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psnet.ahrq.gov/node/45767/psn-pdf
April 17, 2017 - Medication errors attributed to health information
technology.
April 17, 2017
Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8.
https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
The unintended consequences associated with health information technologies for …
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psnet.ahrq.gov/node/838017/psn-pdf
September 07, 2022 - Addressing adultification of black pediatric patients in the
emergency department: a framework to decrease
disparities.
September 7, 2022
Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a
framework to decrease disparities. Health Promot Pract. 2022;23(4):555-5…
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psnet.ahrq.gov/node/856592/psn-pdf
January 01, 2024 - Talking about falls: a qualitative exploration of spoken
communication of patients' fall risks in hospitals and
implications for multifactorial approaches to fall
prevention.
November 29, 2023
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spoken
communication of patients’…
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psnet.ahrq.gov/node/850173/psn-pdf
June 07, 2023 - A national safety board made transportation safer and
could do the same for health care, advocates say.
June 7, 2023
Jaklevic MC. CNN. May 30, 2023.
https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-
care-advocates-say
Patient safety has long drawn from aviation…
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psnet.ahrq.gov/node/45726/psn-pdf
December 14, 2016 - National Cancer Institute–American Society of Clinical
Oncology Teams in Cancer Care Project.
December 14, 2016
J Oncol Pract. 2016;12(11):955-1194.
https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer-
care-project
Team-based care has been adopted in various spec…
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psnet.ahrq.gov/node/72644/psn-pdf
February 01, 2021 - Best Practices in Developing Proprietary Names for
Human Nonprescription Drug Products.
January 13, 2021
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 7, 2020.
https://psnet.ahrq.gov/issue/best-practices-developing-p…
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psnet.ahrq.gov/node/43702/psn-pdf
May 07, 2018 - Strengthen your resolve: no unlabeled containers
anywhere, ever!
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4.
https://psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
Despite the designation of proper labeling as a National Patient Safety …
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psnet.ahrq.gov/node/45123/psn-pdf
May 07, 2018 - Hardwiring safety into the computer system: one
hospital's actions to provide technology support for U-
500 insulin.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4.
https://psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-
support-u-…
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psnet.ahrq.gov/node/44028/psn-pdf
April 01, 2015 - Alarm system management: evidence-based guidance
encouraging direct measurement of informativeness to
improve alarm response.
April 1, 2015
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct
measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…
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psnet.ahrq.gov/node/853059/psn-pdf
August 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…
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psnet.ahrq.gov/node/836810/psn-pdf
March 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…
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psnet.ahrq.gov/node/72643/psn-pdf
January 13, 2021 - Ockenden Report. Emerging Fndings and
Recommendations from the Independent Review of
Maternity Services at the Shrewsbury and Telford
Hospital NHS Trust.
January 13, 2021
London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.
https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
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psnet.ahrq.gov/node/73061/psn-pdf
March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or
lip service? A randomised prospective observational
study.
March 24, 2021
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip
service? A randomised prospective observational study. BMJ Qual Saf. 2021;…
-
psnet.ahrq.gov/node/43998/psn-pdf
May 28, 2015 - Bridging the gap between hospital and primary care: the
pharmacist home visit.
May 28, 2015
Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the
pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093-4.
https://psnet.ahrq.gov/issue/bridgin…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/texas-am-health-science-center-rural-and-community-health-institute.html
January 01, 2012 - Texas A&M Health Science Center Rural and Community Health Institute
Status:
Inactive
Registered Date:
January 1, 2012
PBRN Acronym:
TAMHSC-RCHI
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Networ…
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psnet.ahrq.gov/node/837805/psn-pdf
August 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…
-
psnet.ahrq.gov/node/60532/psn-pdf
May 27, 2020 - Improving timely recognition and treatment of sepsis in
the pediatric ICU.
May 27, 2020
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU.
Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005.
https://psnet.ahrq.gov/issue/improv…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/answer-key.html
March 01, 2017 - Training Module 1—Skills Questions Answer Key
The How-To's of Hand Hygiene
How long should you rub your hands with soap when you are hand washing?
At least 5 seconds
At least 15 seconds
At least 30 seconds
At least 60 seconds
How long should you rub your hands with alcohol-based …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-delirium.pdf
June 01, 2021 - Identifying Delirium: ABCs of Identification_4x6
AHRQ Pub. No. 17(21)-0029
June 2021
IDENTIFYING DELIRIUM
ABCs OF IDENTIFICATION
Acute/subacute
• Altered mental status from baseline
Behavioral disturbance
• Restless, agitated, combative
Changes in consciousness
• Jittery, drowsy, difficult to aro…
-
psnet.ahrq.gov/node/46575/psn-pdf
December 13, 2017 - Economic evaluation of pharmacist-led medication
reviews in residential aged care facilities.
December 13, 2017
Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in
residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439.
doi:10.108…