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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35227/psn-pdf
    June 15, 2011 - Building a Better Delivery System: A New Engineering/Health Care Partnership. June 15, 2011 Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Engineering, Committee on Engineering and the Health Care System. Washington, DC: National Academies Press; 2005. ISBN-10: 030909…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72678/psn-pdf
    January 27, 2021 - Health information technology-related wrong-patient errors: context is critical. January 27, 2021 Kim T, Howe J, Franklin E, et al.?Patient Safety. 2020;2(4):40–57.    https://psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical Patient misidentification errors…

  3. Table 20. Number of prescribed medications and supplies by Veterans Administration Therapeutic Medication Class. All project sites. Fiscal year 2010 | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab20.html
    December 01, 2017 - Table 20. Number of prescribed medications and supplies by Veterans Administration Therapeutic Medication Class. All project sites. Fiscal year 2010 Fiscal year 2010 Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendatio…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852452/psn-pdf
    August 16, 2023 - Value assessment of deprescribing interventions: suggestions for improvement. August 16, 2023 Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. https://psnet.ahrq.gov/issue/value-assessment…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43469/psn-pdf
    August 27, 2014 - Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. August 27, 2014 Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Anesthesiology. 2014;120(6):1…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47290/psn-pdf
    December 12, 2018 - Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants. December 12, 2018 O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta- analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74-99. doi:10.1016/j.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74746/psn-pdf
    February 09, 2022 - Medication errors' causes analysis in home care setting: a systematic review. February 9, 2022 Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. https://psnet.ahrq.gov/issue/medicati…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45736/psn-pdf
    February 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46597/psn-pdf
    November 01, 2017 - A novel process audit for standardized perioperative handoff protocols. November 1, 2017 Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011. https://psnet.ahrq.gov/issue…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43109/psn-pdf
    December 10, 2014 - Creating a physician-led quality imperative. December 10, 2014 Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683. https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative This commentary relates one…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47039/psn-pdf
    September 12, 2018 - Overdiagnosis in primary care: framing the problem and finding solutions. September 12, 2018 Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-findi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44213/psn-pdf
    July 08, 2015 - The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness. July 8, 2015 Rainey H, Ehrich K, Mackintosh N, et al. The role of patients and their relatives in 'speaking up' about their own safety - a qualitative study of acute illness. Health Expect. 2015;1…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848088/psn-pdf
    April 26, 2023 - Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. April 26, 2023 Farnborough, UK: Healthcare Safety Investigation Branch. March 2023. https://psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used- haemodialysis-treatment Patients …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44597/psn-pdf
    October 28, 2015 - Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. October 28, 2015 Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352. https://psnet.ahrq.gov/…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46801/psn-pdf
    July 22, 2019 - Promising roles for pharmacists in addressing the U.S. opioid crisis. July 22, 2019 Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. https://psnet.ahrq.gov/issue/promising-roles-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47163/psn-pdf
    August 15, 2018 - Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. August 15, 2018 Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.addbeh.2018.04.018. https://psnet.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42899/psn-pdf
    January 29, 2014 - Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. January 29, 2014 Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Health Aff (Millwood)…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838927/psn-pdf
    October 26, 2022 - Survey results from pharmacists provide support to enhance the organizational response to codes. October 26, 2022 ISMP Medication Safety Alert! Acute care edition. October 6, 2022;27(20):1-5. https://psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response- codes Patient res…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42466/psn-pdf
    March 04, 2015 - Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting. March 4, 2015 Duke JD, Li X, Dexter P. Adherence to drug-drug interaction alerts in high-risk patients: a trial of context- enhanced alerting. J Am Med Inform Assoc. 2013;20(3):494-8. doi:10.1136/amiajnl-2012-0010…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851067/psn-pdf
    June 28, 2023 - Assessing medication safety in settings not designated solely for pediatric patients. June 28, 2023 ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5. https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients Pediatric patients are at increa…
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