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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73317/psn-pdf
     May 26, 2021 - Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021 Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408. ht…

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840145/psn-pdf
     November 16, 2022 - Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. November 16, 2022 Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Leadersh Health Serv (Bradf Engl). 2023;36(2):1…

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73311/psn-pdf
     January 01, 2022 - Key considerations in ensuring a safe regional telehealth care model: a systematic review. May 26, 2021 Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.0580. https://psnet.ahrq.gov/issue/key…

404. Battle Buddies Tip Sheet (1) (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-09/Battle%20buddies%20tip%20sheet%20(1).pdf
     January 01, 2021 - I have a Battle Buddy – Now What? Battle Buddies are not just for battle.  It’s critical to start connecting with your Battle Buddy now - before things get really stressful.  It’s like training prior to a marathon.  Brief conversations now will strengthen your individual and team resilience and ensure o…

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72506/psn-pdf
     January 01, 2021 - Nurses' perceived causes of medication administration errors: a qualitative systematic review. November 25, 2020 Schroers G, Ross JG, Moriarty H. Nurses' perceived causes of medication administration errors: a qualitative systematic review. Jt Comm J Qual Patient Saf. 2021;47(1):38-53. doi:10.1016/j.jcjq.2020.09.0…

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47844/psn-pdf
     March 06, 2019 - Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling. March 6, 2019 Schiff G, Klinger E, Salazar A, et al. Screening for Adverse Drug Events: a Randomized Trial of Automated Calls Coupled with Phone-Based Pharmacist Counseling. J Gen Intern Med. 20…

407. The Media’s Role in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/medias-role-patient-safety
     April 27, 2022 - Despite studies raising questions about avoidable harm that began appearing in the medical literature starting

408. Medical Scribes and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
     August 01, 2019 - We studied it in 2016, back when we were starting the program.

409. In Conversation With... Michael L. Millenson | PSNet
     psnet.ahrq.gov/perspective/conversation-michael-l-millenson
     April 27, 2022 - Despite studies raising questions about avoidable harm that began appearing in the medical literature starting

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39599/psn-pdf
     December 27, 2014 - The role of housestaff in implementing medication reconciliation on admission at an academic medical center. December 27, 2014 Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Med Qual. 2011;26(1):39-42. doi:10.1…

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843736/psn-pdf
     February 01, 2023 - Saved by ECMO February 1, 2023 Weiss NA. Saved by ECMO . PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/saved-ecmo The Case A 27-year-old pregnant woman was admitted at an estimated gestational age (EGA) of 29 weeks for increased shortness of breath. She was diagnosed with severe pulmonary arterial hyperte…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40349/psn-pdf
     May 11, 2011 - Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. May 11, 2011 Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. Postgrad Med J. 2…

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37262/psn-pdf
     December 19, 2011 - Academic detailing to improve laboratory testing among outpatient medication users. December 19, 2011 Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861290/psn-pdf
     January 24, 2024 - Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. January 24, 2024 Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25(1):130-137.e4. doi:10.1016/j.j…

415. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
     psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
     July 23, 2024 - Champions are valuable when starting this innovation.

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49492/psn-pdf
     November 01, 2005 - Reconciling Doses November 1, 2005 Federico F. Reconciling Doses. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/reconciling-doses Case Objectives List the steps involved in medication reconciliation. Describe the role of each of the stakeholders in medication reconciliation. Discuss how medication reconc…

417. Workplace Safety in Health Care | PSNet
     psnet.ahrq.gov/perspective/workplace-safety-health-care
     January 01, 2017 - It's amazing if you look at the number of medication errors in the country—starting with the wrong meds

418. In Conversation With… Paul H. O'Neill, MPA | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
     January 01, 2017 - It's amazing if you look at the number of medication errors in the country—starting with the wrong meds

419. A Sweet Case of Hidden Hydrogen Ions | PSNet
     psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
     November 30, 2023 - replacement should be used in hospitalized patients; the sole use of “sliding scale” insulin (i.e., doses starting

420. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
     June 01, 2016 - You're starting to see a nursing curriculum, a medical school curriculum that patient safety is moving