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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45387/psn-pdf
    August 15, 2016 - Preventing medication errors. August 15, 2016 Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. https://psnet.ahrq.gov/issue/preventing-medication-errors Nursing home patients are particularly vulnerable to medication errors. This commentar…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854629/psn-pdf
    October 18, 2023 - Unintended consequences of the electronic health record and cognitive load in emergency department nurses. October 18, 2023 Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. 2023;73:151724. doi:10.1016/j.a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44327/psn-pdf
    August 26, 2015 - Safely Home: What Happens When People Leave Hospital Care Settings? August 26, 2015 London, UK: Healthwatch England; July 2015. https://psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings Discharges are vulnerable periods for patients, often due to miscommunication, delays, and l…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43622/psn-pdf
    December 19, 2014 - Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. December 19, 2014 Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. J Cardiothorac…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39741/psn-pdf
    October 13, 2010 - Disclosure and reporting of surgical complications: a double-edged sword? October 13, 2010 Stahel PF, Flierl MA, Smith WR, et al. Disclosure and reporting of surgical complications: a double-edged sword? Am J Med Qual. 2010;25(5):398-401. doi:10.1177/1062860610370989. https://psnet.ahrq.gov/issue/disclosure-and-re…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43505/psn-pdf
    April 25, 2016 - Hospitals often ignore policies on using qualified medical interpreters. April 25, 2016 Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. https://psnet.ahrq.gov/issue/hospitals-often-ignore-polici…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38976/psn-pdf
    October 07, 2009 - Radiology errors: are we learning from our mistakes? October 7, 2009 Mankad K, Hoey ETD, Jones JB, et al. Radiology errors: are we learning from our mistakes? Clin Radiol. 2009;64(10):988-93. doi:10.1016/j.crad.2009.06.002. https://psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes This survey stud…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837702/psn-pdf
    July 20, 2022 - Patient safety informatics: meeting the challenges of emerging digital health. July 20, 2022 McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220097. https://psnet.ahrq.gov/issue/patie…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42991/psn-pdf
    March 12, 2014 - Medication errors in hospitalised children. March 12, 2014 Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health. 2014;50(1):71-7. doi:10.1111/jpc.12412. https://psnet.ahrq.gov/issue/medication-errors-hospitalised-children Consistent with findings from prior st…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50705/psn-pdf
    January 01, 2020 - Closing the loop with ambulatory staff on safety reports. December 4, 2019 Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009. https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47265/psn-pdf
    February 22, 2019 - Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. February 22, 2019 Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Reporting. Am J Med Qual. 2019;34(…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45881/psn-pdf
    March 15, 2017 - CE: nursing's evolving role in patient safety. March 15, 2017 Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c. https://psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety Nursing is a key component of patient care…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838317/psn-pdf
    October 12, 2022 - Prevalence and sources of duplicate information in the electronic medical record. October 12, 2022 Steinkamp J, Kantrowitz JJ, Airan-Javia S. Prevalence and sources of duplicate information in the electronic medical record. JAMA Netw Open. 2022;5(9):e2233348. doi:10.1001/jamanetworkopen.2022.33348. https://psnet.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846162/psn-pdf
    July 01, 2020 - The effect of virtual nursing and missed nursing care. July 1, 2020 Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care The COVID-19…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38474/psn-pdf
    March 10, 2011 - Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. March 10, 2011 Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support to improve referring physicians' …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43464/psn-pdf
    August 27, 2014 - Using pharmacists to optimize patient outcomes and costs in the ED. August 27, 2014 Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. https://psnet.ahrq.gov/issue/using-pharmacists-optimize-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44729/psn-pdf
    January 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4- 8. doi:10.1136/archdischild-2015-309536. https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…

  18. Monitoring and Modifying the Plan: Huddle | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/team/tools/huddle.html
    May 01, 2023 - Monitoring and Modifying the Plan: Huddle The Huddle is a tool for communicating adjustments to a care plan that is already in place. When a plan is or has to be altered due to changes in the patient’s condition or team membership, or the current plan is not working, either the designated leader or a situatio…

  19. Long-term Care Facilities | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
    September 01, 2021 - Long-term Care Facilities Resources for long-term care facilities Improving Patient Safety in Long-Term Care Facilities Detecting and promptly reporting changes in a nursing home resident's condition are critical for ensuring the resident's well-being and safety. Such changes may represent a patient s…

  20. Michigan State University | Digital Healthcare Research

    digital.ahrq.gov/organization/michigan-state-university
    January 01, 2023 - Michigan State University Telehealth Post-Pandemic: A Roadmap for the Coming Decade Description This conference grant will support a multidisciplinary Think Tank to develop and disseminate telehealth best practices, training curriculum recommendations, and policy recommendatio…
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