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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34061/psn-pdf
    January 04, 2017 - Patient Safety Leadership WalkRounds. January 4, 2017 Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds This study shares the concept of an interventi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43791/psn-pdf
    December 17, 2014 - Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014 Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383. https:…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73969/psn-pdf
    October 26, 2021 - Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 13, 2021 Institute for Safe Medication Practices. October 26, 2021. https://psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially- harmful-dispensing Community …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46622/psn-pdf
    December 06, 2017 - White paper on recommendation for systems-based practice competency. December 6, 2017 Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NCQ.0000000000000262. https://psnet.a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46554/psn-pdf
    October 25, 2017 - Severe hyperglycemia in patients incorrectly using insulin pens at home. October 25, 2017 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. October 12, 2017. https://psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrect…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45409/psn-pdf
    May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. May 17, 2021 Horsham, PA: Institute of Safe Medication Practices; 2021 https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings Long-term care patients often have concurrent conditions that increase their risk of…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840169/psn-pdf
    November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion Mixed case letters are one suggested strategy to reduce look-alike medication na…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60589/psn-pdf
    June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information. June 23, 2020. https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36505/psn-pdf
    February 16, 2011 - Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. February 16, 2011 Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour w…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41632/psn-pdf
    January 01, 2013 - Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study. December 31, 2012 Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. BMJ Qual Saf. 2013;22(1):32-41. do…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36069/psn-pdf
    May 11, 2014 - Health literacy, medication errors, and health outcomes: is there a relationship? May 11, 2014 Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. https://psnet.ahrq.gov/issue/health-literacy-me…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847733/psn-pdf
    March 16, 2025 - ISMP Targeted Medication Safety Best Practices for Community Pharmacy. March 16, 2025 Institute for Safe Medication Practices: March 2025. https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy Community pharmacies are common providers of medication delivery that harbor proc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47615/psn-pdf
    January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute; 2019. https://psnet.ahrq.g…
  14. psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
    February 01, 2013 - Patient Engagement and Patient Safety Saul N. Weingart, MD, PhD | February 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. Rockville (MD): Agency fo…
  15. psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
    January 31, 2024 - Patient Safety in Office-Based Care Settings Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | January 31, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Ricciardi R, L…
  16. psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
    January 31, 2024 - In Conversation with...Richard Ricciardi about Office-Based Patient Safety Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN | January 31, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Ricciardi R, Lee M, Mossburg S. In Conversatio…
  17. psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
    September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety Robert M. Wachter, MD | September 1, 2005  Also Read a Conversation View more articles from the same authors. Citation Text: Wachter R. Playing Well with Others: "Translocational Research" in…
  18. psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
    March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH March 1, 2014  Also Read an Essay Citation Text: In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33562/psn-pdf
    September 15, 2024 - Rapid Response Systems September 15, 2024 Rapid Response Systems. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/rapid-response-systems PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43153/psn-pdf
    May 07, 2014 - Is oral chemotherapy prescription safe for patients? A cross-sectional survey. May 7, 2014 Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross- sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. https://psnet.ahrq.gov/issue/oral-chemotherapy-p…

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