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psnet.ahrq.gov/node/38503/psn-pdf
June 16, 2009 - Antimicrobial prescription errors in hospitalized children:
role of antimicrobial stewardship program in detection
and intervention.
June 16, 2009
Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of
antimicrobial stewardship program in detection and interventi…
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psnet.ahrq.gov/node/46661/psn-pdf
January 26, 2018 - Burnout syndrome among healthcare professionals.
January 26, 2018
Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health
Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460.
https://psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
Burnout affects t…
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psnet.ahrq.gov/node/48136/psn-pdf
August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health
IT.
August 7, 2019
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
Inconsistent checking for and consideration of drug allergy alerts can d…
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psnet.ahrq.gov/node/73101/psn-pdf
April 07, 2021 - Do No Harm: Are We Preventing Medication Errors in
Children with Medical Complexity?
March 31, 2021
Children's Healthcare Canada. April 7, 2021.
https://psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity
Children are particularly vulnerable to medication errors. This se…
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www.ahrq.gov/nursing-home/resources/infection-preventionist-course.html
May 01, 2022 - Nursing Home Infection Preventionist Training Course—Overview
Resource: Nursing Home Infection Preventionist Training Course—Overview
This course provides infection prevention and control training for individuals responsible for infection prevention and control programs in nursing homes so they can effecti…
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psnet.ahrq.gov/node/41946/psn-pdf
January 09, 2013 - Thirty-day outcomes support implementation of a surgical
safety checklist.
January 9, 2013
Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical
safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012.07.015.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/48179/psn-pdf
August 21, 2019 - Is WHO's surgical safety checklist being hyped?
August 21, 2019
Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ.
2019;366:l4700. doi:10.1136/bmj.l4700.
https://psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped
Checklists are a popular yet controversial stra…
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psnet.ahrq.gov/node/47390/psn-pdf
September 19, 2018 - Antimicrobial Stewardship.
September 19, 2018
Cunha CB, ed. Med Clin North Am. 2018;102(5):797-976.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship
Antimicrobial stewardship programs are a key strategy to reduce overprescribing of antibiotics in hospitals.
This special issue explores approaches to engage a …
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psnet.ahrq.gov/node/74031/psn-pdf
November 03, 2021 - Emergency department crowding: the canary in the health
care system.
November 3, 2021
doi:10.1056/CAT.21.0217.
https://psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
Emergency department (ED) overcrowding and boarding can result in worse patient outcomes and
increased risk of medical…
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psnet.ahrq.gov/node/40558/psn-pdf
May 20, 2019 - Patient Safety in the Context of Perinatal, Neonatal, and
Pediatric Care.
May 20, 2019
Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National
Institutes of Health; NIH.
https://psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care
This dual-com…
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psnet.ahrq.gov/node/42218/psn-pdf
June 10, 2018 - Your high-alert medication list—relatively useless without
associated risk-reduction strategies.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5.
https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-
reduction
This newsletter …
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psnet.ahrq.gov/node/44939/psn-pdf
March 09, 2016 - Listening for What Matters: Avoiding Contextual Errors in
Health Care.
March 9, 2016
Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996.
https://psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care
This book discusses how physicians can reduce cont…
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psnet.ahrq.gov/node/837798/psn-pdf
August 10, 2022 - An evolution of reporting: identifying the missing link.
August 10, 2022
Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics
(Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761.
https://psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link…
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psnet.ahrq.gov/node/837002/psn-pdf
April 27, 2022 - Burnout in Nursing: Causes, Management, and Future
Directions.
April 27, 2022
Zangaro GA, Dulko D, Sullivan D, eds. Nurs Clin North Am. 2022;57(1):1-170.
https://psnet.ahrq.gov/issue/burnout-nursing-causes-management-and-future-directions
Clinician burnout is a pervasive problem and can threaten patient safe…
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psnet.ahrq.gov/node/38686/psn-pdf
May 07, 2018 - Survey on LASA drug name pairs: who knows what’s on
your list and the best ways to prevent mix-ups?
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3.
https://psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-
prevent-mix-ups
This article shar…
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psnet.ahrq.gov/node/39552/psn-pdf
May 26, 2010 - Expanding what we know about off-peak mortality in
hospitals.
May 26, 2010
Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals.
J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e.
https://psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortali…
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psnet.ahrq.gov/node/41598/psn-pdf
August 15, 2012 - Obstetrician/gynecologist hospitalists: can we improve
safety and outcomes for patients and hospitals and
improve lifestyle for physicians?
August 15, 2012
Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and
outcomes for patients and hospitals and improve lifesty…
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psnet.ahrq.gov/node/851451/psn-pdf
July 19, 2023 - Issues and complexities in safety culture assessment in
healthcare.
July 19, 2023
Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare.
Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542.
https://psnet.ahrq.gov/issue/issues-and-complexities-sa…
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psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program.
February 1, 2017
Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266.
https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…
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psnet.ahrq.gov/node/866696/psn-pdf
September 11, 2024 - The Impact of Complications on Surgeons.
September 11, 2024
The Impact of Complications on Surgeons. Modi PK, Singer EA, eds. Urol Oncol. 2024;42(10):295-320.
doi:10.1016/j.urolonc.2024.05.016.
https://psnet.ahrq.gov/issue/impact-complications-surgeons
Complications and medical errors can result in psychological d…