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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41902/psn-pdf
    November 19, 2018 - High-Alert Medication Learning Guides for Consumers. November 19, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018.   https://psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers This set of leaflets provides patients with information about taking high-alert medications safely. https…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35561/psn-pdf
    October 01, 2016 - Statement on the prevention of retained foreign bodies after surgery. October 1, 2016 Chicago, IL: American College of Surgeons; October 2016. https://psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery This statement briefly lists the American College of Surgeons' guidelines for preven…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43337/psn-pdf
    July 09, 2014 - My Medicines. July 9, 2014 Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores. https://psnet.ahrq.gov/issue/my-medicines This toolkit offers tips for patients to prevent adverse drug events and provides a way to record important medication in…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38973/psn-pdf
    September 23, 2009 - Patient safety: healthcare acquired conditions and serious reportable events. September 23, 2009 https://psnet.ahrq.gov/issue/patient-safety-healthcare-acquired-conditions-and-serious-reportable-events This announcement provides background on the proposed 2010 effort to revise and expand the National Quality Forum…
  5. psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
    October 01, 2016 - Yet clinical data is complex and contextual—a heart rate may be listed under the formal vital sign table … or under nursing documentation, where it is listed as a pulse.
  6. psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
    January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone Citation Text: Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - Key personnel to consider involving when developing a system to streamline planned admissions are listed
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35149/psn-pdf
    June 16, 2014 - Eliminating Dangerous Abbreviations, Acronyms and Symbols. June 16, 2014 AHA: American Hosptial Association; American Society of Health-System Pharmacists; AHSP https://psnet.ahrq.gov/issue/eliminating-dangerous-abbreviations-acronyms-and-symbols Providing examples from three health care organizations, this briefi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35591/psn-pdf
    December 21, 2005 - WHO Draft Guidelines for Adverse Event Reporting and Learning Systems. December 21, 2005 World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2005. https://psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems These guidelines present background on the…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36978/psn-pdf
    September 19, 2016 - TRUST: the 5 rights of the second victim. September 19, 2016 Denham CR. TRUST. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236917.02321.fd. https://psnet.ahrq.gov/issue/trust-5-rights-second-victim The author discusses the psychological impact of medical error on clinicians and shares interviews with several …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36959/psn-pdf
    September 12, 2011 - Health care governance for quality and safety: the new agenda. September 12, 2011 Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual. 2007;22(3):203-13. https://psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda The authors provide an annotated l…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36479/psn-pdf
    February 06, 2008 - Oral Dosage Forms that Should Not Be Crushed. February 6, 2008 Mitchell JF; Institute for Safe Medications Practices; ISMP. https://psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed To ensure that certain medications are used safely, this updated list includes oral medications that should not be crushed…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49645/psn-pdf
    February 01, 2012 - prescriber to review all prescriptions (including new, renewals, or changes) before sending would have listed
  14. psnet.ahrq.gov/issue/high-priority-drug-drug-interactions-use-electronic-health-records
    September 01, 2016 - Study High-priority drug–drug interactions for use in electronic health records. Citation Text: Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612. C…
  15. psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
    September 01, 2016 - Study Impact of incorporating pharmacy claims data into electronic medication reconciliation. Citation Text: Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…
  16. psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
    June 09, 2011 - Study Classic Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. Citation Text: Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconcil…
  17. psnet.ahrq.gov/issue/transitioning-between-electronic-health-records-effects-ambulatory-prescribing-safety
    June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…
  18. psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
    December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006  Also Read an Essay Citation Text: In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…
  19. psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
    December 01, 2006 - Establishing a Safety Culture: Thinking Small Timothy J. Hoff, PhD | December 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. Rockville (MD): Age…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40851/psn-pdf
    October 12, 2011 - Improving Patient Safety Through Simulation Research: Funded Projects. October 12, 2011 Agency for Healthcare Quality and Research; AHRQ. https://psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects This AHRQ announcement lists projects funded in 2011 to evaluate how simulation…

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