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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72836/psn-pdf
    January 26, 2021 - Planning Checklist for Scheduled Admissions 2.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34789/psn-pdf
    December 23, 2008 - Medication error prevention by pharmacists. December 23, 2008 Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists This study investigated the impact of hospital pharmacists in preve…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45788/psn-pdf
    March 01, 2017 - Latest Results From the "FIRST" Trial. March 1, 2017 J Am Coll Surg. 2017;224:103-159. https://psnet.ahrq.gov/issue/latest-results-first-trial The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program response to duty hour rules. This special issue features studies ex…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37555/psn-pdf
    February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36736/psn-pdf
    March 21, 2012 - FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. March 21, 2012 Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1, 2007. https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37920/psn-pdf
    May 24, 2015 - Functional health literacy and understanding of medications at discharge. May 24, 2015 Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. https://psnet.ahrq.gov/issue/functional-health-literacy-and-und…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45185/psn-pdf
    August 03, 2016 - Final Report of the Commission on Care. August 3, 2016 Washington, DC: Commission on Care; June 2016. https://psnet.ahrq.gov/issue/final-report-commission-care The Veterans Affairs health system has recently faced challenges associated with access and quality. Providing an assessment of the current and future stat…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43896/psn-pdf
    October 26, 2015 - Nurses seek to reduce long hours and fatigue. October 26, 2015 Ungar L. USA Today. February 1, 2015. https://psnet.ahrq.gov/issue/nurses-seek-reduce-long-hours-and-fatigue This news article discusses problems associated with nurse fatigue and strategies hospitals are utilizing to prevent nursing staff from being o…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35720/psn-pdf
    April 14, 2011 - A survey of factors affecting clinician acceptance of clinical decision support. April 14, 2011 Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6. https://psnet.ahrq.gov/issue/surve…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72569/psn-pdf
    January 01, 2021 - Risk factors associated with medication ordering errors. December 16, 2020 Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264. https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33661/psn-pdf
    December 01, 2007 - arrangements made, specific follow-up needs (including appointments or procedures that need to be scheduled
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854628/psn-pdf
    October 18, 2023 - Determining medication errors in an adult intensive care unit. October 18, 2023 Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788. https://psnet.ahrq.gov/issue/determining-m…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33601/psn-pdf
    December 15, 2024 - Electronic Health Records December 15, 2024 Electronic Health Records. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/electronic-health-records PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safet…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49860/psn-pdf
    April 01, 2019 - patient was admitted to the orthopedic surgery service to fix the fracture; the surgery was initially scheduled
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37802/psn-pdf
    November 14, 2011 - Differences in day and night shift clinical performance in anesthesiology. November 14, 2011 Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. https://psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-perfor…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46944/psn-pdf
    March 21, 2018 - Critical Deficiencies at the Washington DC VA Medical Center. March 21, 2018 Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130. https://psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center Systemic weaknesses in the Veterans A…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43269/psn-pdf
    July 28, 2014 - Restoring trust in VA health care. July 28, 2014 Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. https://psnet.ahrq.gov/issue/restoring-trust-va-health-care In response to a recent investigation raising concerns about inaccurate reporting of wait-ti…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45789/psn-pdf
    January 11, 2017 - Concurrent and Overlapping Surgeries: Additional Measures Warranted. January 11, 2017 US Senate Finance Committee. December 6, 2016. https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted The practice of scheduling concurrent surgeries has raised concerns about increased ri…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60874/psn-pdf
    September 02, 2020 - A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. September 2, 2020 Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74066/psn-pdf
    November 10, 2021 - Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. November 10, 2021 US House of Representatives Committee on Veterans' Affairs Subcommittee on Health.  117th Cong. 1st Sess (2021). https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-withi…

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