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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40733/psn-pdf
    August 31, 2011 - Beyond the prescription: medication monitoring and adverse drug events in older adults. August 31, 2011 Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. doi:10.1111/j.1532- 5415.2011.03500.x. …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867648/psn-pdf
    January 01, 2023 - Opioid Taskforce Playbook. January 1, 2023 College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook. https://psnet.ahrq.gov/issue/opioid-taskforce-playbook Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids. This Opioid Playbo…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847545/psn-pdf
    April 12, 2023 - Normalization of deviance is contrary to the principles of high reliability. April 12, 2023 Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. https://psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliab…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44610/psn-pdf
    May 03, 2017 - International Prize in Resilient Health Care. May 3, 2017 The Australian Institute of Health Innovation. https://psnet.ahrq.gov/issue/international-prize-resilient-health-care Innovations in patient safety can drive improvement efforts. This award program seeks to recognize feasible and widely implementable strate…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41978/psn-pdf
    January 16, 2013 - Surgical complications: disclosing adverse events and medical errors. January 16, 2013 Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. https://psnet.ahrq.gov/issue/surgical-complications-disclosing-advers…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41641/psn-pdf
    August 29, 2012 - Patient safety and quality improvement: an overview of QI. August 29, 2012 Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev. 2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi This c…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42160/psn-pdf
    April 03, 2013 - The perianesthesia nurse's role in the prevention of opioid-related sentinel events. April 3, 2013 Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45544/psn-pdf
    December 19, 2016 - Prescribing errors that cause harm. December 19, 2016 Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91. https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year period, t…
  9. www.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
    June 01, 2021 - Appropriate Collection of Microbiological Specimens After viewing or presenting this presentation viewers will be able to— Recognize that collecting a good specimen is important to making treatment decisions. Detail procedures for collecting urine and respiratory samples from nursing home residents​. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851365/psn-pdf
    July 27, 2023 - Advancing Diagnostic Excellence in Maternal Health Care. July 27, 2023 Board on Health Care Services, National Academies of Science, Engineering, and Medicine. Irvine, CA: Arnold and Mabel Beckman Center: 2021-2023.  https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care These …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45649/psn-pdf
    November 30, 2016 - Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy … Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - disclosure of medical errors has been described as both a great idea and an impractical risk management strategy … full-disclosure-and-apology-idea-whose-time-has-come https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - economic-evaluation-pharmacist-led-medication-reviews-residential-aged- care-facilities Pharmacist oversight of medication prescribing is an established safety strategy … inappropriate polypharmacy in aged care facilities and the cost- effectiveness of this risk management strategy
  14. psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - May 6, 2009 Designing a strategy to promote safe, innovative off-label use of medications … September 29, 2010 Developing a medication patient safety program — infrastructure and strategy … December 30, 2014 A randomized trial of a multifactorial strategy to prevent serious
  15. psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
    July 02, 2014 - Related Resources From the Same Author(s) Promoting a culture of safety as a patient safety strategy … July 2, 2014 Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017 Towards high-reliability organising in healthcare: a strategy for building
  16. psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019 FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016 View More Related Resources Strategy on Reducing Regulatory
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - data from chart review and taking ulcer severity into account may yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36814/psn-pdf
    March 28, 2011 - paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45277/psn-pdf
    July 01, 2017 - really-possible Crew resource management (CRM), a type of team training, is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety culture.