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9401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837504/psn-pdf
      June 22, 2022 - Business Intelligence dashboards for patient safety and quality: a narrative literature review. June 22, 2022 Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3233/shti220113. https://psnet.ahrq.…

9402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47065/psn-pdf
      June 20, 2018 - The complexity, diversity, and science of primary care teams. June 20, 2018 Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams Teamwork is …

9403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45053/psn-pdf
      May 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process. May 19, 2019 Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120. doi:10.1097/…

9404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40784/psn-pdf
      September 21, 2011 - Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011 Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication error rates than traditional commu…

9405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43873/psn-pdf
      February 04, 2015 - AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. February 4, 2015 Rockville, MD: Agency for Healthcare Research and Quality; January 2015. https://psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit Health care–associated infections are a known contributor to adve…

9406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35312/psn-pdf
      January 02, 2017 - Medication errors involving wrong administration technique. January 2, 2017 Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. https://psnet.ahrq.gov/issue/medication-errors-i…

9407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38679/psn-pdf
      March 01, 2011 - Improving alarm performance in the medical intensive care unit using delays and clinical context. March 1, 2011 Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546-52. doi:10.1213/ane.0b013e31819bdfb…

9408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46183/psn-pdf
      July 12, 2017 - Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. July 12, 2017 Boston, MA: CRICO Strategies; 2017. https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report Medication errors are a persistent challenge in health care that can occur a…

9409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50372/psn-pdf
      September 25, 2019 - Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. September 25, 2019 Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamanetworkopen.2019.10967. https://psnet.ahr…

9410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46633/psn-pdf
      November 22, 2017 - The high costs of unnecessary care. November 22, 2017 Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. https://psnet.ahrq.gov/issue/high-costs-unnecessary-care The provision of unneeded care can result in physical, financial, and psychological harm to patie…

9411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44548/psn-pdf
      November 20, 2015 - Safety-II and resilience: the way ahead in patient safety in anaesthesiology. November 20, 2015 Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. https://psnet.ahrq.gov/issue/safety-ii-and-resilience…

9412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46403/psn-pdf
      September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…

9413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73964/psn-pdf
      October 13, 2021 - Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. October 13, 2021 Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. Int J Clin Pharm. 2021;43…

9414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43001/psn-pdf
      March 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…

9415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47979/psn-pdf
      May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss…

9416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73995/psn-pdf
      October 20, 2021 - Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. October 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 12, 2021. https://psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety- communication …

9417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74843/psn-pdf
      February 16, 2022 - Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. February 16, 2022 Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. J Healthc Qual. 2022;44(3):e38-e43. d…

9418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47800/psn-pdf
      June 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer…

9419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60286/psn-pdf
      April 29, 2020 - With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. April 29, 2020 Brodwin E. STAT. April 14, 2020. https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew- complications Patients with cancer and other chronic disorder treatment …

9420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47294/psn-pdf
      November 19, 2018 - 2017 John M. Eisenberg Patient Safety and Quality Awards. November 19, 2018 Jt Comm J Qual Patient Saf. 2018;44(7):373-400. https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made unique and sustained contributions…