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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44675/psn-pdf
    July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60893/psn-pdf
    January 01, 2021 - When safety event reporting is seen as punitive: "I've been PSN-ed!" September 9, 2020 Feeser VR, Jackson AK, Savage NM, et al. When safety event reporting is seen as punitive: "I've been PSN-ed!". Ann Emerg Med. 2021;77(4):449-458. doi:10.1016/j.annemergmed.2020.06.048. https://psnet.ahrq.gov/issue/when-safety-ev…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45422/psn-pdf
    October 12, 2016 - Maths anxiety and medication dosage calculation errors: a scoping review. October 12, 2016 Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005. https://psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosag…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39270/psn-pdf
    February 03, 2010 - Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. February 3, 2010 Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. BMC Med Info…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43736/psn-pdf
    April 24, 2017 - Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. April 24, 2017 Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi:10.1016/j.socscimed.2014.09.023. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47252/psn-pdf
    August 01, 2018 - Communication errors in radiology—pitfalls and how to avoid them. August 1, 2018 Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. https://psnet.ahrq.gov/issue/communication-errors-radiology-pi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44883/psn-pdf
    February 17, 2016 - Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verification. February 17, 2016 Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verification. Am J Health Syst Pharm. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47432/psn-pdf
    September 26, 2018 - Malnutrition in the hospital: the pharmacist’s role in prevention and treatment. September 26, 2018 Decerbo M. Pharmacy Practice News. September 13, 2018. https://psnet.ahrq.gov/issue/malnutrition-hospital-pharmacists-role-prevention-and-treatment Parenteral nutrition errors can result in patient malnutrition and …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73356/psn-pdf
    June 02, 2021 - Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health. May 20, 2021. https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50710/psn-pdf
    December 04, 2019 - Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 December 4, 2019 de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-upd…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48149/psn-pdf
    July 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. July 31, 2019 Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare Achieving zero preventable harms h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60007/psn-pdf
    March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Horsham, PA: Institute for Safe Medication Practices; 2020. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion- pumps Smart pumps are widely available as a medicat…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45912/psn-pdf
    May 09, 2017 - Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. May 9, 2017 DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Pediatr Cr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61033/psn-pdf
    October 14, 2020 - L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. October 14, 2020 Dolan J, Mejia B. Los Angeles Times. September 30, 2020. https://psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die- waiting Socioeconomic conditions influence acces…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837513/psn-pdf
    June 22, 2022 - Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' June 22, 2022 Agency for Healthcare Quality and Research. Fed Register. June 3, 2022;87: 33795-33796.  https://psnet.ahrq.gov/issue/agency-information-collection-a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50893/psn-pdf
    February 12, 2020 - The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). February 12, 2020 Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2):128-137. doi:10.1093/ajhp/zxz…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44738/psn-pdf
    May 21, 2016 - The Habits of an Improver. Thinking About Learning for Improvement in Health Care. May 21, 2016 Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. https://psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care Committed leadership is essential to enhan…
  18. psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
    February 26, 2025 - In Conversation with...Brent C. James, MD, MStat February 1, 2011  Citation Text: In Conversation with..Brent C. James, MD, MStat. PSNet [internet]. 2011.In Conversation with...Brent C. James, MD, MStat. PSNet [internet]. Rockville (MD): Agency for Healthcare Researc…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication September 30, 2020 Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication The Case A 65-year-old woman co…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838197/psn-pdf
    September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022 Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. PSNet [internet]. 2022. https://psnet.…

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