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  1. ISMP Medication Safety Self Assessment for Hospitals. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
    April 17, 2024 - Measurement Tool/Indicator ISMP Medication Safety Self Assessment for Hospitals. Citation Text: ISMP Medication Safety Self Assessment for Hospitals. Horsham, PA: Institute for Safe Medication Practices; April 2011. Copy Citation Save Save to your library …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36118/psn-pdf
    September 24, 2010 - Implementing patient safety practices in small ambulatory care settings. September 24, 2010 Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…

  3. Patient, physician, medical assistant, and office visit factors associated with medication list agreement. | PSNet

    psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
    June 28, 2017 - Study Patient, physician, medical assistant, and office visit factors associated with medication list agreement. Citation Text: Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2…

  4. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. | PSNet

    psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
    January 12, 2022 - Study Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. Citation Text: Breathett K, Knapp SM, Lewsey SC, et al. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. JAMA. 2024;331(16):1379-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33644/psn-pdf
    December 01, 2006 - Establishing a Safety Culture: Thinking Small December 1, 2006 Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small Perspective Safety cultures are the holy grail in any risky industry. Like all holy grails, th…

  6. Double Trouble | PSNet

    psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - Some specific examples of drug-related adverse events occurring after hospital discharge are listed in

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39368/psn-pdf
    May 04, 2010 - Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission. May 4, 2010 Gleason KM, McDaniel MR, Feinglass J, et al. Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43202/psn-pdf
    September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care Settings. September 11, 2023 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings Experience from the sharp end helps to inform safety improvement initiatives. The…

  9. Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

    psnet.ahrq.gov/issue/estimating-information-gap-between-emergency-department-records-community-medication-compared
    March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

  10. Hospital Admission Due to High-Dose Methotrexate Drug Interaction | PSNet

    psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
    October 01, 2003 - Hospital Admission Due to High-Dose Methotrexate Drug Interaction Citation Text: Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Cit…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43224/psn-pdf
    June 11, 2014 - Look alike/sound alike drugs: a literature review on causes and solutions. June 11, 2014 Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. https://psnet.ahrq.gov/issue/look-alikesound-alike-drugs-l…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41789/psn-pdf
    September 01, 2016 - Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. September 1, 2016 Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. J Am Med Infor…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866436/psn-pdf
    August 07, 2024 - Using name overlap analysis to understand medication name search safety. August 7, 2024 Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. https://psnet.ahrq.gov/issue/using-name-overlap-analy…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867014/psn-pdf
    October 23, 2024 - Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. October 23, 2024 Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. https://psnet.ahrq.gov/issue/secondary-analys…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47779/psn-pdf
    June 12, 2019 - Medication accuracy in electronic health records for microbial keratitis. June 12, 2019 Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444. https://psnet.ahrq.gov/issue/medicati…

  16. ISMP Guidelines for Safe Electronic Communication of Medication Information. | PSNet

    psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
    May 07, 2019 - Book/Report ISMP Guidelines for Safe Electronic Communication of Medication Information. Citation Text: ISMP Guidelines for Safe Electronic Communication of Medication Information. Horsham, PA: Institute for Safe Medication Practices; January 2019. Copy Citation Save …

  17. Why engineers are working to build better pulse oximeters. | PSNet

    psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters
    May 06, 2020 - Newspaper/Magazine Article Why engineers are working to build better pulse oximeters. Citation Text: Why engineers are working to build better pulse oximeters. Willyard C. MIT Technology Review. February 9, 2024. Copy Citation Save Save to your library Pri…

  18. CMS's hospital-acquired condition lists link hospital payment, patient safety. | PSNet

    psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
    May 20, 2009 - Commentary CMS's hospital-acquired condition lists link hospital payment, patient safety. Citation Text: 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. Copy Citation Format: …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44180/psn-pdf
    June 21, 2015 - "Never events" and the quest to reduce preventable harm. June 21, 2015 Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm The introduction of the term never event…

  20. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
    September 01, 2016 - PowerPoint Presentation Spotlight A Pill Organizing Plight * Source and Credits This presentation is based on the September 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…
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