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psnet.ahrq.gov/node/60194/psn-pdf
April 01, 2020 - Do you know what doses are being programmed in the
OR? Make it an expectation to use smart infusion pumps
with DERS.
April 1, 2020
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion
pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5.
http…
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psnet.ahrq.gov/node/74692/psn-pdf
January 26, 2022 - Changes made to orders placed by overnight admitting
residents on teaching rounds the next day.
January 26, 2022
Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on
teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. doi:10.1542/hpeds.2021-005823.
ht…
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psnet.ahrq.gov/node/47127/psn-pdf
June 05, 2018 - Incorporating medication indications into the prescribing
process.
June 5, 2018
Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J
Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346.
https://psnet.ahrq.gov/issue/incorporating-medication-indications-…
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psnet.ahrq.gov/node/861771/psn-pdf
January 31, 2024 - The impact of nursing practice environments on patient
safety culture in primary health care: a scoping review.
January 31, 2024
Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on
patient safety culture in primary health care: a scoping review. BJGP Open. 2024;8(1):B…
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psnet.ahrq.gov/node/35324/psn-pdf
February 03, 2011 - Neurobehavioral performance of residents after heavy
night call vs after alcohol ingestion.
February 3, 2011
Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs
After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - Elevated mortality among weekend hospital admissions is
not associated with adoption of seven day clinical
standards.
January 30, 2018
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with
adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1…
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psnet.ahrq.gov/node/837975/psn-pdf
August 31, 2022 - Analyzing and discussing human factors affecting
surgical patient safety using innovative technology:
creating a safer operating culture.
August 31, 2022
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors
affecting surgical patient safety using innovative technology: cre…
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psnet.ahrq.gov/node/39233/psn-pdf
August 02, 2013 - Rapid response teams: a systematic review and meta-
analysis.
August 2, 2013
Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis.
Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424.
https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/840485/psn-pdf
November 30, 2022 - Using consumer engagement strategies to improve
healthcare safety for young people: an exploration of the
relevance and suitability of current approaches.
November 30, 2022
Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare
safety for young people: an exploration of…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case December 2005
Low on the Totem Pole
Source and Credits
This presentation is based on the Dec. 2005
Spotlight Case in Surgery/Anesthesia
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert Wachter, MD, …
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers and Trigger Tools
March 15, 2025
Triggers and Trigger Tools. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
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 safet…
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Opioid Stewardship
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Created By: AHRQ
Date Created: January 24, 2025
…
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Kelly, MD
Emeritus Professor of Pediatrics, Allergy-Immunology
University of North Carolina Chapel
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psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - Pediatrics. 2013;131(suppl 1):S60-S67. [go to PubMed]
8.
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - Pediatrics. 2008;121:e1723-e1731. [go to PubMed]
18. Hughes JS, Averill RF, Goldfield NI, et al.
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psnet.ahrq.gov/node/50702/psn-pdf
December 04, 2019 - Smart pumps improve medication safety but increase
alert burden in neonatal care
December 4, 2019
Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden
in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2.
https://psnet.ahrq.…
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psnet.ahrq.gov/issue/ahrq-announces-areas-interest-research-healthcare-associated-infections
June 14, 2024 - Government Resource
AHRQ Announces Areas of Interest for Research on Healthcare–Associated Infections.
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December 22, 2010
This an…
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psnet.ahrq.gov/node/41999/psn-pdf
January 01, 2016 - Maintaining and sustaining the On the CUSP: Stop BSI
model in Hawaii.
January 30, 2013
Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in
Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4.
https://psnet.ahrq.gov/issue/main…
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psnet.ahrq.gov/node/852274/psn-pdf
August 09, 2023 - Associations between self-reported healthcare disruption
due to COVID-19 and avoidable hospital admission:
evidence from seven linked longitudinal studies for
England.
August 9, 2023
Green MA, McKee M, Hamilton OKL, et al. Associations between self-reported healthcare disruption due to
covid-19 and avoidable hosp…