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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44183/psn-pdf
    November 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. November 3, 2015 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling of alerts due to alarm fatigue can hinder the abilit…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867020/psn-pdf
    October 23, 2024 - What can we learn from coroners’ reports on preventable deaths? October 23, 2024 Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths Analysis of system failure is only the beginning of the i…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45679/psn-pdf
    January 03, 2018 - Global Guidelines on the Prevention of Surgical Site Infection. January 3, 2018 Global Guidelines on the Prevention of Surgical Site Infection. https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection Efforts to reduce surgical site infections have achieved some success. The World Health O…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46670/psn-pdf
    December 18, 2017 - A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. December 18, 2017 Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Expert Opin Drug Saf. 2…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43932/psn-pdf
    March 04, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. March 4, 2015 Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015. https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39732/psn-pdf
    August 04, 2010 - A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. August 4, 2010 Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Acad Med. 2010;…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44797/psn-pdf
    March 15, 2016 - Incident and error reporting systems in intensive care: a systematic review of the literature. March 15, 2016 Brunsveld-Reinders AH, Arbous S, De Vos R, et al. Incident and error reporting systems in intensive care: a systematic review of the literature. Int J Qual Health Care. 2016;28(1):2-13. doi:10.1093/intqhc/m…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42912/psn-pdf
    December 12, 2014 - Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. December 12, 2014 Cortes-Penfield N. Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852800/psn-pdf
    August 23, 2023 - Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023 Kinsella SM, Boaden B, El?Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Anaesthesia. 2023;78(10):1285-1294. doi:10.1111/anae.16095. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866324/psn-pdf
    July 17, 2024 - Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients Patient and family concerns can provide…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36244/psn-pdf
    June 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43854/psn-pdf
    February 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400. https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47181/psn-pdf
    August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73582/psn-pdf
    August 11, 2021 - Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy. August 11, 2021 Alexander RG, Yazdanie F, Waite S, et al. Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy. Front Neurosci. 2021;15:6…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35635/psn-pdf
    June 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41763/psn-pdf
    October 10, 2012 - Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. October 10, 2012 Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. Circulation. 2012;126(13):1665-9. ht…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44146/psn-pdf
    June 03, 2015 - Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. June 3, 2015 Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(5):1049-55. doi:10.1097/AOG.000000000000…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47410/psn-pdf
    April 10, 2019 - Patient–pharmacist communication during a post- discharge pharmacist home visit. April 10, 2019 Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0639-3. https://psnet.ahrq.gov/is…
  19. www.ahrq.gov/patient-safety/settings/labor-delivery/index.html
    July 01, 2023 - AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units AHRQ Safety Program for Perinatal Care – I aims to improve the patient safety culture of labor and delivery (L&D) units and decrease maternal and neonatal adverse events resulting from poor communication and system failures.…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-1.html
    September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklis…