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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46803/psn-pdf
    April 12, 2019 - Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments. April 12, 2019 Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of Default Opioid Prescription Quantities …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37346/psn-pdf
    March 28, 2012 - Medication administration discrepancies persist despite electronic ordering. March 28, 2012 FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359. https://psnet.ahrq.gov/issue/medic…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863214/psn-pdf
    February 28, 2024 - Appropriate use of medical interpreters in the breast imaging clinic. February 28, 2024 Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109. https://psnet.ahrq.gov/issue/appropriate-use-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73421/psn-pdf
    June 23, 2021 - Missing diagnoses during the COVID-19 pandemic: a year in review. June 23, 2021 Pifarré i Arolas H, Vidal-Alaball J, Gil J, et al. Missing diagnoses during the COVID-19 pandemic: a year in review. Int J Environ Res Public Health. 2021;18(10):5335. doi:10.3390/ijerph18105335. https://psnet.ahrq.gov/issue/missing-di…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837069/psn-pdf
    January 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. May 11, 2022 Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73137/psn-pdf
    April 14, 2021 - Adverse drug event-related admissions to a pediatric emergency unit. April 14, 2021 Carvalho IV, Sousa VM de, Visacri MB, et al. Adverse drug event-related admissions to a pediatric emergency unit. Pediatr Emerg Care. 2021;37(4):e152-e158. doi:10.1097/pec.0000000000001582. https://psnet.ahrq.gov/issue/adverse-drug…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36867/psn-pdf
    August 31, 2011 - Multidisciplinary approach to inpatient medication reconciliation in an academic setting. August 31, 2011 Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4. https://psnet.ahrq.gov/issue/multid…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47828/psn-pdf
    April 18, 2019 - Association between long-term opioid use in family members and persistent opioid use after surgery among adolescents and young adults. April 18, 2019 Harbaugh CM, Lee JS, Chua K-P, et al. Association Between Long-term Opioid Use in Family Members and Persistent Opioid Use After Surgery Among Adolescents and Young …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36303/psn-pdf
    October 25, 2010 - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. October 25, 2010 Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. …

  10. Skills-Test (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/skills-test.docx
    March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Training Module 1—Skills Questions The How-To’s of Hand Hygiene 1. How long should you rub your hands with soap when you are hand washing? a. At least 5 seconds b. At least 15 seconds c. At least 30 seconds d. At least 60 seconds 2. How long should you rub your ha…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862992/psn-pdf
    February 21, 2024 - Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. February 21, 2024 Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. J Patient Saf. 2024;20(3):20…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60326/psn-pdf
    May 13, 2020 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. May 13, 2020 Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74077/psn-pdf
    November 17, 2021 - Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study. November 17, 2021 Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series – The BEST collaborative study. Transfusion (Paris). 2022;62(1):44-50. doi:10.111…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37891/psn-pdf
    June 09, 2011 - Classifying and predicting errors of inpatient medication reconciliation. June 9, 2011 Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. https://psnet.ahrq.gov/issue/classifying-and-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44556/psn-pdf
    December 23, 2016 - Preventing falls and fall-related injuries in health care facilities. December 23, 2016 Sentinel Event Alert. September 28, 2015;(55):1-5. https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities Falls in the hospital are common, particularly among elderly patients, and falls …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47882/psn-pdf
    May 01, 2019 - Impact of oncology drug shortages on chemotherapy treatment. May 1, 2019 Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390. https://psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment Drug shorta…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36833/psn-pdf
    March 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. March 3, 2011 Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838628/psn-pdf
    January 01, 2023 - Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. October 19, 2022 Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. J Nu…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854828/psn-pdf
    October 25, 2023 - Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. October 25, 2023 Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record s…
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