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  1. 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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50571/psn-pdf
    October 23, 2019 - Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. October 23, 2019 Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-372. doi:10.1097/NCC.000000000000…
  3. 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…
  4. 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…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837506/psn-pdf
    June 22, 2022 - Reducing pediatric emergency department prescription errors. June 22, 2022 Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46269/psn-pdf
    January 30, 2018 - A randomized controlled trial on the effect of a double check on the detection of medication errors. January 30, 2018 Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Ann Emerg Med. 2018;71(1):74-82.e1. doi:10.1016/j.annemer…
  8. 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…
  9. 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…
  10. 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-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44722/psn-pdf
    March 15, 2016 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. March 15, 2016 Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Int J Qual Health C…
  12. 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…
  13. 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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38070/psn-pdf
    March 10, 2011 - Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. March 10, 2011 Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
  15. 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…
  16. 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. …
  17. 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…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45124/psn-pdf
    June 22, 2016 - The impact of surgical safety checklists on theatre departments: a critical review of the literature. June 22, 2016 Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71. https://psnet.ahrq.gov/issue/impact-surgical-safety…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866867/psn-pdf
    October 02, 2024 - Report links Georgia's abortion ban to preventable deaths. October 2, 2024 Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024. https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths Poorly implemented and communicated policy can affect the a…

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