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  1. psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
    December 16, 2020 - Press Release/Announcement FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder. Citation Text: FDA recommends health care professionals discuss naloxone with all patients when prescri…
  2. psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
    December 21, 2014 - Study Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Citation Text: Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…
  3. psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
    September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…
  4. psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking
    July 03, 2014 - Study Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Citation Text: Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60864/psn-pdf
    August 31, 2020 - Safety Across The Board August 31, 2020 Fitall E, Hall KK, Gale B. Safety Across The Board . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/safety-across-board Defining Safety Across the Board Safety Across The Board (SAB) is a concept originating from the Centers for Medicare & Medicaid Services (CMS…
  6. psnet.ahrq.gov/issue/measuring-patient-safety-primary-care-development-and-validation-patient-reported-experiences
    April 25, 2018 - Study Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC). Citation Text: Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and …
  7. psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster
    September 08, 2021 - Study Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Citation Text: Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and fos…
  8. psnet.ahrq.gov/issue/incidence-severity-and-preventability-medication-related-visits-emergency-department
    May 25, 2010 - Study Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study. Citation Text: Zed PJ, Abu-Laban RB, Balen RM, et al. Incidence, severity and preventability of medication-related visits to the emergency department: a prospecti…
  9. psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
    June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Citation Text…
  10. psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
    January 23, 2019 - Study Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. Citation Text: Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…
  11. psnet.ahrq.gov/issue/emergency-department-visits-adverse-events-related-dietary-supplements
    December 19, 2017 - Study Classic Emergency department visits for adverse events related to dietary supplements. Citation Text: Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. …
  12. psnet.ahrq.gov/issue/teaching-hospital-five-year-mortality-trends-wake-duty-hour-reforms
    November 26, 2014 - Study Teaching hospital five-year mortality trends in the wake of duty hour reforms. Citation Text: Volpp KG, Small DS, Romano PS, et al. Teaching hospital five-year mortality trends in the wake of duty hour reforms. J Gen Intern Med. 2013;28(8):1048-55. doi:10.1007/s11606-013-2401-9. …
  13. psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
    September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…
  14. psnet.ahrq.gov/issue/improving-medication-safety-accurate-preadmission-medication-lists-and-postdischarge
    June 26, 2019 - Study Improving medication safety with accurate preadmission medication lists and postdischarge education. Citation Text: Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. …
  15. psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
    March 15, 2017 - Study Classic Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…
  16. psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
    March 02, 2016 - Study Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. Citation Text: Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …
  17. psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
    June 08, 2010 - Study An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. Citation Text: Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…
  18. psnet.ahrq.gov/issue/national-trends-safety-performance-electronic-health-record-systems-childrens-hospitals
    July 29, 2020 - Study Classic National trends in safety performance of electronic health record systems in children's hospitals. Citation Text: Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health record systems in children's hos…
  19. psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
    December 17, 2014 - Study Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Citation Text: Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…
  20. psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
    July 10, 2008 - Study Classic The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. Citation Text: Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits on residents'…

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