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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863212/psn-pdf
    February 28, 2024 - unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. February 28, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36867/psn-pdf
    August 31, 2011 - Multidisciplinary approach to inpatient medication reconciliation in an academic setting. August 31, 2011 Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4. https://psnet.ahrq.gov/issue/multid…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37837/psn-pdf
    June 11, 2008 - Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. June 11, 2008 Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences reported from family medicin…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36457/psn-pdf
    May 27, 2011 - Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. May 27, 2011 Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. J Am Med Inform Assoc. 2007;14(1):41-7.…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39579/psn-pdf
    June 11, 2014 - Outpatient adverse drug events identified by screening electronic health records. June 11, 2014 Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06. https://psnet.ahrq.gov/issue/out…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34775/psn-pdf
    February 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39753/psn-pdf
    September 28, 2016 - Nursing care quality and adverse events in US hospitals. September 28, 2016 Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x. https://psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospit…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74268/psn-pdf
    January 19, 2022 - Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta- analysis. January 19, 2022 Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its associations with health?related …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837067/psn-pdf
    May 11, 2022 - Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. May 11, 2022 Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. …
  10. psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
    January 25, 2010 - December 1, 2011 Are temporary staff associated with more severe emergency department
  11. psnet.ahrq.gov/issue/ismp-quarterwatch-reports
    June 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  12. psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
    June 07, 2017 - May 11, 2017 Severe hyperglycemia in patients incorrectly using insulin pens at home.
  13. psnet.ahrq.gov/issue/patient-safety-24
    December 01, 2011 - July 8, 2013 Are temporary staff associated with more severe emergency department medication
  14. psnet.ahrq.gov/issue/nursing-care-quality-nqf
    September 06, 2011 - July 8, 2009 Antecedents of severe and nonsevere medication errors.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49811/psn-pdf
    November 01, 2017 - worsening respiratory status, liver abnormalities, and colonic pseudo-obstruction were all consistent with severe … These are rare but life-threatening conditions that result from either decompensated thyrotoxicosis or severe … Effects Score Absent 0 Mild (agitation) 10 Moderate (delirium, psychosis, extreme lethargy) 20 Severe … 25 Congestive Heart Failure Score Absent 0 Mild (pedal edema) 5 Moderate (bibasilar rales) 10 Severe
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - advanced care discussions Case: Code Status Confusion A 60-year-old woman with a history of severe … preferences in scenarios with uncertain outcomes i.e., successful cardiac resuscitation with resultant severe
  17. psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
    February 06, 2019 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  18. psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
    June 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  19. psnet.ahrq.gov/issue/clinical-issues-series
    July 05, 2006 - 2006 National Partnership for Maternal Safety: consensus bundle on support after a severe
  20. psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
    April 29, 2018 - September 12, 2016 ALERT: reports of severe harm after intravenous administration of

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