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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46779/psn-pdf
    March 14, 2018 - Impact of pharmacist previsit input to providers on chronic opioid prescribing safety. March 14, 2018 Cox N, Tak CR, Cochella SE, et al. Impact of Pharmacist Previsit Input to Providers on Chronic Opioid Prescribing Safety. The Journal of the American Board of Family Medicine. 2018;31(1). doi:10.3122/jabfm.2018.01…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44322/psn-pdf
    June 21, 2016 - Emotional harm from disrespect: the neglected preventable harm. June 21, 2016 Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. https://psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-pre…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73655/psn-pdf
    September 01, 2021 - Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. September 1, 2021 Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric unit…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60045/psn-pdf
    March 18, 2020 - Making Healthcare Safer III. March 18, 2020 Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. https://psnet.ahrq.gov/issue/making-healthcare-safer-iii This newly issued follow up to the seminal AHRQ Making Health Care Safer rep…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862617/psn-pdf
    February 14, 2024 - Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. February 14, 2024 Dorset, UK: Health Services Safety Investigations Body; November 2023. https://psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and- usability-inpatient …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837044/psn-pdf
    May 04, 2022 - How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. May 4, 2022 Doty MM, Horstman C, Shah A et al. Issue Brief. New York, NY: Commonwealth Fund: April 2022. https://psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health- sys…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837663/psn-pdf
    July 13, 2022 - Long-term risk of overdose or mental health crisis after opioid dose tapering. July 13, 2022 Fenton JJ, Magnan E, Tseregounis IE, et al. Long-term risk of overdose or mental health crisis after opioid dose tapering. JAMA Netw Open. 2022;5(6):e2216726. doi:10.1001/jamanetworkopen.2022.16726. https://psnet.ahrq.gov/…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44483/psn-pdf
    September 09, 2015 - Learning Not Blaming. September 9, 2015 Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716. https://psnet.ahrq.gov/issue/learning-not-blaming The National Health Service (NHS) has a history of sharing analyses of problems in its system. This publication contain…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837039/psn-pdf
    May 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74080/psn-pdf
    January 01, 2022 - The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021 Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43957/psn-pdf
    June 21, 2015 - Enhancing the effectiveness of team debriefings in medical simulation: more best practices. June 21, 2015 Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125. https://psnet.ahrq.gov/issue…

  12. Toolkit Modules | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules.html
    January 01, 2017 - Toolkit Modules The toolkit consists of four modules and other resources that will help ICUs uncover local defects, implement interventions to prevent ventilator-associated events, and build a sustainable safety culture. Module on How To Apply CUSP for Mechanically Ventilated Patients The Comprehensive Unit…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35551/psn-pdf
    June 08, 2010 - Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. June 8, 2010 Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129. https…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46335/psn-pdf
    December 19, 2017 - Prescription opioid analgesics commonly unused after surgery: a systematic review. December 19, 2017 Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831. https://psnet.ahrq.gov/issue/prescription-op…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46186/psn-pdf
    August 02, 2017 - Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. August 2, 2017 Bonnie RJ, Ford MA, Pillips JK, eds. Washington, DC: National Academies Press; 2017. https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-indiv…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47151/psn-pdf
    July 11, 2018 - Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. July 11, 2018 Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30(2):215-224. doi:10.1016/j.cnc.2018.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862155/psn-pdf
    February 07, 2024 - Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. February 7, 2024 Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. Crit Care M…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60637/psn-pdf
    July 01, 2020 - Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. July 1, 2020 Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. Int J Clin Pharm. 2020;4…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74004/psn-pdf
    October 27, 2021 - Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. October 27, 2021 Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi c…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836998/psn-pdf
    April 27, 2022 - How will state medical boards handle cases involving disclosure and apology for medical errors? April 27, 2022 Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096. https://psnet.ahrq.…
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