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3721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33770/psn-pdf
      August 01, 2014 - In Conversation With… Urmimala Sarkar, MD, MPH August 1, 2014 In Conversation With… Urmimala Sarkar, MD, MPH. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph Editor's note: Urmimala Sarkar, MD, MPH, is associate professor of medicine at the University of California, S…

3722. A Weighty Mistake | PSNet
      psnet.ahrq.gov/web-mm/weighty-mistake
      September 01, 2016 - SPOTLIGHT CASE A Weighty Mistake Citation Text: Bokser SJ. A Weighty Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

3723. 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…

3724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49612/psn-pdf
      November 01, 2010 - Treatment Challenges After Discharge November 1, 2010 Coffey C. Treatment Challenges After Discharge. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge Case Objectives Understand types and frequencies of adverse events occurring between patient discharge from the hospital …

3725. The Wrong Channel | PSNet
      psnet.ahrq.gov/web-mm/wrong-channel
      February 01, 2003 - The Wrong Channel Citation Text: Gosbee JW. The Wrong Channel . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

3726. Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. | PSNet
      psnet.ahrq.gov/issue/simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-implementation
      April 10, 2024 - July 7, 2021 Expanding frontiers of risk management: care safety in nursing home during

3727. More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. | PSNet
      psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
      September 02, 2016 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.

3728. Pharmacist linkage in care transitions: from academic medical center to community. | PSNet
      psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community
      November 16, 2022 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.

3729. Culture of safety: impact on improvement in infection prevention process and outcomes. | PSNet
      psnet.ahrq.gov/issue/culture-safety-impact-improvement-infection-prevention-process-and-outcomes
      September 23, 2020 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.

3730. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. | PSNet
      psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review
      November 16, 2022 - October 2, 2024 Potentially avoidable hospitalizations among historically marginalized nursing … home residents.

3731. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet
      psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
      June 22, 2009 - A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.

3732. Improved medication management with introduction of a perioperative and prescribing pharmacist service. | PSNet
      psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
      August 05, 2020 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.

3733. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. | PSNet
      psnet.ahrq.gov/issue/disaster-ergonomics-human-factors-covid-19-pandemic-emergency-management
      September 30, 2020 - Resources From the Same Author(s) Expanding frontiers of risk management: care safety in nursing … home during COVID-19 pandemic.

3734. Electronic health record interoperability-why electronically discontinued medications are still dispensed. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are
      August 25, 2021 - at a community hospital August 25, 2021 Accuracy of pressure ulcer events in US nursing … home ratings.

3735. Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. | PSNet
      psnet.ahrq.gov/issue/effect-central-call-center-employee-perceptions-safety-culture-within-community-pharmacies
      June 15, 2022 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.

3736. Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity. | PSNet
      psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized
      June 16, 2021 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.

3737. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. | PSNet
      psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
      May 26, 2021 - Organizational readiness to change as a leverage point for improving safety: a national nursing … home survey.

3738. Association between hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target and nontarget conditions. | PSNet
      psnet.ahrq.gov/issue/association-between-hospital-penalty-status-under-hospital-readmission-reduction-program-and
      August 15, 2018 - July 20, 2022 The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment

3739. US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet
      psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
      January 23, 2017 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing … home ratings.

3740. Economic impact of medication error: a systematic review. | PSNet
      psnet.ahrq.gov/issue/economic-impact-medication-error-systematic-review
      November 04, 2020 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing … home residents.