Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. https://psnet.ahrq.gov/issue/digital-health-and-patient-safety Patients, clinicians, and health care systems are increasingly adopting digital…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43503/psn-pdf
    August 02, 2015 - The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. August 2, 2015 Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surg…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841488/psn-pdf
    December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled Substances. December 14, 2022 Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246. https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866073/psn-pdf
    June 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866399/psn-pdf
    July 31, 2024 - Typology of solutions addressing diagnostic disparities: gaps and opportunities. July 31, 2024 Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. https://psnet.ahrq.gov/issue/typol…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46755/psn-pdf
    May 30, 2018 - Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. May 30, 2018 Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to Promote Partnership With Patients. J Nu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845649/psn-pdf
    March 08, 2023 - Medication rounds: a tool to promote medication safety for children with medical complexity. March 8, 2023 Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43006/psn-pdf
    April 02, 2014 - Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. April 2, 2014 Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesthesiology. 2014;120(1):97-109. doi:1…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47683/psn-pdf
    April 10, 2019 - Design of hospital errors and omissions activities that include patient-specific medication related problems. April 10, 2019 Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45421/psn-pdf
    December 14, 2016 - The medication reconciliation process and classification of discrepancies: a systematic review. December 14, 2016 Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017. https://p…

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