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4981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60189/psn-pdf
      April 01, 2020 - Eliminating Medication Overload: A National Action Plan. April 1, 2020 Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020. https://psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan Polypharmacy and medication overuse are known contributors to patient harm. This report …

4982. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36284/psn-pdf
      March 10, 2011 - E-prescribing, efficiency, quality: lessons from the computerization of UK family practice. March 10, 2011 Schade CP, Sullivan FM, de Lusignan S, et al. e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice. J Am Med Inform Assoc. 2006;13(5):470-5. https://psnet.ahrq.gov/issue/…

4983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34934/psn-pdf
      March 11, 2011 - Exploring barriers and facilitators to the use of computerized clinical reminders. March 11, 2011 Saleem JJ, Patterson ES, Militello LG, et al. Exploring barriers and facilitators to the use of computerized clinical reminders. J Am Med Inform Assoc. 2005;12(4):438-47. https://psnet.ahrq.gov/issue/exploring-barrier…

4984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34601/psn-pdf
      January 26, 2009 - Strategies and tips for maximizing failure mode and effect analysis in your organization. January 26, 2009 Chicago, IL: American Society of Healthcare Risk Management; 2002. https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your- organization The implementation and appli…

4985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43891/psn-pdf
      September 29, 2017 - AHRQ announces interest in research on health IT safety. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016. Publication No. NOT-HS-16-009. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety This announcement highlights A…

4986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43017/psn-pdf
      June 12, 2019 - Saying Sorry. June 12, 2019 London, England: NHS Resolution; 2018. https://psnet.ahrq.gov/issue/saying-sorry Although victims of adverse events have clearly expressed their preferences for full error disclosure, most physicians remain uncomfortable with disclosing and apologizing for errors. This leaflet offers in…

4987. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39342/psn-pdf
      March 03, 2010 - Discharge missteps can send seniors back to hospital. March 3, 2010 Korc B, Landers SJ. American Medical News. February 15, 2010. https://psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital This news article uses an example of a preventable readmission to illustrate how ineffective communication …

4988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37014/psn-pdf
      September 15, 2011 - Medication safety messages for patients via the web portal: the MedCheck intervention. September 15, 2011 Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168. https://psnet.ahrq.gov/issue/medication-s…

4989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40712/psn-pdf
      August 24, 2011 - Automatic detection of omissions in medication lists. August 24, 2011 Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106. https://psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists Thi…

4990. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47348/psn-pdf
      September 05, 2018 - Hospital-Acquired Condition Reduction Program (HACRP). September 5, 2018 QualityNet. Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program Eliminating hospital-acquired harm requires policy, organizational, and individual approaches to motivate …

4991. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72563/psn-pdf
      December 07, 2020 - In Conversation With... Katie J. Suda, PharmD, MS December 7, 2020 In Conversation With.. Katie J. Suda, PharmD, MS . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms Editor’s Note: Katie J. Suda, PharmD, MS is a professor at the University of Pittsburgh School of Medic…

4992. Doctor, Don't Treat Thyself | PSNet
      psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
      August 21, 2024 - Doctor, Don't Treat Thyself Citation Text: Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

4993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49516/psn-pdf
      August 01, 2006 - Physical Diagnosis: A Lost Art? August 1, 2006 Thompson GR, Verghese A. Physical Diagnosis: A Lost Art? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art Case Objectives Appreciate the decline in proficiency and reliance on physical examination skills among health care providers. …

4994. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33801/psn-pdf
      February 01, 2016 - In Conversation With…Christine A. Sinsky, MD February 1, 2016 In Conversation With…Christine A. Sinsky, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md Editor's note: Christine A. Sinsky, MD, is the Vice President for Professional Satisfaction at the American Me…

4995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49633/psn-pdf
      September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…

4996. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
      September 01, 2014 - PowerPoint Presentation Spotlight A Lot of Pain (Medications) 1 This presentation is based on the September 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Shoshana J. Herzig, MD, MPH, Division of General Medicine, Beth Israel Deaconess Medic…

4997. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49857/psn-pdf
      March 01, 2019 - Duplicate Insulin Order March 1, 2019 Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/duplicate-insulin-order The Case A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency department (ED) for complaints of letharg…

4998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49678/psn-pdf
      March 01, 2013 - A Weighty Mistake March 1, 2013 Bokser SJ. A Weighty Mistake. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/weighty-mistake Case Objectives Understand factors associated with weight-based dosing medication errors in pediatric populations. Describe how adoption of computerized provider order entry (CPOE) s…

4999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49660/psn-pdf
      August 01, 2012 - No News May Not Be Good News August 1, 2012 Moore CR. No News May Not Be Good News. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news Case Objectives Describe the frequency with which ambulatory test results are not followed up by providers. Appreciate that inadequate follow-up of…

5000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33774/psn-pdf
      December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014 In Conversation With… Edward Kelley, PhD. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-edward-kelley-phd Editor's note: Edward Kelley, PhD, is Director of Service Delivery and Safety for the World Health Organization (WHO). He ha…