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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44818/psn-pdf
    February 24, 2018 - Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review. February 24, 2018 Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381. doi:10.1371/jour…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859344/psn-pdf
    December 20, 2023 - Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey. December 20, 2023 Kuppadakkath SC, Bhowmik J, Olasoji M, et al. Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a nation…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73614/psn-pdf
    August 18, 2021 - Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. August 18, 2021 Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospit…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45482/psn-pdf
    September 14, 2016 - 'America's other drug problem': copious prescriptions for hospitalized elderly. September 14, 2016 Gorman A. Kaiser Health News. August 30, 2016. https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly Older patients are particularly vulnerable to medication errors, as t…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866070/psn-pdf
    June 05, 2024 - Large language models for preventing medication direction errors in online pharmacies. June 5, 2024 Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8. https://psnet.ahrq.gov/issue/large…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40172/psn-pdf
    January 26, 2011 - Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. January 26, 2011 Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code-assisted medication administrat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73616/psn-pdf
    August 18, 2021 - Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? August 18, 2021 Gangopadhyaya A. Washington DC; Urban Institute: July 2021. https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events- same-hospital Racial inequities h…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44844/psn-pdf
    March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. March 2, 2016 Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205. https://psnet.ahrq.gov/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46133/psn-pdf
    May 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44162/psn-pdf
    May 27, 2015 - Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. May 27, 2015 Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. BMJ Open. 2015;5(5):e006539. doi:10.1136/bm…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45192/psn-pdf
    December 04, 2016 - Evidence summary and recommendations for improved communication during care transitions. December 4, 2016 Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230. https://psnet.ahrq.gov/iss…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46566/psn-pdf
    June 25, 2018 - A systematic review of interventions to follow-up test results pending at discharge. June 25, 2018 Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9. https://psnet.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43799/psn-pdf
    January 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47607/psn-pdf
    February 13, 2019 - Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. February 13, 2019 Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epidemiol. 2019;40(1):95-99. doi:10.1017…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45699/psn-pdf
    December 21, 2016 - Towards a new paradigm in laboratory medicine: the five rights. December 21, 2016 Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights Error…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46728/psn-pdf
    March 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. March 27, 2018 Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process Near misses provide unique opportunities to ide…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50937/psn-pdf
    February 26, 2020 - Emergency intubation of children outside of the operating room. February 26, 2020 Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850354/psn-pdf
    June 14, 2023 - The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. June 14, 2023 Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 inten…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854381/psn-pdf
    October 11, 2023 - Addressing bias in acute postoperative pain management. October 11, 2023 Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0. https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60327/psn-pdf
    May 13, 2020 - Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic. May 13, 2020 Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse events management for lung cancer patients du…

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