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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60903/psn-pdf
    March 15, 2023 - AMA Prior Authorization (PA) Physician Survey. March 15, 2023 Chicago, IL: American Medical Association; March 2023.  https://psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey Insurance policies can have consequences that reduce the safety of medical care. This latest version of the study …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48166/psn-pdf
    August 28, 2019 - Doctors can change opioid prescribing habits, but progress comes in small doses. August 28, 2019 Appleby J; Lucas E. https://psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses Efforts to reduce misuse of prescription opioids must draw from public health and behavioral stra…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44296/psn-pdf
    April 08, 2018 - Checklists to prevent diagnostic errors: a pilot randomized controlled trial. April 8, 2018 Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008. https://psnet.ahrq.gov/issue/checklists-prevent-diagnostic-erro…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72688/psn-pdf
    October 06, 2022 - Request for proposals for clinical quality measures to improve diagnosis. October 6, 2022 Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.  https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis A lack of consensus on measures for the effectiveness and ac…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34048/psn-pdf
    May 27, 2011 - Computerized physician order entry: helpful or harmful? May 27, 2011 Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful The authors critically review the published …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41510/psn-pdf
    July 11, 2012 - Dangerous connections: health care community tackles tubing risks, small-bore connector standards. July 11, 2012 Vockley M. Joint Commission: The Source. June 2012;10:15-17. https://psnet.ahrq.gov/issue/dangerous-connections-health-care-community-tackles-tubing-risks-small- bore-connector This newsletter article …
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46800/psn-pdf
    May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43562/psn-pdf
    September 24, 2014 - What's that sound? Managing alarm fatigue. September 24, 2014 George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f. https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue Alarm fatigue has been described as a cont…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867645/psn-pdf
    July 01, 2022 - A call to action for anticoagulation stewardship. July 1, 2022 Burnett AE, Barnes GD. A call to action for anticoagulation stewardship. Res Pract Thromb Haemost. 2022;6(5):e12757. doi:10.1002/rth2.12757. https://psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship Anticoagulants are high-risk medications d…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72514/psn-pdf
    November 25, 2020 - AI is wrestling with a replication crisis. November 25, 2020 Heaven WD. MIT Technology Review. November 12, 2020. https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis Lack of transparency of research and development processes are thought to undermine the value of artificial intelligence (AI) and trust in i…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43100/psn-pdf
    April 02, 2014 - Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. April 2, 2014 Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.  https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections This special issue explores a national initiativ…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41514/psn-pdf
    July 02, 2014 - Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. July 2, 2014 Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257d57d. https://psnet.ahrq.gov/issue/pers…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40160/psn-pdf
    January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. January 19, 2011 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011. https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45747/psn-pdf
    December 21, 2016 - Implementing No Interruption Zones in the perioperative environment. December 21, 2016 Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536- 540. doi:10.1016/j.aorn.2016.09.018. https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35115/psn-pdf
    April 06, 2011 - Factors predictive of intravenous fluid administration errors in Australian surgical care wards. April 6, 2011 Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. https://psnet.ahrq.gov/issue/factors-…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42020/psn-pdf
    July 16, 2013 - Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients. July 16, 2013 Romero CM, Salazar N, Rojas L, et al. Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill…
  20. Psn-Pdf (pdf file)

    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…