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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851447/psn-pdf
     July 19, 2023 - A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. July 19, 2023 Goodwin G, Marra E, Ramdin C, et al. A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America. Am J Emerg Med. 2023;70:90-95. doi:…

422. Safe patient outcomes occur with timely, standardized communication of critical values. | PSNet
     psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
     January 15, 2020 - Newspaper/Magazine Article Safe patient outcomes occur with timely, standardized communication of critical values. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 16, 2018 …

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61093/psn-pdf
     November 04, 2020 - Impact of a nationwide prospective drug utilization review program to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted time series with segmented regression analysis. November 4, 2020 Jang S, Jeong S, Kang E, et al. Impact of a nationwide prospective drug utilizat…

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849317/psn-pdf
     May 24, 2023 - Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. May 24, 2023 Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital- acquired pressure injuries. J Healthc Qual. 2023;45(3):125-132. doi:10.1097/jhq.0000000000…

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836991/psn-pdf
     April 27, 2022 - Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. April 27, 2022 Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med. 2022;53:135-139. doi:10.1016/j.a…

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73399/psn-pdf
     June 16, 2021 - Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. June 16, 2021 Smits M, Langelaan M, de Groot J, et al. Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospect…

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60638/psn-pdf
     July 01, 2020 - Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. July 1, 2020 Bhatt AS, Moscone A, McElrath EE, et al. Declines in Hospitalizations for Acute Cardiovascular Conditions During the COVID-19 Pandemic: A Multicenter Tertiary Care Exp…

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74725/psn-pdf
     February 02, 2022 - A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022 Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of hospital, including before and after implemen…

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836750/psn-pdf
     March 16, 2022 - The source of purchased medications and its impact on medication mistakes and hospitalizations. March 16, 2022 Coates MC, Granche J, Sefcik JS, et al. The source of purchased medications and its impact on medication mistakes and hospitalizations. Res Gerontol Nurs. 2022;15(2):69-75. doi:10.3928/19404921- 20220131-…

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47834/psn-pdf
     February 27, 2019 - Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. February 27, 2019 Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis- Associated Mortality in US Acute Care Hospitals. JAMA Netw Open. 2019;2(2):e187571. doi:10.10…

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46988/psn-pdf
     April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33904/psn-pdf
     January 25, 2016 - Healthcare Cost and Utilization Project (HCUP). January 25, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup The Healthcare Cost and Utilization Project (HCUP) is a family of databases and related software tools and products developed throug…

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46248/psn-pdf
     October 23, 2018 - Medical errors, malpractice, and defensive medicine: an ill-fated triad. October 23, 2018 Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007. https://psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-…

434. Submit Your Training | PSNet
     psnet.ahrq.gov/submit-your-training-landing
     January 01, 2025 - Breadcrumb Home Training and Education Training Catalog Training Submissions PSNet encourages organizations to help improve our training catalog by submitting related trainings to help our users expand their knowledge in the field of patient safety. We welcome contributions of both…

435. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet
     psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
     August 01, 2006 - A national trend, in place for more than a decade, has resulted in a shift in the setting in which chemotherapy … Although the trend also reflects patient preference to avoid hospitalizations, it has come at a cost.

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35154/psn-pdf
     January 02, 2017 - Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001. January 2, 2017 Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United States, 1995–2001. The Joint Commission Journal on Quality and Patient Safety. 2016;31(7). doi:10.1016…

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47217/psn-pdf
     June 27, 2018 - Drug shortages roundtable: minimizing the impact on patient care. June 27, 2018 Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care This commenta…

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47271/psn-pdf
     August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38934/psn-pdf
     June 28, 2011 - Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System? June 28, 2011 Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national reporting and learning system? Int J Qual Health Care. 2009;21(5):316-20. doi:10.…

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35023/psn-pdf
     March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…