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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 6 of 6 Results
Pradeda AM, Pérez MSA, Oliveira CF, et al. Farm Hosp. 2023;47:121-126.
Medication reconciliation is used when a patient moves from one level or location of care to another, to ensure they are receiving the appropriate medications. This retrospective study reviewed completed medication reconciliations of adult patients transferring from the intensive care unit to the ward. Nearly one in five had an error requiring physician changes to the order. Of those errors, 19% were high-alert medications, most notably low-molecular-weight heparin.
Juprasert JM, Gray KD, Moore MD, et al. JAMA Surg. 2020;155:870-875.
This article describes an emergent restructuring of a general surgery residency program to support the response to the COVID-19 pandemic, while maintaining staffing for emergency procedures, limiting transmission risk, and maintaining surgical education and board eligibility for the training program.
Walker E, McMahan R, Barnes D, et al. J Pain Symptom Manage. 2018;55:256-264.
This study found that electronic health record documentation of patients' preferences for advance care planning was incomplete. Only half of participants had documented preferences available, and the documentation was often difficult to locate and interpret. The authors conclude that electronic health records should be designed to better capture patients' preferences.