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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41617/psn-pdf
    August 22, 2012 - Medical devices and patient safety. August 22, 2012 Mattox E. Medical devices and patient safety. Crit Care Nurse. 2012;32(4):60-8. doi:10.4037/ccn2012925. https://psnet.ahrq.gov/issue/medical-devices-and-patient-safety This commentary discusses errors associated with medical device use in intensive care environmen…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41691/psn-pdf
    September 19, 2012 - Events associated with the prescribing, dispensing, and administering of medication loading doses. September 19, 2012 Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88. https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication- loading-doses This article discuss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35954/psn-pdf
    August 02, 2010 - Decreasing errors in pediatric continuous intravenous infusions. August 2, 2010 Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30. https://psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions Th…
  4. psnet.ahrq.gov/training-catalog/niosh-training-nurses-shift-work-and-long-work-hours
    June 23, 2025 - NIOSH Training for Nurses on Shift Work and Long Work Hours Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization National Institute for Occupational Safety and Health (…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42959/psn-pdf
    February 19, 2014 - A mislabeling event with batched drugs: the unintended consequences of practice changes. February 19, 2014 ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.  https://psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes This newsletter article describes how…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40813/psn-pdf
    July 19, 2017 - How to develop an effective obstetric checklist. July 19, 2017 Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003. https://psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist This commentary di…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42176/psn-pdf
    April 17, 2013 - Checklists improve experts' diagnostic decisions. April 17, 2013 Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080. https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions Checklists have recently be…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37565/psn-pdf
    February 27, 2008 - Effect of pharmacists on medication errors in an emergency department. February 27, 2008 Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391. https://psnet.ahrq.gov/issue/effect-pharmacists-me…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40521/psn-pdf
    June 14, 2011 - Johns Hopkins receives $10 million to open patient safety institute. June 14, 2011 Cohn M. Baltimore Sun. May 27, 2011:A1.  https://psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39693/psn-pdf
    July 21, 2010 - Learning accountability for patient outcomes. July 21, 2010 Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979. https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes This commentary discusses efforts to reduce central line blood stream infe…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39272/psn-pdf
    February 03, 2010 - Patient safety and diagnostic error: tips for your next shift. February 3, 2010 Sinclair D, Croskerry P. Patient safety and diagnostic error: tips for your next shift. Can Fam Physician. 2010;56(1):28-30. https://psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift Through case examples, …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34621/psn-pdf
    September 27, 2017 - Human Factors and Medical Devices. September 27, 2017 Center for Devices and Radiological Health, US Food and Drug Administration. https://psnet.ahrq.gov/issue/human-factors-and-medical-devices Human factors engineering (HFE) helps improve human performance and reduce the risks associated with use error. The U.S. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36146/psn-pdf
    February 05, 2019 - Guidelines for Design and Construction. February 5, 2019 St Louis, Missouri; Facilities Guidelines Institute; 2018. https://psnet.ahrq.gov/issue/guidelines-design-and-construction These updated guidelines include design changes, such as the adoption of private rooms to reduce medical error, interruptions, and hosp…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37173/psn-pdf
    January 02, 2017 - Eliminating adverse drug events at Ascension Health. January 2, 2017 Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(9):527-36. https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health The authors describe an initiativ…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36312/psn-pdf
    October 26, 2010 - The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. October 26, 2010 Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Am J Med Qual. 2006;21(5):348-51. https://psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42600/psn-pdf
    September 18, 2013 - Oral medications inadvertently given via the intravenous route. September 18, 2013 Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91. https://psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route Analyzing data submitted to the Pennsylvania Patient Safety Reporti…
  17. digital.ahrq.gov/principal-investigator/pak-theodore-r
    January 01, 2023 - Pak, Theodore R. Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning Description This research uses large language models and machine learning to retrospectively analyze electronic health records of pat…
  18. digital.ahrq.gov/principal-investigator/wang-hsin-hsiao-scott
    January 01, 2023 - Wang, Hsin-Hsiao Scott Machine-Learning Prediction Model for Personalized Urinary Tract Infection Care in Children Description The study will develop and implement a validated machine learning model to optimize voiding cystourethrogram timing and use for diagnosing vesicourete…
  19. digital.ahrq.gov/program/national-center-excellence-primary-care-research-center-evidence-and-practice-improvement
    January 01, 2023 - National Center for Excellence in Primary Care Research, Center for Evidence and Practice Improvement Program Link: https://www.ahrq.gov/ncepcr/index.html Assessing the Effects of EHR Optimization Interventions in Primary Care Description This research…
  20. Diabetes Mellitus (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1506.pdf
    June 01, 2015 - In LAGB, a surgeon reversibly reduces stomach size by placing a band around the upper part of the stomach … “The preliminary data show that the MiniMed 530G with Enlite system improves glycemic control and reduces