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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853442/psn-pdf
    September 13, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions. September 13, 2023 Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication No. 23-0040-5-EF. https://psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-scienc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46114/psn-pdf
    June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44597/psn-pdf
    October 28, 2015 - Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. October 28, 2015 Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352. https://psnet.ahrq.gov/…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40541/psn-pdf
    July 22, 2011 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. July 22, 2011 Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35130/psn-pdf
    March 11, 2011 - A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. March 11, 2011 Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J Am Med Inform Assoc…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865978/psn-pdf
    May 29, 2024 - Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. May 29, 2024 Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74710/psn-pdf
    January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. January 26, 2022 Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further i…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42489/psn-pdf
    May 19, 2014 - Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. May 19, 2014 Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. A…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44072/psn-pdf
    August 02, 2015 - The rise of the medical scribe industry: implications for the advancement of electronic health records. August 2, 2015 Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43830/psn-pdf
    February 04, 2015 - A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study. February 4, 2015 Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series stu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40471/psn-pdf
    May 25, 2011 - Effect of admission medication reconciliation on adverse drug events from admission medication changes. May 25, 2011 Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 2011;171(9):860-1. doi:10.1001/archinter…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46597/psn-pdf
    November 01, 2017 - A novel process audit for standardized perioperative handoff protocols. November 1, 2017 Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.04.011. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73612/psn-pdf
    August 18, 2021 - Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. August 18, 2021 Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature re…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43109/psn-pdf
    December 10, 2014 - Creating a physician-led quality imperative. December 10, 2014 Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683. https://psnet.ahrq.gov/issue/creating-physician-led-quality-imperative This commentary relates one…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45228/psn-pdf
    June 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844748/psn-pdf
    February 15, 2023 - 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? February 15, 2023 Renault M. STAT. February 6, 2023. https://psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect- tyre-nichols Emergent care situations are vulnerable to a range …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46130/psn-pdf
    June 21, 2017 - High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. June 21, 2017 Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Safety in Health. 2017;3(1):6. doi:10.1186/s40886-017-0057-6. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46482/psn-pdf
    October 11, 2017 - What can physicians do to help curb the opioid crisis? October 11, 2017 Bendix J. https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis The persistent problem of opioid-related harm calls for changes in pain management practices and system processes in all care settings. This magazine article…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43310/psn-pdf
    July 09, 2014 - Antimicrobial stewardship: another focus for patient safety? July 9, 2014 Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patie…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60702/psn-pdf
    July 22, 2020 - Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. July 22, 2020 Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual Saf. 2020;29(7):569-575. doi:10.113…

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