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1581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45454/psn-pdf
      September 04, 2016 - Headline-grabbing study brings attention back to medical errors. September 4, 2016 Abbasi J. Headline-Grabbing Study Brings Attention Back to Medical Errors. JAMA. 2016;316(7):698-700. doi:10.1001/jama.2016.8073. https://psnet.ahrq.gov/issue/headline-grabbing-study-brings-attention-back-medical-errors The presenc…

1582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47855/psn-pdf
      June 19, 2019 - Medication Overload: America's Other Drug Problem. June 19, 2019 Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem Overprescribing is a common problem that contributes to patient harm. This report examines financial, clinical, an…

1583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866118/psn-pdf
      June 12, 2024 - Factors Affecting the Delivery of Safe Care in Midwifery Units. June 12, 2024 Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. https://psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units Safe maternal care is a challenge world…

1584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42913/psn-pdf
      January 29, 2014 - What to do with healthcare incident reporting systems. January 29, 2014 Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems Incident reporting sy…

1585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73189/psn-pdf
      April 28, 2021 - Time out! Rethinking surgical safety: more than just a checklist. April 28, 2021 Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. https://psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist Check…

1586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44396/psn-pdf
      January 22, 2016 - Bedside shift-to-shift handoffs: a systematic review of the literature. January 22, 2016 Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. https://psnet.ahrq.gov/issue/bedside-shift-shif…

1587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73668/psn-pdf
      September 01, 2021 - Leadership: an effective human factor during COVID-19. September 1, 2021 Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203- 205. doi:10.1136/leader-2020-000384. https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19 Hierarchy and professional…

1588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72534/psn-pdf
      December 02, 2020 - Patients' perceptions of safety in emergency medical services: an interview study. December 2, 2020 Venesoja A, Castrén M, Tella S, et al. Patients’ perceptions of safety in emergency medical services: an interview study. BMJ Open. 2020;10(10):e037488. doi:10.1136/bmjopen-2020-037488. https://psnet.ahrq.gov/issue/…

1589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38938/psn-pdf
      July 26, 2023 - ISMP's List of Confused Drug Names. July 26, 2023 Horsham, PA; Institute for Safe Medication Practices: July 2023. https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet provides a comprehensive list of commonly…

1590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41273/psn-pdf
      June 01, 2012 - Minimizing inappropriate medications in older populations: a ten-step conceptual framework. June 1, 2012 Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1016/j.amjmed.2011.09.021. https://psnet.ah…

1591. 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…

1592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60815/psn-pdf
      August 19, 2020 - Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. August 19, 2020 Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061. https://psnet.ahrq.gov/issue/clinic…

1593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852806/psn-pdf
      February 24, 2025 - Covering Health: Patient Safety. February 24, 2025 Jaklevic MC. HealthJournalism.org. Columbia, MO: Association of Health Care Journalists; 2010-2025. https://psnet.ahrq.gov/issue/covering-health-patient-safety The role media plays in raising awareness of patient safety issues in a timely and appropriate…

1594. 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.…

1595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36926/psn-pdf
      September 09, 2011 - Distracting communications in the operating theatre. September 9, 2011 Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract. 2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x. https://psnet.ahrq.gov/issue/distracting-communications-operating-theatre Prior researc…

1596. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages Citation Text: Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation …

1597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72564/psn-pdf
      November 14, 2018 - Antibiotic and Opioid Stewardship in Dentistry December 7, 2020 Suda KJ, Fitall E, Hall KK, et al. Antibiotic and Opioid Stewardship in Dentistry. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry Introduction Medication stewardship refers to efforts by frontlin…

1598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49632/psn-pdf
      July 01, 2011 - A Seasonal Care Transition Failure July 1, 2011 Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure The Case A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine resident—for routine follow-up…

1599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33823/psn-pdf
      January 01, 2017 - Workplace Safety in Health Care January 1, 2017 Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/workplace-safety-health-care Perspective The patient safety movement has highlighted the risks that patients face when receiving health care. But, impo…

1600. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
      March 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case March 2005 The Hidden Mystery Source and Credits This presentation is based on the March 2005 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Douglas D. Br…