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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43893/psn-pdf
    March 04, 2015 - Impact of incorporating pharmacy claims data into electronic medication reconciliation. March 4, 2015 Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.2146/ajhp140082. https://psnet.ahrq.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45909/psn-pdf
    September 22, 2017 - Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. September 22, 2017 Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual Saf. 2017;26(10):817-823. doi:1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40881/psn-pdf
    October 26, 2011 - The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. October 26, 2011 Ahmed A, Chandra S, Herasevich V, et al. The effect of two different electronic health record user interfaces on intensive care provider task load, error…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44865/psn-pdf
    July 11, 2017 - Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. July 11, 2017 Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I- PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10.1542/peds.2015-0166. https://psn…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46423/psn-pdf
    December 16, 2017 - Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation. December 16, 2017 Wolf DA, Drake SA, Snow FK. Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation. Am J Forensic Med Pathol. 2017;38(4):294-297. doi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74205/psn-pdf
    January 01, 2022 - Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. December 22, 2021 Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinici…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45973/psn-pdf
    March 29, 2017 - Clinical perspective: creating an effective practice peer review process—a primer. March 29, 2017 Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.ajog.2016.11.1035. https://psnet.ahrq.go…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838252/psn-pdf
    October 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73561/psn-pdf
    August 04, 2021 - Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018. August 4, 2021 van der Kooi T, Lepape A, Astagneau P, et al. Mortality review as a tool to assess the contribut…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47618/psn-pdf
    January 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47325/psn-pdf
    January 01, 2020 - What can apologies in the electronic health record tell us about health care quality, processes, and safety? August 29, 2018 Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e187-e193. doi:10.1097/pts.00000000…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47243/psn-pdf
    August 08, 2018 - ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. August 8, 2018 Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018;23(3):177-191. doi:10.5863/1551-6776-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39387/psn-pdf
    July 23, 2014 - Medication errors involving oral chemotherapy. July 23, 2014 Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027. https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy Widely publicized errors associated w…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41068/psn-pdf
    September 29, 2017 - A review of verbal order policies in acute care hospitals. September 29, 2017 Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33. https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals Verbal …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867140/psn-pdf
    November 13, 2024 - CMQCC obstetric sepsis toolkit update: a patient- centered approach to quality improvement. November 13, 2024 Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2024.151976. https://psnet.ahrq.gov…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867382/psn-pdf
    December 18, 2024 - Pharmacists’ perceptions of error reporting systems. December 18, 2024 Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287. https://psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-syst…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47853/psn-pdf
    April 10, 2019 - Does a unit shift report "blackout" period improve patient safety? April 10, 2019 Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8- 10. doi:10.1097/01.NUMA.0000553500.85897.51. https://psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patien…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853440/psn-pdf
    September 13, 2023 - Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. September 13, 2023 Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J Caring Sci. 2023;37(2):414-423…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47193/psn-pdf
    September 05, 2018 - Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. September 5, 2018 Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care; a narrative review. Saf Health. 2018;4(7). doi:10…

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