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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836754/psn-pdf
    March 16, 2022 - State of science: evolving perspectives on ‘human error’. March 16, 2022 Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’. Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615. https://psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44673/psn-pdf
    April 15, 2016 - The safety of emergency medicine. April 15, 2016 Ramlakhan S, Qayyum H, Burke D, et al. The safety of emergency medicine. Emerg Med J. 2016;33(4):293-9. doi:10.1136/emermed-2014-204564. https://psnet.ahrq.gov/issue/safety-emergency-medicine Emergency medicine is considered a high-risk environment, but little resea…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43036/psn-pdf
    March 27, 2014 - Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. March 27, 2014 Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. https://psnet.ahrq.gov/issue/redesigning-hospital-alarms…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42218/psn-pdf
    June 10, 2018 - Your high-alert medication list—relatively useless without associated risk-reduction strategies. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5. https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk- reduction This newsletter …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38705/psn-pdf
    June 17, 2009 - Ambulance stretcher adverse events. June 17, 2009 Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. https://psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events This study analyzed more than 670 reported adverse events …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34788/psn-pdf
    March 28, 2005 - Cost of medication-related problems at a university hospital. March 28, 2005 Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE https://psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital This study used retrospective chart review to determine estimated costs of defined medication-related …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48166/psn-pdf
    August 28, 2019 - Doctors can change opioid prescribing habits, but progress comes in small doses. August 28, 2019 Appleby J; Lucas E. https://psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses Efforts to reduce misuse of prescription opioids must draw from public health and behavioral stra…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867645/psn-pdf
    July 01, 2022 - A call to action for anticoagulation stewardship. July 1, 2022 Burnett AE, Barnes GD. A call to action for anticoagulation stewardship. Res Pract Thromb Haemost. 2022;6(5):e12757. doi:10.1002/rth2.12757. https://psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship Anticoagulants are high-risk medications d…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44576/psn-pdf
    January 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35115/psn-pdf
    April 06, 2011 - Factors predictive of intravenous fluid administration errors in Australian surgical care wards. April 6, 2011 Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. https://psnet.ahrq.gov/issue/factors-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46661/psn-pdf
    January 26, 2018 - Burnout syndrome among healthcare professionals. January 26, 2018 Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460. https://psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals Burnout affects t…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42020/psn-pdf
    July 16, 2013 - Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients. July 16, 2013 Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41514/psn-pdf
    July 02, 2014 - Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. July 2, 2014 Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257d57d. https://psnet.ahrq.gov/issue/pers…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837958/psn-pdf
    December 01, 2021 - EMS Perils from Hospital Overcrowding August 31, 2022 Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding The Case A 71-year-old man with a history of postoperative septic knee arthritis (status: post-intravenous…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73606/psn-pdf
    August 18, 2021 - Broadening the concept of patient safety culture through value-based healthcare. August 18, 2021 Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2020-0287. https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73971/psn-pdf
    October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836864/psn-pdf
    April 06, 2022 - Improving the specificity of drug-drug interaction alerts: can it be done? April 6, 2022 Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. https://psnet.ahrq.gov/issue/improving-specif…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45910/psn-pdf
    March 08, 2017 - Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. March 8, 2017 Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016. https://psnet.ahrq.gov/issue…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39615/psn-pdf
    December 17, 2010 - Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. December 17, 2010 Terrell KM, Perkins AJ, Hui SL, et al. Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. Ann Emerg Med. 2010;56(6):623-9. doi:10.10…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40490/psn-pdf
    June 01, 2011 - Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. June 1, 2011 Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. Pediatric Critical Care Medicine. 2010…

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