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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60994/psn-pdf
    October 07, 2020 - Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. October 7, 2020 Zhou J, Calip GS, Rowan S, et al. Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insuranc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74842/psn-pdf
    February 16, 2022 - An initiative to reduce insulin-related adverse drug events in a children's hospital. February 16, 2022 Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937. https://psnet.ah…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73419/psn-pdf
    June 23, 2021 - Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. June 23, 2021 Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60940/psn-pdf
    September 23, 2020 - Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. September 23, 2020 Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm. 2020;77(15):1231-1236. doi:1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43179/psn-pdf
    July 28, 2014 - The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study. July 28, 2014 Franklin BD, Reynolds M, Sadler S, et al. The effect of the electronic transmission of prescriptions on dispensing e…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73591/psn-pdf
    August 11, 2021 - Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. August 11, 2021 Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK pr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45622/psn-pdf
    December 07, 2016 - National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. December 7, 2016 D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-717. doi:10.1016/j.jogn.2016.07.001.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837668/psn-pdf
    July 13, 2022 - Factors associated with malpractice claim payout: an analysis of closed emergency department claims. July 13, 2022 Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an analysis of closed emergency department claims. Jt Comm J Qual Patient Saf. 2022;48(9):492-496. doi:1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48105/psn-pdf
    July 10, 2019 - Teaching medical students to recognise and report errors. July 10, 2019 Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. https://psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors This…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43311/psn-pdf
    July 02, 2014 - Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. July 2, 2014 ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5. https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating- undue-risk This newsletter article …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837314/psn-pdf
    June 01, 2022 - CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. June 1, 2022 Clark C. MedPage Today. May 20, 2022. https://psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says- c…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851056/psn-pdf
    June 28, 2023 - Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. June 28, 2023 Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. Diagnosis (Berl). 2023;10(2):105-109. doi:1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73566/psn-pdf
    August 04, 2021 - Personal formularies of primary care physicians across 4 health care systems. August 4, 2021 Galanter W, Eguale T, Gellad WF, et al. Personal formularies of primary care physicians across 4 health care systems. JAMA Netw Open. 2021;4(7):e2117038. doi:10.1001/jamanetworkopen.2021.17038. https://psnet.ahrq.gov/issue…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72647/psn-pdf
    January 20, 2021 - Association of unexpected newborn deaths with changes in obstetric and neonatal process of care. January 20, 2021 Han D, Khadka A, McConnell M, et al. Association of Unexpected Newborn Deaths With Changes in Obstetric and Neonatal Process of Care. JAMA Netw Open. 2020;3(12):e2024589. doi:10.1001/jamanetworkopen.20…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844988/psn-pdf
    February 22, 2023 - Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023 Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j.jcjq.2022.11.002. https://psn…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43823/psn-pdf
    June 07, 2017 - Safety perceptions of health care leaders in 2 Canadian academic acute care centers. June 7, 2017 Goldstein DH, Nyce JM, Van Den Kerkhof EG. Safety Perceptions of Health Care Leaders in 2 Canadian Academic Acute Care Centers. J Patient Saf. 2017;13(2):62-68. doi:10.1097/PTS.0000000000000112. https://psnet.ahrq.gov…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836962/psn-pdf
    April 20, 2022 - Using human factors and ergonomics principles to prevent inpatient falls. April 20, 2022 Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696. https://psnet.ahrq.gov/issue/using-human-factors-and-ergonomi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37011/psn-pdf
    September 24, 2010 - What do medical records tell us about potentially harmful co-prescribing? September 24, 2010 Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co- prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400. https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
  19. www.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
    December 01, 2012 - Background Quality Improvement Team Information Form CUSP Toolkit Health care provider roles Who should use this tool? Health care providers. Please indicate people designated as Quality Improvement Team Members. Your team may not have people who serve in all of these roles. These in…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50733/psn-pdf
    December 11, 2019 - Association between measured teamwork and medical errors: an observational study of prehospital care in the USA December 11, 2019 Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA. BMJ Open. 2019;9(10):e025314.…