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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46900/psn-pdf
    August 29, 2018 - The resulting list of 23 events includes medication errors, retained objects, and wrong patient and
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46239/psn-pdf
    January 01, 2021 - university hospital's incident reporting system to develop a hospital- specific high-risk medication list
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837432/psn-pdf
    June 15, 2022 - look-alikesound-alike-drugs-literature-review-causes-and-solutions https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50834/psn-pdf
    January 29, 2020 - psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867437/psn-pdf
    January 08, 2025 - SBAR variations were the most common, followed by I-PASS (Illness severity, Patient summary, Actions list
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41706/psn-pdf
    November 08, 2012 - Improving medication safety with accurate preadmission medication lists and postdischarge education. November 8, 2012 Gardella JE, Cardwell TB, Nnadi M. Improving medication safety with accurate preadmission medication lists and postdischarge education. Jt Comm J Qual Patient Saf. 2012;38(10):452-458. https://psne…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38523/psn-pdf
    April 09, 2009 - CMS's hospital-acquired condition lists link hospital payment, patient safety. April 9, 2009 Clancy CM. CMS's hospital-acquired condition lists link hospital payment, patient safety. Am J Med Qual. 2009;24(2):166-8. doi:10.1177/1062860608331241. https://psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-l…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865518/psn-pdf
    April 10, 2024 - operating procedure, best practice advisory in the electronic health record (EHR), and an EHR-generated list
  9. 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. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45619/psn-pdf
    August 16, 2017 - Checking the lists: a systematic review of electronic checklist use in health care. August 16, 2017 Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. https://psnet.ahrq.gov/issue/checking-lists-s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46740/psn-pdf
    January 01, 2021 - high-alert-medication-stratification-tool-revised-exploratory-study-objective-standardized https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838325/psn-pdf
    October 12, 2022 - find that, while process requirements were basically met, improvements could be made to medication list
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60697/psn-pdf
    July 15, 2020 - recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764400/psn-pdf
    March 02, 2022 - psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72606/psn-pdf
    December 23, 2020 - best-practices-developing-proprietary-names-human-prescription-drug-products-guidance https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867041/psn-pdf
    October 30, 2024 - "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. October 30, 2024 Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534. doi:1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50698/psn-pdf
    November 27, 2019 - List three elements of a basic quality improvement plan to ensure suicide risk assessments are completed … Prioritizing Suicidal Ideation and Attempt on the Medical History/Problem List: Suicidal ideation or … attempt should be entered on the patient’s problem list along with an appropriate plan that is carried … The Electronic Health Record (EHR) can help clinicians track “suicidal ideation/attempt” on the list … The suicide item on a patient’s problem list should carry forward until an appropriate suicide risk
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866157/psn-pdf
    June 19, 2024 - incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  19. psnet.ahrq.gov/innovation/awareness-human-factors-operating-theatres-during-covid-19-pandemic
    January 13, 2021 - working in the operating room and applied two validated observation tools (the Scrubs Practitioners List … Evaluation of the Scrub Practitioners' List of Intraoperative Non-Technical Skills system. 
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73069/psn-pdf
    March 24, 2021 - evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations

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