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Total Results: 2,396 records

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261. Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
     November 24, 2021 - Commentary Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. Citation Text: List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46114/psn-pdf
     June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45242/psn-pdf
     July 13, 2016 - Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. July 13, 2016 Rubin EC, Pisupati R, Nerenberg SF. Utilization of Pharmacy Technicians to Increase the Accuracy of Patient Medication Histories Obtained in the Emergency Department. Hos…

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43092/psn-pdf
     April 02, 2014 - Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. April 2, 2014 Sears K, Bishop A, MacKinnon NJ. J Particip Med. 2014;6:e2. https://psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications- between-physic…

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61079/psn-pdf
     October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication October 28, 2020 Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon- …

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33561/psn-pdf
     September 15, 2024 - Never Events September 15, 2024 Never Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/never-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Backg…

267. Improving medication safety during hospital-based transitions of care. | PSNet
     psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
     May 08, 2017 - Commentary Improving medication safety during hospital-based transitions of care. Citation Text: Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. Copy Citation …

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47651/psn-pdf
     December 12, 2018 - Are national efforts to reduce drug name confusion paying off? December 12, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6. https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying Look-alike and sound-alike medications present a recurring threat to patie…

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49773/psn-pdf
     July 01, 2016 - would be to instruct trainees to evaluate their own plan of care against the algorithm and guidelines listed

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45484/psn-pdf
     December 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43353/psn-pdf
     July 16, 2014 - Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. July 16, 2014 ISMP Medication Safety Alert! Acute care edition. July 3, 2014;19:1-3,5-6. https://psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes- high-alert This …

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39046/psn-pdf
     October 28, 2009 - Medication reconciliation in ambulatory care: attempts at improvement. October 28, 2009 Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. https://psnet.ahrq.gov/issue/medication-re…

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46455/psn-pdf
     April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm…

274. Medical reconciliation in patients discharged from the emergency department. | PSNet
     psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
     March 04, 2015 - Study Medical reconciliation in patients discharged from the emergency department. Citation Text: Sharma AN, Dvorkin R, Tucker V, et al. Medical reconciliation in patients discharged from the emergency department. J Emerg Med. 2012;43(2):366-73. doi:10.1016/j.jemermed.2011.05.080. Co…

275. "Never events" and the quest to reduce preventable harm. | PSNet
     psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
     June 01, 2016 - Commentary "Never events" and the quest to reduce preventable harm. Citation Text: Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

276. Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. | PSNet
     psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
     December 31, 2014 - Study Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. Citation Text: 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…

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49598/psn-pdf
     February 01, 2010 - Medication Reconciliation Pitfalls February 1, 2010 Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was brought to the eme…

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43798/psn-pdf
     January 07, 2015 - Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. January 7, 2015 Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J Health Syst Pharm. 2014;71(24):2159-66…

279. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet
     psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
     September 27, 2023 - Verbal Orders and Medication Overrides: A Dangerous Combination Citation Text: Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33788/psn-pdf
     June 01, 2015 - In Conversation With… Christine Cassel, MD June 1, 2015 In Conversation With… Christine Cassel, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-christine-cassel-md Editor's note: Christine Cassel, MD, is President and CEO of the National Quality Forum (NQF). Dr. Cassel, one of the foun…