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  1. psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx Spotlight Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotli…
  2. psnet.ahrq.gov/issue/increasing-patient-clinician-concordance-about-medical-error-disclosure-through-patient-tips
    November 28, 2016 - Study Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. Citation Text: Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…
  3. psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
    June 04, 2014 - Study Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. Citation Text: Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…
  4. psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-new-graduates-medicine-nursing-and-pharmacy
    February 14, 2015 - Study Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. Citation Text: Ginsburg LR, Tregunno D, Norton PG. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. BMJ Qual Saf. 2013;22(2):147-54. doi:10…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48001/psn-pdf
    May 22, 2019 - Medicines safety in anaesthetic practice. May 22, 2019 Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. https://psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice Human factors affect medication delivery in the operating …
  6. psnet.ahrq.gov/primer/reporting-patient-safety-events
    March 30, 2022 - Future Common Formats will address other sites of care and other stages of the improvement process (such
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37755/psn-pdf
    April 14, 2011 - An iconic language for the graphical representation of medical concepts. April 14, 2011 Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16. https://psnet.ahrq.gov/issue/iconic-language-graphi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39304/psn-pdf
    February 17, 2010 - Pediatric antidepressant medication errors in a national error reporting database. February 17, 2010 Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e3181ce6509. https://psnet.ahrq.g…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73902/psn-pdf
    September 29, 2021 - Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome September 29, 2021 Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet]. 2021. https://psnet.ahrq.go…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43354/psn-pdf
    July 16, 2014 - Weaving a healthcare tapestry of safety and communication. July 16, 2014 Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication Th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853435/psn-pdf
    September 13, 2023 - Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. September 13, 2023 Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. J Med Internet Res. 2023;25:e48659. doi:10.2196/48659.…
  12. psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
    September 04, 2016 - Study Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. Citation Text: Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1)…
  13. psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient
    February 04, 2015 - Study Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). Citation Text: Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…
  14. psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-canadian-medical-students-and-postgraduate
    December 04, 2015 - Study Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. Citation Text: Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…
  15. psnet.ahrq.gov/issue/computerized-clinical-decision-support-during-medication-ordering-long-term-care-residents
    February 11, 2009 - Study Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. Citation Text: Field T, Rochon P, Lee M, et al. Computerized clinical decision support during medication ordering for long-term care residents with renal insuf…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838086/psn-pdf
    September 14, 2022 - Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies. September 14, 2022 Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022.  SAMHSA Publication No. PEP22-06-02-005. https://psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-throu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47726/psn-pdf
    April 10, 2019 - Machine learning in medicine. April 10, 2019 Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347- 1358. doi:10.1056/NEJMra1814259. https://psnet.ahrq.gov/issue/machine-learning-medicine Machine learning in health care is in the early stage of application. This review expl…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35410/psn-pdf
    September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. September 11, 2009 Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. J Infus Nurs. 2005;28(5):321-328. https://psnet.ahrq.gov/is…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38032/psn-pdf
    September 21, 2008 - Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. September 21, 2008 Bundy DG, Rinke ML, Shore AD, et al. Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. Jt Comm J Qual Patient Saf. 2008;34(9):552-559, 497. http…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866314/psn-pdf
    July 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. July 17, 2024 Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Am J Clin Pathol.…

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