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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43366/psn-pdf
    March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46160/psn-pdf
    June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Horsham, PA: Institute for Safe Medication Practices; May 2017. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults Insulin is a widely used medication that can contribute to serious patien…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44193/psn-pdf
    August 05, 2015 - Pediatric emergency department discharge prescriptions requiring pharmacy clarification. August 5, 2015 Caruso MC, Gittelman MA, Widecan ML, et al. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Pediatr Emerg Care. 2015;31(6):403-8. doi:10.1097/PEC.0000000000000457. https…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37262/psn-pdf
    December 19, 2011 - Academic detailing to improve laboratory testing among outpatient medication users. December 19, 2011 Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43819/psn-pdf
    July 16, 2015 - Intercepting wrong-patient orders in a computerized provider order entry system. July 16, 2015 Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38498/psn-pdf
    September 27, 2016 - Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. September 27, 2016 Thomson MS, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. J Am Geriatr Soc. 2009;57(2):266…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45007/psn-pdf
    March 30, 2016 - Medication errors involving healthcare students. March 30, 2016 Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23. https://psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students Using reports of medication errors submitted to the Pennsylvania Patient Safety Authority that …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854637/psn-pdf
    October 18, 2023 - A scoping review of clinical handover mnemonic devices. October 18, 2023 Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices Cogniti…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42556/psn-pdf
    August 28, 2013 - Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative. August 28, 2013 Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF. https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36690/psn-pdf
    January 18, 2011 - The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. January 18, 2011 Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medicatio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855002/psn-pdf
    November 01, 2023 - Temporarily holding medication orders safely in order to prevent patient harm. November 1, 2023 ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838254/psn-pdf
    October 05, 2022 - Embedded bias: how medical records sow discrimination. October 5, 2022 Tahir D. Kaiser Health News. September 26, 2022.  https://psnet.ahrq.gov/issue/embedded-bias-how-medical-records-sow-discrimination Negative patient representations in medical records perpetuate stereotypes that can affect care over ti…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41273/psn-pdf
    June 01, 2012 - Minimizing inappropriate medications in older populations: a ten-step conceptual framework. June 1, 2012 Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1016/j.amjmed.2011.09.021. https://psnet.ah…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74762/psn-pdf
    February 09, 2022 - Start the year off right by addressing these top 10 medication safety concerns from 2021. February 9, 2022 ISMP Medication Safety Alert! Acute care edition. January 27, 2022;27(2):1-6. https://psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021 Medication errors are a cons…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45560/psn-pdf
    October 19, 2016 - Learning from excellence in healthcare: a new approach to incident reporting. October 19, 2016 Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021. https://psnet.ahrq.gov/issue/learning…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35502/psn-pdf
    May 27, 2011 - Medication errors: a prospective cohort study of hand- written and computerised physician order entry in the intensive care unit. May 27, 2011 Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Cr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43464/psn-pdf
    August 27, 2014 - Using pharmacists to optimize patient outcomes and costs in the ED. August 27, 2014 Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. https://psnet.ahrq.gov/issue/using-pharmacists-optimize-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46791/psn-pdf
    May 23, 2018 - Medication Safety Dashboard. May 23, 2018 National Health Service. https://psnet.ahrq.gov/issue/medication-safety-dashboard Data surveillance and transparency are core to measuring and informing improvement efforts. This website provides detailed data that links ambulatory care prescribing activity to National Hea…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40029/psn-pdf
    November 24, 2010 - Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. November 24, 2010 Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. Emerg Med J. 2010;27(12):9…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44574/psn-pdf
    October 21, 2015 - Patient safety and quality improvement: reducing risk of harm. October 21, 2015 Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm T…