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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855421/psn-pdf
    November 15, 2023 - Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. November 15, 2023 Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication optimization in older adults: de…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60528/psn-pdf
    May 27, 2020 - The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. May 27, 2020 Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50933/psn-pdf
    February 26, 2020 - Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. February 26, 2020 Parekh N, Ali K, Davies JG, et al. Medication-related harm in older adults following hospital discharge: development and validation of a prediction tool. BMJ Qual Saf. 2020;29(2)…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46618/psn-pdf
    June 25, 2018 - Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. June 25, 2018 Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and administrators. Surgery. 2018;163(6):1…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837027/psn-pdf
    May 04, 2022 - Association of measured quality with financial health among U.S. hospitals. May 4, 2022 Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696. https://psnet.ahrq.gov/issue/association-measured-qua…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45655/psn-pdf
    November 23, 2016 - Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. November 23, 2016 Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of Hydrocodone Combination Analgesic Products on Opioid Analg…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837903/psn-pdf
    August 24, 2022 - The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. August 24, 2022 Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database stud…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60898/psn-pdf
    September 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837632/psn-pdf
    July 06, 2022 - Serious experience events: applying patient safety concepts to improve patient experience. July 6, 2022 Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102670. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40079/psn-pdf
    December 18, 2014 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. December 18, 2014 Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47194/psn-pdf
    August 22, 2018 - Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. August 22, 2018 Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 2018;22(7):46. doi:10.1007/s11916-01…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853242/psn-pdf
    September 06, 2023 - Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. September 6, 2023 Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867040/psn-pdf
    October 30, 2024 - Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. October 30, 2024 Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72790/psn-pdf
    March 03, 2021 - Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. March 3, 2021 Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high?income countries. BJOG. 2020;128(4):696-703. doi:10.11…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60636/psn-pdf
    July 01, 2020 - Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. July 1, 2020 Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30- Day Readmission Rates in a Skilled Nursing Facility. J Pharm Pract. 2020;33(3):306-3…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866637/psn-pdf
    September 04, 2024 - Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta- analysis. September 4, 2024 MacKinnon KM, Seshadri S, Mailman JF, et al. Impact of rounding checklists on the outcomes of patients admitted to ICUs: a systematic review and meta-analysis. Crit Care Explor. 202…
  18. psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
    June 12, 2024 - Special or Theme Issue States Targeting Reduction in Infections via Engagement (STRIVE). Citation Text: States Targeting Reduction in Infections via Engagement (STRIVE). Ann Intern Med. 2019;171(7_Suppl):s1-s82. Copy Citation Save Save to your library Prin…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49541/psn-pdf
    August 21, 2007 - Mark My Tooth August 21, 2007 Smith RA. Mark My Tooth. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/mark-my-tooth The Case A 45-year-old healthy man was scheduled to have two teeth extracted for progressive dental caries. The patient underwent the extractions, awoke from the anesthesia, and then realized…
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
    February 01, 2017 - PowerPoint Presentation Spotlight The Hazards of Distraction: Ticking All the EHR Boxes * Source and Credits This presentation is based on the February 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Anthony C. Easty, PhD, Adjunct Pr…

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