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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841154/psn-pdf
    December 07, 2022 - Concerns regarding tablet splitting: a systematic review. December 7, 2022 Saran AK, Holden NA, Garrison SR. Concerns regarding tablet splitting: a systematic review. BJGP Open. 2022;6(3):BJGPO.2022.0001. doi:10.3399/bjgpo.2022.0001. https://psnet.ahrq.gov/issue/concerns-regarding-tablet-splitting-systematic-review…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40168/psn-pdf
    December 21, 2014 - Variation in surgical time-out and site marking within pediatric otolaryngology. December 21, 2014 Shah RK, Arjmand E, Roberson DW, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011;137(1):69-73. doi:10.1001/archoto.2010.232. https://psnet…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34660/psn-pdf
    December 24, 2008 - Building a learning organization. December 24, 2008 Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. https://psnet.ahrq.gov/issue/building-learning-organization Garvin, a Harvard Business School professor, postulates that for organizations to truly improve over time and succeed, they ne…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46241/psn-pdf
    January 30, 2018 - Interventions to improve oral chemotherapy safety and quality: a systematic review. January 30, 2018 Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625. https://psnet.ahrq.gov/issue/intervention…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838929/psn-pdf
    October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44488/psn-pdf
    September 16, 2015 - Environmental Cleaning for the Prevention of Healthcare- Associated Infections (HAIs). September 16, 2015 Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. Technical Brief No. 22. AHRQ Publication No. 15- EHC020-EF. https://p…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40059/psn-pdf
    April 24, 2011 - Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. April 24, 2011 Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement. J Patient Saf. 2010;6(4):206-9. https://psnet.ahrq.gov/issue/use-safety-attitudes-question…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41838/psn-pdf
    December 04, 2016 - Modern palliative radiation treatment: do complexity and workload contribute to medical errors? December 4, 2016 D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84(1):e43-8. doi:10.1016/j.ijrobp…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42720/psn-pdf
    November 13, 2013 - Workplace bullying in the OR: results of a descriptive study. November 13, 2013 Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015. https://psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43424/psn-pdf
    August 13, 2014 - Office-based anesthesia: safety and outcomes. August 13, 2014 Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276- 285. doi:10.1213/ane.0000000000000313. https://psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes Office-based anesthesia has become more w…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40199/psn-pdf
    March 03, 2011 - Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. March 3, 2011 Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Acad Med. 2011;86(3):365-8.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50600/psn-pdf
    October 30, 2019 - HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019 HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. Washington DC: US Department of Health and Human Services. October 2019. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43996/psn-pdf
    November 10, 2018 - When doing wrong feels so right: normalization of deviance. November 10, 2018 Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. https://psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance This…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38371/psn-pdf
    January 28, 2009 - Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. January 28, 2009 Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. World J Surg. 2009;33…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46636/psn-pdf
    January 24, 2018 - Drug shortages continue to compromise patient care. January 24, 2018 ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care Drug shortages are known to disrupt the safety of care. This newsletter article reports the res…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46746/psn-pdf
    March 07, 2018 - Safety with nebulized medications requires an interdisciplinary team approach. March 7, 2018 ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach Myriad system and clinician failures can con…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842777/psn-pdf
    January 18, 2023 - Patient safety performance: reversing recent declines through shared profession-wide system-level solutions. January 18, 2023 doi:full/10.1056/CAT.22.0318. https://psnet.ahrq.gov/issue/patient-safety-performance-reversing-recent-declines-through-shared- profession-wide-system The COVID-19 pandemic revealed fractu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40206/psn-pdf
    June 15, 2011 - Frequency of pediatric medication administration errors and contributing factors. June 15, 2011 Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e3182031006. https://psnet.ahrq.gov/issue/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44298/psn-pdf
    July 08, 2015 - Preparing challenging medications for barcode scanning. July 8, 2015 Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning Barcode scanning can reduce me…

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