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6861. 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…

6862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38475/psn-pdf
      March 10, 2011 - Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. March 10, 2011 Sellier E, Colombet I, Sabatier B, et al. Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency. J Am Med Inform Assoc. 2009;16(2):203-10. doi:10.1197/jamia.M2805. https://psnet.ahrq.gov/…

6863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40751/psn-pdf
      September 07, 2011 - Developing a programme for medication reconciliation at the time of admission into hospital. September 7, 2011 Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1. http…

6864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50726/psn-pdf
      December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals December 11, 2019 Agency for Healthcare Research and Quality. 2019. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals Structured processes are important strategies for embedding safe care practices. This tool kit shares traini…

6865. 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…

6866. 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…

6867. 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…

6868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34137/psn-pdf
      February 06, 2018 - Anesthesia Patient Safety Foundation. February 6, 2018 P.O. Box 6668, Rochester, MN 55903. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the effects of anesthesia. To achieve that mission, APSF s…

6869. 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…

6870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36173/psn-pdf
      September 29, 2010 - The need for organizational change in patient safety initiatives. September 29, 2010 Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. https://psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives …

6871. 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…

6872. 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…

6873. 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…

6874. 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…

6875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38209/psn-pdf
      June 02, 2010 - The effects of emergency department staff rounding on patient safety and satisfaction. June 2, 2010 Meade CM, Kennedy J, Kaplan J. The effects of emergency department staff rounding on patient safety and satisfaction. J Emerg Med. 2010;38(5):666-74. doi:10.1016/j.jemermed.2008.03.042. https://psnet.ahrq.gov/issue/…

6876. 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…

6877. 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, …

6878. 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…

6879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37623/psn-pdf
      April 18, 2011 - Human factors in anaesthetic practice: insights from a task analysis. April 18, 2011 Phipps D, Meakin GH, Beatty PCW, et al. Human factors in anaesthetic practice: insights from a task analysis. Br J Anaesth. 2008;100(3):333-43. doi:10.1093/bja/aem392. https://psnet.ahrq.gov/issue/human-factors-anaesthetic-practic…

6880. 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…