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8621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47953/psn-pdf
      January 01, 2021 - Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta- analysis of randomized controlled trials. June 26, 2019 Tasai S, Kumpat N, Dilokthornsakul P, et al. Impact of Medication Reviews Delivered by Community Pharmacist to Elderly Patients on Polypharmacy: A Meta…

8622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45791/psn-pdf
      September 01, 2018 - Changes in physician practice patterns after implementation of a communication-and-resolution program. September 1, 2018 Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;51(Suppl 3):2516-2536. doi:10.…

8623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861277/psn-pdf
      January 24, 2024 - Clinical deterioration as a nurse sensitive indicator in the out-of-hospital context: a scoping review. January 24, 2024 Mccullough K, Baker M, Bloxsome D, et al. Clinical deterioration as a nurse sensitive indicator in the out?of ?hospital context: a scoping review. J Clin Nurs. 2024;33(3):874-889. doi:10.1111/joc…

8624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73863/psn-pdf
      September 22, 2021 - Electronic health record interoperability-why electronically discontinued medications are still dispensed. September 22, 2021 Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically discontinued medications are still dispensed. JAMA Intern Med. 2021;181(10):1383-1384. doi:10…

8625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837432/psn-pdf
      June 15, 2022 - Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. June 15, 2022 ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. https://psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix- ups Minimizing look-alike/sound-alike me…

8626. Psn-Pdf (pdf file)
      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 …

8627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838310/psn-pdf
      October 12, 2022 - Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057. https://psnet.ahrq.gov…

8628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43521/psn-pdf
      November 05, 2014 - From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. November 5, 2014 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296. https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons This companion…

8629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46580/psn-pdf
      June 25, 2018 - Out-of-hospital pediatric patient safety events: results of the CSI chart review. June 25, 2018 Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261. https://psnet.ahrq.gov/…

8630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854635/psn-pdf
      January 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. October 18, 2023 Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030. https://psn…

8631. Psn-Pdf (pdf file)
      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…

8632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44742/psn-pdf
      January 06, 2016 - A piece of my mind. From shame to guilt to love. January 6, 2016 Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507- 2508. doi:10.1001/jama.2015.11521. https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love While numerous studies have examined the psychological i…

8633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836996/psn-pdf
      April 27, 2022 - Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. April 27, 2022 Staal J, Speelman M, Brand R, et al. Does a suggested diagnosis in a general practitioners’ referral question impact diagnostic reasoning: an experimental study. BMC Med Educ.…

8634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46858/psn-pdf
      May 11, 2019 - Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  May 11, 2019 Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety …

8635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46375/psn-pdf
      November 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…

8636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866244/psn-pdf
      July 10, 2024 - Optimizing the use of dose error reduction software on intravenous infusion pumps. July 10, 2024 Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385. https://psnet.ahrq.gov/issue/optimizi…

8637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38224/psn-pdf
      February 18, 2011 - Hospital readmissions: physician awareness and communication practices. February 18, 2011 Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s11606-008-0848-x. https://psnet.ahrq.gov/issue/hospital-readmission…

8638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43673/psn-pdf
      November 19, 2014 - Work-arounds observed by fourth-year nursing students. November 19, 2014 Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students Accordi…

8639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865919/psn-pdf
      May 22, 2024 - Potentially avoidable hospitalizations among historically marginalized nursing home residents. May 22, 2024 Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312. doi:10.1001/jamanetworkopen.2024.9…

8640. Psn-Pdf (pdf file)
      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 …