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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46641/psn-pdf
    December 20, 2017 - A review of best practices for intravenous push medication administration. December 20, 2017 Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. https://psnet.ahrq.gov/issue/review-best-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41804/psn-pdf
    October 31, 2012 - Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). October 31, 2012 Eikermann M, Siegel R, Broeders I, et al. Prevention and treatment of bile duct injuries during laparoscopic cholecystect…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46973/psn-pdf
    June 25, 2018 - Balancing innovation and safety when integrating digital tools into health care. June 25, 2018 Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. https://psnet.ahrq.gov/issue/balancing-inno…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46148/psn-pdf
    May 31, 2017 - Implementation of a structured hospital-wide morbidity and mortality rounds model. May 31, 2017 Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-2016-005459. https://psnet.ahrq.gov/is…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849613/psn-pdf
    May 31, 2023 - Smart infusion pump investigations after an unexplained over-infusion. May 31, 2023 ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. https://psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion Dose error-reduction systems (DERS) and drug libraries are tool…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50925/psn-pdf
    February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41191/psn-pdf
    March 21, 2012 - Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. March 21, 2012 Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews. Int J Med Inform. 2012;81(4):219-31. d…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44204/psn-pdf
    June 17, 2015 - Effectiveness of interventions to improve patient handover in surgery: a systematic review. June 17, 2015 Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017. https://psnet.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837744/psn-pdf
    July 27, 2022 - Medication orders with future start dates: how far away is too far? July 27, 2022 ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. https://psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far Human errors that occur while interacting with electronic health recor…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45316/psn-pdf
    August 31, 2016 - The thinking doctor: clinical decision making in contemporary medicine. August 31, 2016 Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med (Lond). 2016;16(4):343-346. doi:10.7861/clinmedicine.16-4-343. https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decisi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839326/psn-pdf
    November 02, 2022 - Safety considerations for challenges when using smart infusion pumps. November 2, 2022 ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. https://psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps Errors due to inadequate information use with intraveno…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47408/psn-pdf
    September 19, 2018 - Ways to Improve Electronic Health Record Safety. September 19, 2018 Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018. https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety Electronic health records both contribute to and detract from safe care. This…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46067/psn-pdf
    January 01, 2021 - A systematic review of measurement tools for the proactive assessment of patient safety in general practice. June 14, 2017 Lydon S, Cupples ME, Murphy AW, et al. A Systematic Review of Measurement Tools for the Proactive Assessment of Patient Safety in General Practice. J Patient Saf. 2021;17(5):e406-e412. doi:10…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43478/psn-pdf
    August 27, 2014 - Is it time to move beyond errors in clinical reasoning and discuss accuracy? August 27, 2014 Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. https://psnet.ahrq.gov/issue/it-time-move-beyond-er…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60760/psn-pdf
    August 12, 2020 - Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID- 19 era. August 12, 2020 Ramnath VR, McSharry DG, Malhotra A. Do No Harm. Chest. 2020;158(3):873-876. doi:10.1016/j.chest.2020.05.548. https://psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equ…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40697/psn-pdf
    October 31, 2011 - Real-time automated paging and decision support for critical laboratory abnormalities. October 31, 2011 Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs.2010.051110. https://psnet.ahrq.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46392/psn-pdf
    October 13, 2018 - The clinical and medicolegal implications of radiology results communication. October 13, 2018 Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09.009. https://psnet.ahrq.gov/iss…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46028/psn-pdf
    July 05, 2017 - The role of morbidity and mortality rounds in medical education: a scoping review. July 5, 2017 Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234. https://psnet.ahrq.gov/issue/role-morb…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42450/psn-pdf
    August 07, 2013 - The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. August 7, 2013 Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8):647-55. doi:10.1136/bmjqs-2012-001…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45042/psn-pdf
    September 07, 2016 - The aging surgeon. September 7, 2016 Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008. https://psnet.ahrq.gov/issue/aging-surgeon Senior clinicians often elicit respect from their junior colleagues. This respect can affect colleagues' willingness to intervene s…
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