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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39860/psn-pdfSeptember 01, 2017 - Interventions to improve hand hygiene compliance in patient care. September 1, 2017 Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4. https://psnet.ahrq.gov/issue/interventions-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44172/psn-pdfSeptember 28, 2016 - Preventing high-alert medication errors in hospital patients. September 28, 2016 Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients High-alert medications have the potential to cause serious patient harm. This article fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837206/psn-pdfMay 25, 2022 - Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022 Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 2022;48(3):319-327. doi:10.1016/j.jen.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851067/psn-pdfJune 28, 2023 - Assessing medication safety in settings not designated solely for pediatric patients. June 28, 2023 ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5. https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients Pediatric patients are at increa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841155/psn-pdfFebruary 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43606/psn-pdfOctober 15, 2014 - Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. October 15, 2014 Franklin GM, Neurology AA of. Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. Neurology. 2014;83(14):1277-84. doi:10.1212/WNL.0000000000000839. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836758/psn-pdfMarch 16, 2022 - Internet of things in healthcare for patient safety: an empirical study. March 16, 2022 Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study. BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3. https://psnet.ahrq.gov/issue/internet-things-healthc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860733/psn-pdfJanuary 17, 2024 - Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. January 17, 2024 McGrory K, Bedi N. ProPublica, January 6, 2024. https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy Stories of mental health system failure provid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50904/psn-pdfFebruary 19, 2020 - The harms of promoting 'Zero Harm'. February 19, 2020 Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019- 009703. https://psnet.ahrq.gov/issue/harms-promoting-zero-harm Achieving “zero harm” has been advocated as a patient safety goal. This editorial proposes that t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43843/psn-pdfFebruary 11, 2015 - Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. February 11, 2015 Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med Inform. 2014;83(12). doi:10.101… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38839/psn-pdfAugust 05, 2009 - Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. August 5, 2009 Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45331/psn-pdfAugust 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43986/psn-pdfSeptember 26, 2016 - The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. September 26, 2016 Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44317/psn-pdfAugust 19, 2015 - Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. August 19, 2015 Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50829/psn-pdfJanuary 22, 2020 - How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. January 22, 2020 Ganguli I. Washington Post. January 5, 2020. https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm- good Overdiagnosis and uncertainty can result in a range of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50744/psn-pdfDecember 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837340/psn-pdfJune 08, 2022 - Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion. June 8, 2022 Prudenzi A, D. Graham C, Flaxman PE, et al. Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46758/psn-pdfApril 12, 2019 - Association of hospitalist years of experience with mortality in the hospitalized Medicare population. April 12, 2019 Goodwin JS, Salameh H, Zhou J, et al. Association of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population. JAMA Intern Med. 2017;178(2). doi:10.1001/jamainternmed.2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46795/psn-pdfMarch 28, 2018 - Systematic review and meta-analysis of the effectiveness of pharmacist-led medication reconciliation in the community after hospital discharge. March 28, 2018 McNab D, Bowie P, Ross A, et al. Systematic review and meta-analysis of the effectiveness of pharmacist- led medication reconciliation in the community afte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60286/psn-pdfApril 29, 2020 - With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. April 29, 2020 Brodwin E. STAT. April 14, 2020. https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew- complications Patients with cancer and other chronic disorder treatment …
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