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  1. 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
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. 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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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 …
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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 …