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9241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837907/psn-pdf
      August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and…

9242. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43700/psn-pdf
      November 19, 2014 - Appropriate use of medical interpreters. November 19, 2014 Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80. https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters Language barriers between patients and providers can contribute to misunderstandings and lead…

9243. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74076/psn-pdf
      November 17, 2021 - Influence of perioperative handoffs on complications and outcomes. November 17, 2021 Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complic…

9244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838085/psn-pdf
      September 14, 2022 - Administering High-Strength Insulin from a Pen Device in Hospital. September 14, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; July 7, 2022. https://psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital Misuse of insulin pens contributes to never events associated with diabet…

9245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50594/psn-pdf
      October 30, 2019 - Pharmacist linkage in care transitions: from academic medical center to community. October 30, 2019 Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j.japh.2019.08.011. https://psne…

9246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43574/psn-pdf
      October 08, 2014 - The mixed blessings of smart infusion devices and health care IT. October 8, 2014 Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. https://psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devi…

9247. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43458/psn-pdf
      August 27, 2014 - Validation of a teamwork perceptions measure to increase patient safety. August 27, 2014 Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. https://psnet.ahrq.gov/issue/validation-teamwork…

9248. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35175/psn-pdf
      June 23, 2009 - Overnight and postcall errors in medication orders. June 23, 2009 Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors…

9249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39265/psn-pdf
      February 03, 2010 - Intensive care unit alarms—how many do we need? February 3, 2010 Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. https://psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need This study found that …

9250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37512/psn-pdf
      February 06, 2008 - Risk factors in preventable adverse drug events in pediatric outpatients.  February 6, 2008 Zandieh SO, Goldmann DA, Keohane C, et al. Risk factors in preventable adverse drug events in pediatric outpatients. J Pediatr. 2008;152(2):225-31. doi:10.1016/j.jpeds.2007.09.054. https://psnet.ahrq.gov/issue/risk-factors-…

9251. Beeline to Spine | PSNet
      psnet.ahrq.gov/web-mm/beeline-spine
      March 01, 2014 - SPOTLIGHT CASE Beeline to Spine Citation Text: Smetana GW. Beeline to Spine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

9252. Ebola: Are We Ready? | PSNet
      psnet.ahrq.gov/web-mm/ebola-are-we-ready
      July 01, 2012 - Ebola: Are We Ready? Citation Text: Barsuk JH, Barnard C. Ebola: Are We Ready?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

9253. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - SPOTLIGHT CASE A Lot of Pain (Medications) Citation Text: Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

9254. Hard to Swallow | PSNet
      psnet.ahrq.gov/web-mm/hard-swallow
      April 26, 2023 - Hard to Swallow Citation Text: Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9255. CVC Removal: A Procedure Like Any Other | PSNet
      psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
      October 01, 2018 - CVC Removal: A Procedure Like Any Other Citation Text: Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

9256. Patient Identification Errors: A Systems Challenge | PSNet
      psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
      February 23, 2011 - Patient Identification Errors: A Systems Challenge Citation Text: Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Googl…

9257. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33743/psn-pdf
      December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit. PSNet [internet]. 2012. https://psnet.ahrq.gov…

9258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49609/psn-pdf
      October 01, 2010 - Dangerous Dialysis October 1, 2010 Holley JL. Dangerous Dialysis . PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/dangerous-dialysis Case Objectives List common errors that occur in dialysis units. Describe steps that can be taken by dialysis units to prevent these common errors. Describe the role of the …

9259. Patient Safety in the OR. | PSNet
      psnet.ahrq.gov/issue/patient-safety-or
      March 06, 2005 - Course Material/Curriculum March 6, 2005 Patient Safety in the OR. Save Print Share Facebook Twitter Linkedin Copy URL This free, online course provides information to practitioners about medical errors and adv…

9260. Survive your doctor. | PSNet
      psnet.ahrq.gov/issue/survive-your-doctor
      July 05, 2006 - Newspaper/Magazine Article Survive your doctor. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL December 6, 2006 This series includes articles on "doorway diagnosis" (or a doctor's assessment of …