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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853444/psn-pdf
    September 13, 2023 - A Transformational Effort on Patient Safety. September 13, 2023 Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology; September 2023. https://psnet.ahrq.gov/issue/transformational-effort-patient-safety The President’s Council of Advisors on Science and Technology bri…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42183/psn-pdf
    November 25, 2013 - Electronic prescribing in pediatrics: toward safer and more effective medication management. November 25, 2013 Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2013;131(4):824-6. doi:10.1542/peds.2013-0192. https://psnet.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45646/psn-pdf
    November 23, 2016 - Patient safety in the emergency department. November 23, 2016 Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. https://psnet.ahrq.gov/issue/patient-safety-emergency-department Emergency departments are high-risk environments due to the urgency of care …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50664/psn-pdf
    November 13, 2019 - Drug Shortages: Root Causes and Potential Solutions. November 13, 2019 Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020. https://psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions Drug shortages result from a variety of systemic failures. This report identifies…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36211/psn-pdf
    February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span. February 13, 2008 AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN J. 2006;84(2):276-283. https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60264/psn-pdf
    January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert! January 14, 2021 March 2020--January 2021. https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert Medication safety is improved through the sharing of frontline improvement experiences and concerns. These articles share recommendations to…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37758/psn-pdf
    March 10, 2011 - Informatics opportunities: the intersection of patient safety and clinical informatics. March 10, 2011 Kilbridge PM, Classen D. The informatics opportunities at the intersection of patient safety and clinical informatics. J Am Med Inform Assoc. 2008;15(4):397-407. doi:10.1197/jamia.M2735. https://psnet.ahrq.gov/is…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853246/psn-pdf
    September 06, 2023 - ICN Position Statement: Patient Safety. September 6, 2023 Geneva, Switzerland; International Council of Nurses: 2023. https://psnet.ahrq.gov/issue/icn-position-statement-patient-safety Nursing is foundational to safe patient care. This statement outlines recommendations for the nursing community to support the Wor…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39534/psn-pdf
    June 27, 2011 - Reducing inappropriate diagnostic practice through education and decision support. June 27, 2011 Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093/intqhc/mzq016. https://psnet.ahrq.g…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41525/psn-pdf
    July 18, 2012 - Effect of clinical decision-support systems: a systematic review. July 18, 2012 Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. https://psnet.ahrq.gov/issue/effect-clinical-decisi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41528/psn-pdf
    May 07, 2018 - Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. May 7, 2018 ISMP Medication Safety Alert! Acute care edition! June 28, 2012;17:1-3. https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead- data-entry-errors This…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43238/psn-pdf
    June 04, 2014 - Administering just the diluent or one of two vaccine components leaves patients unprotected. June 4, 2014 ISMP Medication Safety Alert! Acute care edition. May 22, 2014;19:1-2. https://psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients- unprotected Errors occur frequentl…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34782/psn-pdf
    November 01, 2016 - When systems fail. November 1, 2016 Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090- 2616(01)00025-0. https://psnet.ahrq.gov/issue/when-systems-fail This review provides a detailed account of managerial causes of failure and managerial failure prevention strategies. The aut…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35811/psn-pdf
    March 29, 2006 - Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. March 29, 2006 Angus DC; Shorr AF; White A; Dremsizov TT; Schmitz RJ; Kelley MA;Committee on Manpower for Pulmonary and Critical Care Societies; COMPACCS. https://psnet.ahrq.gov/issue/critical-care-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36326/psn-pdf
    February 26, 2017 - AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols. February 26, 2017 AORN Guidance Statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols. AORN J. 2006;84(3):489-92. https://psnet.ahrq.gov/issue/aorn-guidance-statement-do-not-use-abbreviation…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41419/psn-pdf
    September 26, 2012 - Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. September 26, 2012 Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant li…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45027/psn-pdf
    April 06, 2016 - Patient Safety 2030. April 6, 2016 Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/patient-safety-2030 Examining emerging trends in patient safety improvement work, this report recommends strategies and tools…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43495/psn-pdf
    December 15, 2014 - Disruptive behaviors among physicians. December 15, 2014 Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians This commentary spotlights concerns about physicians with disruptive behaviors an…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37739/psn-pdf
    June 07, 2008 - Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. June 7, 2008 Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08- 283. https://psnet.ahrq.gov/issue/health-care-associa…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72538/psn-pdf
    December 02, 2020 - Workforce safety key to patient safety. December 2, 2020 McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50. https://psnet.ahrq.gov/issue/workforce-safety-key-patient-safety Health care workforce satisfaction is the responsibility of leadership and it is reliant on the organization…
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