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3541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47680/psn-pdf
      January 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat…

3542. Updated Handouts (pdf file)
      cds.ahrq.gov/sites/default/files/cds/artifact/136331/Tricyclic%20Antidepressant%20Patient%20Handout.pdf
      July 18, 2023 - Updated Handouts Lowering the dose of your Tricyclic Antidepressant Adapted from “Antidepressant withdrawal: is there such a thing?”, Mayo Clinic. What is a Tricyclic Antidepressant? Medicine that helps with depression, sleep, and/or pain. The medication you are currently taking: ______________________________ Yo…

3543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72633/psn-pdf
      January 13, 2021 - Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. January 13, 2021 Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations. J Am Med Inform Assoc. 2021;28…

3544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844538/psn-pdf
      February 15, 2023 - Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a systematic review and consensus recommendations. February 15, 2023 Balestracci B, La Regina M, Di Sessa D, et al. Patient safety implications of wearing a face mask for prevention in the era of COVID-19 pandemic: a…

3545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43169/psn-pdf
      May 07, 2014 - Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. May 7, 2014 Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Chest. 2014;145(3):632-8. doi:10.1378…

3546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34916/psn-pdf
      March 09, 2009 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. March 9, 2009 Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective st…

3547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44177/psn-pdf
      November 10, 2015 - Doing the right things and doing them the right way: association between hospital guideline adherence, dosing safety, and outcomes among patients with acute coronary syndrome. November 10, 2015 Mehta RH, Chen AY, Alexander KP, et al. Doing the right things and doing them the right way: association between hospita…

3548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60244/psn-pdf
      April 22, 2020 - Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. April 22, 2020 Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Anesth …

3549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72549/psn-pdf
      December 09, 2020 - Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. December 9, 2020 Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am Pharm Assoc (2003). 2021;61(2):…

3550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38309/psn-pdf
      December 23, 2016 - Safely implementing health information and converging technologies. December 23, 2016 Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies As health information techno…

3551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73171/psn-pdf
      April 21, 2021 - Patient safety and quality improvement adaptation during the COVID-19 pandemic. April 21, 2021 Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8. https://psnet.ahrq.gov/issu…

3552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74869/psn-pdf
      February 23, 2022 - Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. February 23, 2022 ISMP Medication Safety Alert! Acute care edition. February 10, 2022:27(3):1-6. https://psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best- practices-hospitals B…

3553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35300/psn-pdf
      March 04, 2011 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. March 4, 2011 Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ? blockers in non-cardiac surgery? Sys…

3554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847535/psn-pdf
      April 12, 2023 - Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross- sectional study. April 12, 2023 Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. J P…

3555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47919/psn-pdf
      April 03, 2019 - How to Talk About Patient Safety. April 3, 2019 Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019. https://psnet.ahrq.gov/issue/how-talk-about-patient-safety This report suggests that the field of patient safety needs to be reframed for the public. The report recommen…

3556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74719/psn-pdf
      February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…

3557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836778/psn-pdf
      March 23, 2022 - Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. March 23, 2022 Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123. doi:10.1080/01…

3558. Xiong, Glen | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/xiong-glen
      June 09, 2020 - Xiong, Glen Asynchronous telepsychiatry interviewer training recommendations: A model for interdisciplinary, integrated behavioral health care. Citation Parish MB, Gonzalez A, Hilty D, Chan S, Xiong G, Scher L, Liu D, Sciolla A, Shore J, McCarron R, Kahn D, Iosif AM, Yellowlee…

3559. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/overview/background/appendix-a9.html
      December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

3560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867751/psn-pdf
      March 12, 2025 - Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. March 12, 2025 Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:10.1111/acem.15087. https://psnet.…