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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61047/psn-pdf
    October 21, 2020 - COVID-19: an emerging threat to antibiotic stewardship in the emergency department. October 21, 2020 Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.2020.7.48848. https://psnet.ahrq.gov…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45373/psn-pdf
    November 18, 2016 - Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. November 18, 2016 Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073. ht…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866250/psn-pdf
    July 10, 2024 - Attention among health care professionals : a scoping review. July 10, 2024 Kissler MJ, Porter S, Knees M, et al. Attention among health care professionals : a scoping review. Ann Intern Med. 2024;177(7):941-952. doi:10.7326/m23-3229. https://psnet.ahrq.gov/issue/attention-among-health-care-professionals-scoping-r…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861285/psn-pdf
    January 24, 2024 - Analysis of a medication safety intervention in the pediatric emergency department. January 24, 2024 Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jamanetworkopen.2023.51629. https:…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45440/psn-pdf
    November 09, 2016 - Safety lessons from the NIH Clinical Center. November 9, 2016 Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center System failures can remain undetected over time in large organizations. This perspective describ…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73298/psn-pdf
    May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. May 19, 2021 National Academies of Sciences, Engineering, and Medicine. Washington DC:  National Academies Press; 2021. ISBN: 9780309685061.  https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74129/psn-pdf
    January 01, 2022 - Factors influencing providers' willingness to deprescribe medications. December 1, 2021 Davila H, Rosen AK, Stolzmann K, et al. Factors influencing providers' willingness to deprescribe medications. J Am Coll Clin Pharm. 2022;5:15-25. doi:10.1002/jac5.1537. https://psnet.ahrq.gov/issue/factors-influencing-provider…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34730/psn-pdf
    October 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35048/psn-pdf
    June 22, 2009 - Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist- managed anticoagulation service. June 22, 2009 Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoa…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41541/psn-pdf
    September 26, 2012 - Failures in communication and information transfer across the surgical care pathway: interview study. September 26, 2012 Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):843-9. https://psnet.ahrq.gov/is…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46776/psn-pdf
    February 28, 2018 - Older adults' awareness of deprescribing: a population- based survey. February 28, 2018 Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079. https://psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-pop…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866406/psn-pdf
    July 31, 2024 - Impact of a daily huddle on safety in perioperative services. July 31, 2024 Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. https://psnet.ahrq.gov/issue/impact-daily-huddle-s…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45469/psn-pdf
    January 18, 2017 - Tamper-resistant drugs cannot solve the opioid crisis. January 18, 2017 Leece P, Orkin AM, Kahan M. Tamper-resistant drugs cannot solve the opioid crisis. CMAJ. 2015;187(10):717-718. doi:10.1503/cmaj.150329. https://psnet.ahrq.gov/issue/tamper-resistant-drugs-cannot-solve-opioid-crisis Health care organizations ha…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44787/psn-pdf
    January 20, 2016 - Medication errors involving overrides of healthcare technology. January 20, 2016 Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148. https://psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology Users often bypass alerts meant to enhance safety of medication ordering and d…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50925/psn-pdf
    February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46554/psn-pdf
    October 25, 2017 - Severe hyperglycemia in patients incorrectly using insulin pens at home. October 25, 2017 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. October 12, 2017. https://psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrect…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847733/psn-pdf
    March 16, 2025 - ISMP Targeted Medication Safety Best Practices for Community Pharmacy. March 16, 2025 Institute for Safe Medication Practices: March 2025. https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy Community pharmacies are common providers of medication delivery that harbor proc…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46931/psn-pdf
    January 15, 2019 - Strategies for optimizing OR drug safety. January 15, 2019 Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration durin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45764/psn-pdf
    April 11, 2018 - Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. April 11, 2018 Benzon HA, Hajduk J, De Oliveira GS, et al. Pediatric Anesthesiology Fellows' Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg. 2018;126(2):639-643. doi:10.1213/ANE.000…

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