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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50940/psn-pdf
    February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44014/psn-pdf
    March 20, 2019 - Patient Centered Medical Home Resource Center: Quality and Safety. March 20, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39332/psn-pdf
    July 24, 2010 - Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. July 24, 2010 Buzink SN, van Lier L, de Hingh IHJT, et al. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a pre…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43888/psn-pdf
    August 02, 2015 - Diagnostic performance by medical students working individually or in teams. August 2, 2015 Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770. https://psnet.ahrq.gov/issue/diagnostic-performance…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46519/psn-pdf
    December 22, 2018 - Delirium in hospitalized older adults. December 22, 2018 Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456-1466. doi:10.1056/NEJMcp1605501. https://psnet.ahrq.gov/issue/delirium-hospitalized-older-adults Delirium is considered a patient safety problem that can be prevented with…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47464/psn-pdf
    October 17, 2018 - How to prevent the top 4 medication errors. October 17, 2018 Sederstrom J. Drug Topics. September 17, 2018. https://psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors Medication errors continue to be a worldwide patient safety challenge that requires both systems and individual practice strategies for improv…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44410/psn-pdf
    August 12, 2015 - Workarounds in the workplace: a second look. August 12, 2015 Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. https://psnet.ahrq.gov/issue/workarounds-workplace-second-look Workarounds are prevalent in health care and create opport…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44299/psn-pdf
    November 06, 2015 - Nurse practitioner–led medication reconciliation in critical access hospitals. November 6, 2015 Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.2015.03.005. https://psnet.ahrq.go…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41911/psn-pdf
    December 12, 2012 - Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. December 12, 2012 Shorr RI, Chandler M, Mion LC, et al. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. Ann Intern …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50575/psn-pdf
    October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift handover communication. October 23, 2019 Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. https://psnet.ahrq.gov/issue/dynam…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46322/psn-pdf
    August 02, 2017 - Sophisticated digital aids could help determine what ails you. August 2, 2017 Maron DF. Scientific American. July 21, 2017. https://psnet.ahrq.gov/issue/sophisticated-digital-aids-could-help-determine-what-ails-you Clinical decision support systems are a key strategy to improve diagnostic accuracy. This magazine a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41633/psn-pdf
    January 01, 2013 - Determinants of success of quality improvement collaboratives: what does the literature show? December 31, 2012 Hulscher M, Schouten LMT, Grol R, et al. Determinants of success of quality improvement collaboratives: what does the literature show? BMJ Qual Saf. 2013;22(1):19-31. doi:10.1136/bmjqs-2011-000651. https…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45682/psn-pdf
    November 01, 2017 - Changing smart pump vendors: lessons learned. November 1, 2017 Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned Changes in processes, devices, and technologies can increase ri…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72591/psn-pdf
    December 23, 2020 - Bias and racism teaching rounds at an academic medical center. December 23, 2020 Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. https://psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43733/psn-pdf
    March 14, 2016 - The effect of an electronic checklist on critical care provider workload, errors, and performance. March 14, 2016 Thongprayoon C, Harrison AM, O'Horo JC, et al. The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance. J Intensive Care Med. 2016;31(3):205-12. doi:10.1177/08…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35971/psn-pdf
    May 27, 2011 - Effectiveness of computerized provider order entry with dose range checking on prescribing errors. May 27, 2011 Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215339.03807.fd. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45987/psn-pdf
    April 26, 2017 - Using simulation to prepare nursing staff for the move to a new building. April 26, 2017 Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45611/psn-pdf
    May 27, 2025 - Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. July 7, 2021 Rockville, MD: Agency for Healthcare Research and Quality; July 7 2021. https://psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated- infections Health care–associate…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44843/psn-pdf
    September 06, 2016 - Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. September 6, 2016 Geneva, Switzerland: World Health Organization; 2015. https://psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens- medication Drug shortages have…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72687/psn-pdf
    January 27, 2021 - Learning from errors with the new COVID-19 vaccines. January 27, 2021 ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines Learning from error rests on transparency efforts buttressed by frontline reports. This a…

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