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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44022/psn-pdf
    May 28, 2015 - Initiatives to identify and mitigate medication errors in England. May 28, 2015 Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47744/psn-pdf
    July 19, 2019 - A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. July 19, 2019 Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. 2019;28(8):618-626. doi:10.1136/bm…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44778/psn-pdf
    July 18, 2016 - How safe is primary care? A systematic review. July 18, 2016 Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. https://psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review Patient safety in ambulato…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45000/psn-pdf
    August 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. June 29, 2016 Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480. https://psnet.ahrq.gov/issue/medicare-and-medicaid-progra…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851065/psn-pdf
    June 28, 2023 - Patient safety of perioperative medication through the lens of digital health and artificial intelligence. June 28, 2023 Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.2196/34453. https://psnet.ahrq.gov/issue/p…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43377/psn-pdf
    April 25, 2016 - Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." April 25, 2016 Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Comm J Qual Patient Saf. 2014;40(8):…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35220/psn-pdf
    May 14, 2015 - Patient Safety and Quality Improvement Act of 2005. May 14, 2015 Pub L No. 109-41.  https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005 This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations. The bill, signed into law July 29, 2005…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867702/psn-pdf
    September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 1, 2021 Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 2021. https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities Cathete…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864380/psn-pdf
    March 13, 2024 - Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. March 13, 2024 Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Stud Health Technol Inf…
  10. psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
    November 27, 2023 - We establish quality standards for nursing education and assist schools in implementing those standards … Students also may participate in the change process of a quality improvement committee, or in implementing
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44519/psn-pdf
    December 02, 2015 - Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. December 2, 2015 O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. J Am Geriatr Soc. 2015;63(9):1900-1905. doi:10.11…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46546/psn-pdf
    January 10, 2018 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. January 10, 2018 Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care tra…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45577/psn-pdf
    February 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 …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44075/psn-pdf
    July 16, 2015 - Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. July 16, 2015 Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(5):1076-1080.e1. doi:10.1016/j.cli…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866962/psn-pdf
    October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults. October 16, 2024 Boston, MA: Institute for Healthcare Improvement; September 23, 2024. https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant- progra…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44370/psn-pdf
    November 20, 2015 - Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. November 20, 2015 Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35398/psn-pdf
    February 24, 2011 - Residency work-hours reform: a cost analysis including preventable adverse events. February 24, 2011 Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8. https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35134/psn-pdf
    June 22, 2009 - Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. June 22, 2009 Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster- randomised controlled trial. Lancet. 2005;365(9477):2091-7. https://psnet.ahrq.gov/issue/introducti…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74028/psn-pdf
    November 03, 2021 - Survey of nurses' experiences applying The Joint Commission's medication management titration standards. November 3, 2021 Davidson JE, Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint Commission's medication management titration standards. Am J Crit Care. 2021;30(5):365-374. doi:10.4037/a…

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