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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867009/psn-pdf
    October 23, 2024 - Specialized nurses' role in ensuring patient safety within the context of telehealth in home care: a scoping review. October 23, 2024 Vaismoradi M, Rae J, Turunen H, et al. Specialized nurses’ role in ensuring patient safety within the context of telehealth in home care: a scoping review. Digit Health. 2024;10:2055…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60315/psn-pdf
    May 13, 2020 - Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. May 13, 2020 Cinar P, Kubal T, Freifeld A, et al. Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. J Natl Compr Canc Netw. 2020;18(5):504-509. doi:1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43533/psn-pdf
    August 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38288/psn-pdf
    February 03, 2011 - Hospital-wide code rates and mortality before and after implementation of a rapid response team. February 3, 2011 Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team. JAMA. 2008;300(21):2506-13. doi:10.1001/jama.2008.715. https://ps…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47579/psn-pdf
    December 12, 2018 - A prescription for enhancing electronic prescribing safety. December 12, 2018 Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725. https://psnet.ahrq.gov/issue/prescription-enhancing-electroni…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43378/psn-pdf
    August 14, 2014 - Interventions to reduce pediatric medication errors: a systematic review. August 14, 2014 Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531. https://psnet.ahrq.gov/issue/interventions-reduce…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39873/psn-pdf
    January 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. January 22, 2017 Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm J Qual Patient Saf. 2010;36(10):461-7…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45101/psn-pdf
    July 01, 2017 - A systematic review of patient safety measures in adult primary care. July 1, 2017 Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328. https://psnet.ahrq.gov/issue/systematic-review-patient-safety-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46302/psn-pdf
    December 22, 2017 - Non–health care facility medication errors resulting in serious medical outcomes. December 22, 2017 Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018;56(1):43-50. doi:10.1080/15563650.2017.1337908. https://psnet.a…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37687/psn-pdf
    February 22, 2011 - Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. February 22, 2011 Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47973/psn-pdf
    July 18, 2019 - Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. July 18, 2019 Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653. doi:10…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40695/psn-pdf
    December 31, 2014 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. December 31, 2014 Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782. doi:10.113…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40526/psn-pdf
    June 15, 2011 - Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches. June 15, 2011 Classen DC, Phansalkar S, Bates DW. Critical Drug-Drug Interactions for Use in Electronic Health Records Systems With Computerized Physician Order Entry.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37096/psn-pdf
    June 24, 2010 - Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. June 24, 2010 Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40819/psn-pdf
    January 07, 2015 - Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. January 7, 2015 Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective ran…
  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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