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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43232/psn-pdf
    June 04, 2014 - Standardization in patient safety: the WHO High 5s project. June 4, 2014 Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010. https://psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46090/psn-pdf
    December 22, 2018 - More than a tick box: medical checklist development, design, and use. December 22, 2018 Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. https://psnet.ahrq.gov/issue/more-tick-box-medi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43219/psn-pdf
    January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. May 28, 2014 Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. https://psnet.ahrq.gov/issue/developing-repor…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44227/psn-pdf
    November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47766/psn-pdf
    March 27, 2019 - Advancing the Safety of Acute Pain Management. March 27, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43740/psn-pdf
    December 10, 2014 - Participation in EHR based simulation improves recognition of patient safety issues. December 10, 2014 Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-224. https://psnet.ahrq.gov/issu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853251/psn-pdf
    July 19, 2024 - Annual Speak Up Data Reports. July 19, 2024 Stratford, London; The National Guardian. https://psnet.ahrq.gov/issue/annual-speak-data-reports Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to patient safety improvement despite challenges to implement them. This…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40478/psn-pdf
    June 13, 2011 - Evaluating the medication process in the context of CPOE use: the significance of working around the system. June 13, 2011 Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system. Int J Med Inform. 2011;80(7):490-506…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44141/psn-pdf
    November 06, 2015 - Failures in communication through documents and documentation across the perioperative pathway. November 6, 2015 Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1111/jocn.12809. https://psnet.a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73489/psn-pdf
    July 15, 2021 - A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. July 15, 2021 Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054. https://psnet.ahrq.gov/issue…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44588/psn-pdf
    November 21, 2016 - Patient and family advisory councils. The Massachusetts experience. November 21, 2016 Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. https://psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience Patient and family advisory councils are considered valuable method to help hosp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40732/psn-pdf
    November 23, 2011 - Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. November 23, 2011 Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Ann E…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37486/psn-pdf
    January 23, 2009 - Medication report reduces number of medication errors when elderly patients are discharged from hospital. January 23, 2009 Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World Sci. 2007;30(1):92-98. doi:10.1007…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46468/psn-pdf
    December 13, 2017 - The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. December 13, 2017 Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:10.1016/j.annemergmed.2017.03.0…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40081/psn-pdf
    December 21, 2014 - Electronic health record adoption by children's hospitals in the United States. December 21, 2014 Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234. https://…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74703/psn-pdf
    January 26, 2022 - Research to improve diagnosis: time to study the real world. January 26, 2022 Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world Diagnostic …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41721/psn-pdf
    October 03, 2012 - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. October 3, 2012 Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/tmj.2011.0222. https://psnet.ahrq…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45949/psn-pdf
    July 11, 2017 - Beyond medication reconciliation: the correct medication list. July 11, 2017 Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medicati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43126/psn-pdf
    April 23, 2014 - Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. April 23, 2014 Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. https://psnet.ahrq.gov/issue/safe-and-appropriate-use-…

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