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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45831/psn-pdf
    January 25, 2017 - Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims. January 25, 2017 Quinn PD, Hur K, Chang Z, et al. Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study o…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36907/psn-pdf
    September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update. September 14, 2012 Washington DC: National Quality Forum; December 2011. https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update The National Quality Forum originally defined 27 health care "never events"—patient safety events that pose ser…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45778/psn-pdf
    April 26, 2017 - Long-term outcomes of medication intervention using the screening tool of older persons potentially inappropriate prescriptions screening tool to alert doctors to right treatment criteria. April 26, 2017 Frankenthal D, Israeli A, Caraco Y, et al. Long-Term Outcomes of Medication Intervention Using the Screening T…
  4. psnet.ahrq.gov/submit-your-training-landing
    January 01, 2025 - Breadcrumb Home Training and Education Training Catalog Training Submissions PSNet encourages organizations to help improve our training catalog by submitting related trainings to help our users expand their knowledge in the field of patient safety. We welcome contributions of both…
  5. psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
    April 01, 2013 - effective in reducing medication errors and adverse drug events, according to the most recent systematic reviews
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
    December 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case December 2004 Discharge Fumbles Source and Credits This presentation is based on the Dec. 2004 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Alan Forster, M…
  7. psnet.ahrq.gov/primer/radiation-safety
    September 15, 2024 - Radiation Safety Citation Text: Radiation Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853773/psn-pdf
    September 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side. September 27, 2023 Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side The Case A first-year orthopedic surgery resident was consulted…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - Signout Fallout February 1, 2018 Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication failures in medical errors and preventable adverse events. Review the evidence in support of handoff improvement pr…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49660/psn-pdf
    August 01, 2012 - No News May Not Be Good News August 1, 2012 Moore CR. No News May Not Be Good News. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news Case Objectives Describe the frequency with which ambulatory test results are not followed up by providers. Appreciate that inadequate follow-up of…
  11. psnet.ahrq.gov/web-mm/other-side
    May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  12. psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
    November 25, 2020 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation Citation Text: Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60722/psn-pdf
    February 06, 2023 - specimens, although substantial heterogeneity limited the conclusions of this study41  and other recent reviews
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46667/psn-pdf
    February 22, 2018 - Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. February 22, 2018 Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary car…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60348/psn-pdf
    May 20, 2020 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. May 20, 2020 Edrees H, Amato MG, Wong A, et al. High-priority drug-drug interaction clinical decision support overrid…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40144/psn-pdf
    September 29, 2017 - Impact of implementing alerts about medication black-box warnings in electronic health records. September 29, 2017 Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):192-202. doi:10.1002/pds.2088. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34766/psn-pdf
    March 05, 2013 - Making Health Care Safer: A Critical Analysis of Patient Safety Practices. March 5, 2013 Shojania KG, Duncan BW, McDonald KM, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality; July 2001. AHRQ Publication No. 01-E058. https://psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patie…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42067/psn-pdf
    March 18, 2013 - Methodological variations and their effects on reported medication administration error rates. March 18, 2013 McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.1136/bmjqs-2012-001330. https://psne…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45543/psn-pdf
    February 17, 2017 - Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. February 17, 2017 Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large- scale Surveillance Using Administrative Hospital Data. Med Care. 2017;55(…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44374/psn-pdf
    August 12, 2015 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37. doi:10.21…

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