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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72821/psn-pdfMarch 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/mep_2374- 8265.10736. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73600/psn-pdfAugust 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021 Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised contr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837805/psn-pdfAugust 10, 2022 - Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. August 10, 2022 Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Pediatr Qual Saf. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837853/psn-pdfAugust 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60846/psn-pdfJanuary 01, 2021 - Safety climate associated with adverse events in nursing homes: a national VA study. August 26, 2020 Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45974/psn-pdfMay 03, 2017 - Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. May 3, 2017 Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44393/psn-pdfAugust 12, 2015 - FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). August 12, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45729/psn-pdfSeptember 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45795/psn-pdfMay 24, 2017 - Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. May 24, 2017 Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;213(2):299-306. doi:10.1016/j.amjsu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47109/psn-pdfJune 06, 2018 - Principles of automation for patient safety in intensive care: learning from aviation. June 6, 2018 Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836810/psn-pdfMarch 30, 2022 - Periodic resuscitation cart checks and nurse situational awareness: an observational study. March 30, 2022 Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12.002. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860732/psn-pdfApril 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45895/psn-pdfFebruary 22, 2017 - Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing Use… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46375/psn-pdfNovember 29, 2017 - Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. November 29, 2017 Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038. doi:10.1136/bmjoq-2017-000038. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44928/psn-pdfApril 27, 2016 - Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. April 27, 2016 Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center: A 3-Year, Multiphase Study. Pha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865967/psn-pdfMay 29, 2024 - Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. May 29, 2024 Brashear J, Mize R, Laposata M, et al. Impact of diagnostic management team on patient time to diagnosis and percent of accurate and clinically actionable diagnoses. Diagnosis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853059/psn-pdfAugust 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. August 30, 2023 Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836751/psn-pdfMarch 16, 2022 - Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient presentation: a survey of academic and community practice. March 16, 2022 Huang C, Barwise A, Soleimani J, et al. Bedside clinicians' perceptions on the contributing role of diagnostic errors in acutely ill patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43669/psn-pdfNovember 12, 2014 - Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. November 12, 2014 Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative stu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862998/psn-pdfFebruary 21, 2024 - Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. February 21, 2024 Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. …
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