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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49745/psn-pdf
    October 01, 2015 - Amphotericin Toxicity October 1, 2015 Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/amphotericin-toxicity The Case A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral posaconazole for residual fungal disease. She present…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49827/psn-pdf
    April 01, 2018 - Walking Patient, Missing Drain April 1, 2018 Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/walking-patient-missing-drain The Case A 43-year-old woman with a history of metastatic breast cancer was admitted to the hospital for an elective …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72624/psn-pdf
    January 05, 2021 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm January 5, 2021 https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework- reducing-inpatient-harm Summary Building on the company’s experience as a Hospital Engagement Network…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49559/psn-pdf
    April 01, 2008 - The Forgotten Drip April 1, 2008 Josephson AS. The Forgotten Drip. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/forgotten-drip The Case A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a severe headache and "bizarre behavior." A computed tomography (C…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43979/psn-pdf
    April 29, 2015 - The Report of the Morecambe Bay Investigation. April 29, 2015 Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306. https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation Sharing information about large-scale investigations into failures can provide insights on factors that contribute to…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46836/psn-pdf
    February 21, 2018 - Drone delivery of medications: review of the landscape and legal considerations. February 21, 2018 Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Pharm. 2018;75(3):153-158. doi:10.2146/ajhp170196. https://psnet.ahrq.gov/issue/dr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46817/psn-pdf
    October 13, 2018 - Diagnosing crime and diagnosing disease—part 1 and part 2. October 13, 2018 Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453. https://psnet.ahrq.gov/issue/diagnosin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45382/psn-pdf
    January 23, 2017 - The impact of major intraoperative adverse events on hospital readmissions. January 23, 2017 Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018. https://psnet.ahrq.gov/issue/impact-major-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41434/psn-pdf
    June 06, 2012 - ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. June 6, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88. doi:10.2146/ajhp…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74219/psn-pdf
    January 01, 2022 - Race as a social construct in psychiatry research and practice. December 22, 2021 Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877. https://psnet.ahrq.gov/issue/race-social-construct-psychiatry-research…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45785/psn-pdf
    September 29, 2017 - Traditions of research into interruptions in healthcare: a conceptual review. September 29, 2017 McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005. https://psnet.ahrq.gov/issue/traditi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72552/psn-pdf
    December 09, 2020 - Hospital-acquired SARS-CoV-2 infection: lessons for public health. December 9, 2020 Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399. https://psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-less…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50557/psn-pdf
    October 16, 2019 - Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial October 16, 2019 Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial. JAMA Netw Open. 2019…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45281/psn-pdf
    September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine. September 1, 2016 Luthra S. Kaiser Health News. June 15, 2016. https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine Alert fatigue is known to contribute to medical error. This news article…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60768/psn-pdf
    August 05, 2020 - Missed and delayed diagnoses of non-COVID conditions-- collateral harm from a pandemic. August 5, 2020 Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-h…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44160/psn-pdf
    November 06, 2015 - Development of an "infusion pump safety score". November 6, 2015 Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421. https://psnet.ahrq.gov/issue/development-infusion-pump-safety-score Although infusion pumps improve th…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48091/psn-pdf
    June 26, 2019 - Deprescribing Guidelines: Special Section on Symposium Results. June 26, 2019 Res Social Adm Pharm. 2019;15(6):780-810. https://psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results Appropriate deprescribing can reduce the risks associated with polypharmacy, overuse, and accidental overd…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60363/psn-pdf
    March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs Originally published on June 12, 2020 Last updated on January 11, 2021 https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex- postdischarge-needs Summary Under a program kn…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60915/psn-pdf
    September 16, 2020 - Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. September 16, 2020 Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi:10.1007/s11606-020-06089-2. h…

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