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  1. psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
    January 26, 2023 - Press Release/Announcement FDA/ISMP Safe Medication Management Fellowship Program. Citation Text: FDA/ISMP Safe Medication Management Fellowship Program. Food and Drug Administration, Institute for Safe Medication Practices. Copy Citation Save Save to your library…
  2. psnet.ahrq.gov/issue/mismatch-made-america
    December 31, 2018 - Newspaper/Magazine Article A mismatch made in America. Citation Text: A mismatch made in America. Butcher L. Managed Care. June 2019;28:37-39. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…
  3. psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
    November 03, 2015 - Book/Report Classic Understanding Patient Safety, Third Edition. Citation Text: Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. Copy Citation Save Save t…
  4. psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
    May 20, 2020 - Book/Report Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Citation Text: Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004. Copy Citation …
  5. psnet.ahrq.gov/web-mm/discharged-blindly
    October 26, 2022 - Discharged Blindly Citation Text: Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
    July 01, 2008 - Spotlight Case July 2008 Spotlight Case July 2008 Dependence vs. Pain Source and Credits This presentation is based on the July 2008 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Adam J. Gordon, MD, MPH University of Pittsburgh School of M…
  7. psnet.ahrq.gov/web-mm/communication-consultants
    October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73106/psn-pdf
    April 01, 2021 - Strategies and Approaches for Tracking Improvements in Patient Safety April 1, 2021 Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety Background An essential aspect …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867004/psn-pdf
    October 30, 2024 - Critical Radiology Alert Process October 30, 2024 https://psnet.ahrq.gov/innovation/critical-radiology-alert-process Summary Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of unrelated abnormal findings and provides a companion follow-up process, with the goal o…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34740/psn-pdf
    November 29, 2017 - Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. November 29, 2017 Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Bass; 1993. ISBN: 9781555425449 https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care Authored by severa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837850/psn-pdf
    August 17, 2022 - Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. August 17, 2022 Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. BMC Health Serv Res. 2022;22(1):…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39121/psn-pdf
    March 04, 2011 - The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study. March 4, 2011 van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preventable adverse drug events: an inter…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35017/psn-pdf
    August 24, 2017 - The Field Guide to Human Error Investigations, Third Edition. August 24, 2017 Dekker S. Boca Baton, FL: CRC Press; 2017. https://psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition This revised and reorganized book provides a primer on how human error causes mishaps and often illustrates dee…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35440/psn-pdf
    May 27, 2011 - Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. May 27, 2011 Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-term care setting: insights from the …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44749/psn-pdf
    December 27, 2018 - Southern Baptist Hospital of Florida v. Charles. December 27, 2018 Fla Ct App, 1st Dist. October 28, 2015. https://psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event reports voluntarily submitted to pa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42723/psn-pdf
    January 15, 2014 - 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings. January 15, 2014 Ginsburg LR, Tregunno D, Norton PG, et al. 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38668/psn-pdf
    June 10, 2009 - User satisfaction with computerized order entry system and its effect on workplace level of stress. June 10, 2009 Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):199-205. https://psnet.ahrq.gov/issue/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44785/psn-pdf
    January 27, 2016 - Reducing Adverse Drug Events Related to Opioids Implementation Guide. January 27, 2016 Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide Opioids are high-risk medication…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837431/psn-pdf
    June 15, 2022 - Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. June 15, 2022 Clark C. MedPage Today. June 2, 2022 https://psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts Transparency and discussion of errors is a hallmark of the culture needed to i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41917/psn-pdf
    May 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b…

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