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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847733/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39960/psn-pdfSeptember 19, 2016 - Respectful Management of Serious Clinical Adverse Events. Second Edition. September 19, 2016 Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition This white paper e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46554/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60589/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60626/psn-pdfJune 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50782/psn-pdfJanuary 08, 2020 - What can patient safety teach us about clinician burnout? January 8, 2020 Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med. 2019;171(12):933-934. doi:10.7326/m19-2397. https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout This commentary discu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72829/psn-pdfMarch 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert… -
www.ahrq.gov/evidencenow/tools/implementing-smbp.htmlAugust 01, 2023 - Implementing Self-Measured Blood Pressure in Primary Care Practices Resource: Implementing SMBP HH4M-Lunch-Learn (4-27-22) (video, 51:18 minutes) In this webinar, American Medical Association (AMA) staff discuss how primary care practices can implement each of the 7 steps for implementing self-measured bl…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43791/psn-pdfDecember 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:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43579/psn-pdfOctober 08, 2014 - Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014 Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42949/psn-pdfFebruary 19, 2014 - Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014 Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Ann Pharmacot… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40654/psn-pdfJanuary 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. December 15, 2011 Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44407/psn-pdfApril 15, 2016 - Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. April 15, 2016 MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After Im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41917/psn-pdfMay 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43633/psn-pdfNovember 05, 2014 - An integrative review: fatigue among nurses in acute care settings. November 5, 2014 Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104. https://psnet.ahrq.gov/issue/integrative-review-fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840163/psn-pdfNovember 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34885/psn-pdfFebruary 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. February 7, 2019 Knox RA. Boston Globe. March 23, 1995; metro/region:1. https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose- caused-death-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46551/psn-pdfOctober 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46640/psn-pdfAugust 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-… -
www.ahrq.gov/evidencenow/tools/reduce-disparities.htmlFebruary 01, 2025 - Using Data to Reduce Disparities and Improve Quality Resource: Using Data to Reduce Disparities and Improve Quality: A Guide for Health Care Organizations (PDF, 1 MB; 14 pages) This brief recommends strategies that primary care practices and health care organizations can use to effectively organize and inter…
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