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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72481/psn-pdfNovember 18, 2020 - Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. https://psnet.ahrq.gov/issue/computer-base… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38172/psn-pdfOctober 29, 2008 - Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. October 29, 2008 McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41678/psn-pdfJune 03, 2013 - Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). June 3, 2013 Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34894/psn-pdfJuly 10, 2008 - Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. July 10, 2008 Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47956/psn-pdfJune 26, 2019 - Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019 Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48022/psn-pdfMay 29, 2019 - Inappropriate opioid prescription after surgery. May 29, 2019 Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet. 2019;393(10180):1547-1557. doi:10.1016/S0140-6736(19)30428-3. https://psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery The overprescribing of o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46906/psn-pdfMay 30, 2018 - Making an infusion error: the second victims of infusion therapy-related medication errors. May 30, 2018 Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.0000000000000273. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50598/psn-pdfJanuary 01, 2020 - Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials. October 30, 2019 Wu M, Tang J, Etherington N, et al. Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials. BMJ Qual Saf. 2020;29(1):77-85. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852800/psn-pdfAugust 23, 2023 - Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023 Kinsella SM, Boaden B, El?Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Anaesthesia. 2023;78(10):1285-1294. doi:10.1111/anae.16095. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35044/psn-pdfSeptember 27, 2017 - Decisions about critical events in device-related scenarios as a function of expertise. September 27, 2017 Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. https://psnet.ahrq.gov/issue/decisions-ab… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37924/psn-pdfDecember 23, 2016 - Behaviors that undermine a culture of safety. December 23, 2016 Behaviors that undermine a culture of safety. Sentinel event alert. 2008;(40):1-3. https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44611/psn-pdfNovember 04, 2015 - Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. November 4, 2015 Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):1094-101. doi:10.1177/000992281558492… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37928/psn-pdfMarch 10, 2011 - A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. March 10, 2011 Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. J Am Med Inform Assoc. 2008… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39504/psn-pdfMay 05, 2010 - Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. May 5, 2010 Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J Hosp Med. 2010;5(4):234-9. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44234/psn-pdfSeptember 09, 2015 - Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. September 9, 2015 Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47162/psn-pdfAugust 15, 2018 - Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. August 15, 2018 Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003). 2018;58(4S):S46-S50. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73964/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45592/psn-pdfOctober 27, 2016 - Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. October 27, 2016 Chicago, IL: Health Research & Educational Trust; October 2016. https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center- transforming-hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43854/psn-pdfFebruary 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400. https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46934/psn-pdfMarch 14, 2018 - Engaging the front line: tapping into hospital-wide quality and safety initiatives. March 14, 2018 Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038. https://psn…
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