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www.uspreventiveservicestaskforce.org/home/getfilebytoken/mHfCYrWoEdSr95bCUSfSEz
September 21, 2021 - interventions to promote healthy weight gain during pregnancy to inform the US Preventive
Services Task Force recommendation … in the last decade.14,15
The US Preventive Services Task Force (USPSTF) has not pre-
viously made a recommendation … This review synthesizes current evidence to inform a USPSTF
recommendation on this topic. … Editorial Disclaimer: This evidence report is
presented as a document in support of the
accompanying USPSTF Recommendation
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psnet.ahrq.gov/node/43265/psn-pdf
February 15, 2024 - Five Medication Safety Tips for Older Adults.
February 15, 2024
FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15,
2024.
https://psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
Highlighting how aging affects medication absorption that may lead to complic…
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psnet.ahrq.gov/node/34128/psn-pdf
December 23, 2016 - Patient controlled analgesia by proxy.
December 23, 2016
Patient controlled analgesia by proxy. Sentinel Event Alert. 2004;33(33):1-2.
https://psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
Patient-controlled analgesia (PCA) is a recognized method of controlling pain when administered by
credentialed prac…
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psnet.ahrq.gov/node/41238/psn-pdf
March 21, 2012 - Restricting resident work hours: the good, the bad, and
the ugly.
March 21, 2012
Peets A, Ayas N. Restricting resident work hours: the good, the bad, and the ugly. Crit Care Med.
2012;40(3):960-6. doi:10.1097/CCM.0b013e3182413bc5.
https://psnet.ahrq.gov/issue/restricting-resident-work-hours-good-bad-and-ugly
This…
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psnet.ahrq.gov/node/38452/psn-pdf
December 30, 2014 - The safety of intravenous drug delivery systems: update
on current issues since the 1999 Consensus Development
Conference.
December 30, 2014
Sanborn M, Gabay M, Moody ML. Hosp Pharm. 2009;44:159-164.
https://psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999-
consensus-develo…
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psnet.ahrq.gov/node/41073/psn-pdf
January 18, 2012 - Quality improvement in medical education: current state
and future directions.
January 18, 2012
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future
directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
https://psnet.ahrq.gov/issue/quality-im…
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psnet.ahrq.gov/node/44226/psn-pdf
November 03, 2015 - The Patient Survival Handbook.
November 3, 2015
Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
https://psnet.ahrq.gov/issue/patient-survival-handbook
Engaging patients in their care is increasingly advocated as a way to improve safety. This book
recommends actions for patients and families to reduce risk…
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psnet.ahrq.gov/node/42521/psn-pdf
August 21, 2013 - Why your TeamSTEPPS program may not be working.
August 21, 2013
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs.
2012;9(8). doi:10.1016/j.ecns.2012.03.007.
https://psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
This commentary explores barriers to implementi…
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psnet.ahrq.gov/node/39697/psn-pdf
January 04, 2011 - Compliance with guidelines to prevent surgical site
infections: as simple as 1-2-3?
January 4, 2011
Meeks DW, Lally KP, Carrick MM, et al. Compliance with guidelines to prevent surgical site infections: As
simple as 1-2-3? Am J Surg. 2011;201(1):76-83. doi:10.1016/j.amjsurg.2009.07.050.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/41634/psn-pdf
January 31, 2013 - Disclosure of harmful medical errors in out-of-hospital
care.
January 31, 2013
Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann
Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004.
https://psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-o…
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psnet.ahrq.gov/node/43396/psn-pdf
July 30, 2014 - Patient safety and quality care.
July 30, 2014
Nelson K. Patient safety and quality care. Clin Dermatol. 2014;32(4):542-4.
doi:10.1016/j.clindermatol.2013.12.001.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-care
This commentary reveals insights from a physician who was involved in a misidentified speci…
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psnet.ahrq.gov/node/40573/psn-pdf
June 10, 2018 - Parents can detect, contribute to, or be affected by critical
events during a child’s hospitalization.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2011;16:1-3.
https://psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-
hospitalization
This…
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psnet.ahrq.gov/node/40886/psn-pdf
September 29, 2017 - Patient safety in the context of neonatal intensive care:
research and educational opportunities.
September 29, 2017
Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and
educational opportunities. Pediatr Res. 2011;70(1):109-15. doi:10.1203/PDR.0b013e3182182853.
ht…
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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…
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psnet.ahrq.gov/node/40108/psn-pdf
July 28, 2013 - Toward Improving the Outcome of Pregnancy: Enhancing
Perinatal Health Through Quality, Safety and Performance
Initiatives (TIOP III).
July 28, 2013
Berns SD, ed. White Plains, NY: March of Dimes; December 2010.
https://psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through-
qua…
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psnet.ahrq.gov/node/38967/psn-pdf
June 09, 2011 - Eight rights of safe electronic health record use.
June 9, 2011
Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3.
doi:10.1001/jama.2009.1311.
https://psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
Incorporating human factors engineering models, t…
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psnet.ahrq.gov/node/50667/psn-pdf
November 13, 2019 - Proactive prevention of maternal death from maternal
hemorrhage.
November 13, 2019
Quick Safety. October 29, 2019;(51):1-3.
https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety
…
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psnet.ahrq.gov/node/42291/psn-pdf
September 12, 2016 - Human cognition and the dynamics of failure to rescue:
the Lewis Blackman case.
September 12, 2016
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis
Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.
https://psnet.ahrq.gov/issue/huma…
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psnet.ahrq.gov/node/38822/psn-pdf
July 29, 2009 - The 5th anniversary of the "Universal Protocol": pitfalls
and pearls revisited.
July 29, 2009
Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls
revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14.
https://psnet.ahrq.gov/issue/5th-annivers…
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psnet.ahrq.gov/node/39412/psn-pdf
January 03, 2017 - Health care serial murder: a patient safety orphan.
January 3, 2017
Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf.
2010;36(4):186-191.
https://psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
This article defines health care serial murder, examines …