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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46708/psn-pdf
    February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship Program. February 8, 2023 Food and Drug Administration, Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program This fellowship program provides clinicians with learning opportunities at the Institute…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35009/psn-pdf
    May 27, 2011 - Guided prescription of psychotropic medications for geriatric inpatients. May 27, 2011 Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7. https://psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-ger…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41167/psn-pdf
    February 29, 2012 - Paramedics and the effects of shift work on sleep: a literature review. February 29, 2012 Sofianopoulos S, Williams B, Archer F. Paramedics and the effects of shift work on sleep: a literature review. Emerg Med J. 2012;29(2):152-5. doi:10.1136/emj.2010.094342. https://psnet.ahrq.gov/issue/paramedics-and-effects-sh…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37840/psn-pdf
    June 28, 2016 - Engaging Patients as Safety Partners: a Guide for Reducing Errors and Improving Satisfaction. June 28, 2016 Spath P, ed. Chicago, IL: AHA Press; 2008. ISBN: 9781556483530. https://psnet.ahrq.gov/issue/engaging-patients-safety-partners-guide-reducing-errors-and-improving- satisfaction This book discusses strategie…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49732/psn-pdf
    May 01, 2015 - Errors in Sepsis Management May 1, 2015 Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/errors-sepsis-management Case Objectives Define sepsis, severe sepsis, and septic shock. Describe the severe sepsis/septic shock resuscitation bundle. Recognize commonly encou…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33707/psn-pdf
    February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course February 1, 2011 Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and Effectiveness Course. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…

  7. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient | PSNet

    psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
    October 04, 2023 - From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient Citation Text: Markham K, Usui M, Smith C. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49760/psn-pdf
    May 01, 2016 - Mismanagement of Delirium May 1, 2016 Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/mismanagement-delirium The Case An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although fitted with a cast at a regional ho…

  9. Errors in Sepsis Management | PSNet

    psnet.ahrq.gov/web-mm/errors-sepsis-management
    November 03, 2015 - SPOTLIGHT CASE Errors in Sepsis Management Citation Text: Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X…

  10. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet

    psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January …

  11. Challenges of Diabetes Management and Medication Reconciliation | PSNet

    psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
    March 15, 2023 - Challenges of Diabetes Management and Medication Reconciliation Citation Text: Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42422/psn-pdf
    November 18, 2013 - Resilient actions in the diagnostic process and system performance. November 18, 2013 Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661. https://psnet.ahrq.gov/issue/resilient-actions-diagnos…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38531/psn-pdf
    June 01, 2023 - Medical Office Survey on Patient Safety Culture. September 1, 2021 Rockville, MD: Agency for Healthcare Research and Quality; June 2023. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Medical Office Survey collects information from outp…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34785/psn-pdf
    February 18, 2011 - Diseases of medical progress. February 18, 2011 MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. https://psnet.ahrq.gov/issue/diseases-medical-progress This review shares a perspective that the history of medicine provides numerous examples of how emerging illnesses develop from sound the…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35348/psn-pdf
    October 26, 2007 - Medical Error. October 26, 2007 National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. https://psnet.ahrq.gov/issue/medical-error This two-part report focuses on the experience of committing a medical error, along with strategies to red…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42986/psn-pdf
    February 26, 2014 - Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. February 26, 2014 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. February 18, 2014. https://psnet.ahrq.g…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39701/psn-pdf
    April 14, 2011 - Medication errors with electronic prescribing (eP): two views of the same picture. April 14, 2011 Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-135. https://psnet.ahrq.gov/issue/me…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34754/psn-pdf
    February 06, 2018 - Patient Safety in Anesthetic Practice. February 6, 2018 Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824. https://psnet.ahrq.gov/issue/patient-safety-anesthetic-practice Anesthesiology made its mark early on in the quest for patient safety. Eichhorn was a part of the converge…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34773/psn-pdf
    March 08, 2017 - Medication Errors: The Nursing Experience. March 8, 2017 Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628. https://psnet.ahrq.gov/issue/medication-errors-nursing-experience In one of the first professional books to deal with medication error from the nursing perspective, Wolf provides a comprehensi…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39728/psn-pdf
    January 03, 2017 - Diffusing aviation innovations in a hospital in the Netherlands. January 3, 2017 de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. https://psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-n…
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