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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40256/psn-pdf
    March 02, 2011 - Development of a core drug list towards improving prescribing education and reducing errors in the UK. March 2, 2011 Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmacol. 2010;71(2):190-198. doi:10.1111/j…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46264/psn-pdf
    August 09, 2017 - Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. August 9, 2017 Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Controlled Drugs. Jt Comm J Qual Patie…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45729/psn-pdf
    September 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process…

  4. Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. | PSNet

    psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
    February 26, 2009 - An AHRQ WebM&M commentary discusses a case of a medication error associated with warfarin use at a

  5. EU to tackle issue of patient safety. | PSNet

    psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
    September 06, 2023 - Newspaper/Magazine Article EU to tackle issue of patient safety. Citation Text: Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  6. Creating a culture of safety by coaching clinicians to competence. | PSNet

    psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
    January 10, 2024 - Commentary Creating a culture of safety by coaching clinicians to competence. Citation Text: Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. Copy Citation Format: DOI Googl…

  7. What did the doctor say? Health literacy and recall of medical instructions. | PSNet

    psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
    December 21, 2014 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…

  8. It's always something: hospital nurses managing risk. | PSNet

    psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk
    September 29, 2017 - Study It's always something: hospital nurses managing risk. Citation Text: Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755. Copy Citation Format: DOI Google Sc…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36899/psn-pdf
    April 12, 2011 - role-communication-paediatric-drug-safety The authors review the literature on how communication can help to manage and prevent medication … errors.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41441/psn-pdf
    July 08, 2021 - issue/national-diabetes-inpatient-audit-2017 This annual report identified a significant number of medication … errors associated with diabetes care in acute hospitals in England and Wales.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33778/psn-pdf
    March 01, 2015 - attention in the field of patient safety, particularly when compared with other safety topics such as medication … errors, surgical complications, and health care–associated infections.

  12. What do medical records tell us about potentially harmful co-prescribing? | PSNet

    psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
    December 19, 2011 - March 16, 2022 ISMP medication error report analysis.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72599/psn-pdf
    December 23, 2020 - In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital. December 23, 2020 Kanaan AO, Sullivan KM, Seed SM, et al. In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching h…

  14. Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
    August 01, 2024 - PSNet Primer: Improving Patient Safety and Team Communication Through Daily Huddles AHRQ PSNet Primer: Medication … Errors and Adverse Drug Events AHRQ PSNet Primer: Medication Reconciliation AHRQ PSNet Perspective:

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847047/psn-pdf
    April 05, 2023 - Making polypharmacy safer for children with medical complexity. April 5, 2023 Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012. https://psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity Childre…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46923/psn-pdf
    August 17, 2018 - nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45714/psn-pdf
    December 20, 2017 - us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014 https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  18. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet

    psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
    January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Citation Text: de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …

  19. Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
    March 01, 2023 - Review Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. Citation Text: Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Me…

  20. Validating administrative data for the detection of adverse events in older hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients
    March 13, 2015 - Study Validating administrative data for the detection of adverse events in older hospitalized patients. Citation Text: Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 201…
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