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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45458/psn-pdfNovember 30, 2016 - Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 30, 2016 Office of Disease Prevention and Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73981/psn-pdfOctober 20, 2021 - Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. October 20, 2021 Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to imp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60540/psn-pdfNovember 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. November 1, 2016 Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42281/psn-pdfMay 22, 2013 - The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature. May 22, 2013 Georgiou A, Prgomet M, Paoloni R, et al. The effect of computerized provider order entry systems on clinical care and work processe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851919/psn-pdfAugust 02, 2023 - A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. August 2, 2023 Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Jt Comm J Qual Pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44746/psn-pdfJanuary 20, 2016 - Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016 Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47571/psn-pdfDecember 12, 2018 - Enhancing safety culture through improved incident reporting: a case study in translational research. December 12, 2018 Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41352/psn-pdfMay 09, 2012 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9). doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47834/psn-pdfFebruary 27, 2019 - Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. February 27, 2019 Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis- Associated Mortality in US Acute Care Hospitals. JAMA Netw Open. 2019;2(2):e187571. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844550/psn-pdfSeptember 01, 2012 - The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012 Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessionin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60838/psn-pdfJanuary 01, 2021 - Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. August 26, 2020 Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. J Rac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847046/psn-pdfApril 05, 2023 - Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842421/psn-pdfJanuary 11, 2023 - Weight and size descriptors for drug dosing: too many options and too many errors. January 11, 2023 Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zxac283. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74839/psn-pdfFebruary 16, 2022 - Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. February 16, 2022 Guo L, Ryan B, Leditschke IA, et al. Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: a systematic review. BMJ Qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852751/psn-pdfAugust 23, 2023 - Automated search methods for identifying wrong patient order entry-a scoping review. August 23, 2023 Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057. https://psnet.ahrq.gov/issue/automated-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47291/psn-pdfOctober 31, 2018 - Incidence and method of suicide in hospitals in the United States. October 31, 2018 Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. https://psnet.ahrq.gov/issue/incidence-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40128/psn-pdfJanuary 12, 2011 - Impact of a comprehensive safety initiative on patient- controlled analgesia errors. January 12, 2011 Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3181fcb427. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35324/psn-pdfFebruary 03, 2011 - Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. February 3, 2011 Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850350/psn-pdfJune 14, 2023 - Preventing surgical site infections: are safety climate level and its strength associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures? June 14, 2023 Pfeiffer Y, Atkinson A, Maag J, et al. Preventing surgical site infections: are safety climate level and its s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46894/psn-pdfJune 20, 2018 - Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. June 20, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4. https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can- lead-patient-harm Smart p…
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