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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33637/psn-pdf
    August 01, 2006 - So we did some pilot studies, and then we set out to do a big study to see if we could find adversedrug events, and then see if we could determine indeed whether there were systems failures... and then … https://psnet.ahrq.gov/issue/error-medicine https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49862/psn-pdf
    May 01, 2019 - The Magnetic Deflection May 1, 2019 Kanal E. The Magnetic Deflection. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/magnetic-deflection The Case A 68-year-old woman with a prior history of cerebrovascular accident and hypertension presented to the hospital with new left-sided weakness and hypertensive urg…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60174/psn-pdf
    March 30, 2020 - been added to this report, including practices within infection control, diagnostic errors, delirium, adversedrug events, and others.[5] This edition of the report also includes contextual factors and lessons
  4. psnet.ahrq.gov/web-mm/check-wristband
    August 03, 2009 - Relationship between medication errors and adverse drug events.
  5. psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
    April 05, 2013 - reinstated as a Joint Commission National Patient Safety Goal in 2011, with the goal of reducing adversedrug events (ADEs) due to inadvertent medication discrepancies.
  6. psnet.ahrq.gov/issue/speak-video-series
    November 27, 2018 - Audiovisual Speak Up Video Series. Citation Text: Speak Up Video Series. Oakbrook Terrace, IL: Joint Commission.   Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy UR…
  7. psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
    December 17, 2008 - Book/Report Medication Use: A Systems Approach to Reducing Errors, Second Edition. Citation Text: Medication Use: A Systems Approach to Reducing Errors, Second Edition. Porché RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976. Copy Citation …
  8. psnet.ahrq.gov/issue/crico
    June 24, 2019 - Multi-use Website CRICO. Citation Text: CRICO. 1325 Boylston Street, Boston, MA 02215 Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 1…
  9. psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties-abound
    August 09, 2023 - Newspaper/Magazine Article Practitioners agree on medication reconciliation value, but frustration and difficulties abound. Citation Text: Practitioners agree on medication reconciliation value, but frustration and difficulties abound. ISMP Medication Safety Alert! Acute care edition. Ju…
  10. psnet.ahrq.gov/issue/focusing-medical-errors
    May 29, 2019 - Special or Theme Issue Focusing on Medical Errors. Citation Text: Focusing on Medical Errors. Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…
  11. psnet.ahrq.gov/issue/partnership-health-it-patient-safety
    March 10, 2021 - Multi-use Website Partnership for Health IT Patient Safety. Citation Text: Partnership for Health IT Patient Safety. ECRI. Plymouth Meeting, PA. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…
  12. psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
    November 26, 2008 - Book/Report Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Citation Text: Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Weiss BD. Chicago, IL: American Medical Association Foundation; 2007. Cop…
  13. psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why
    October 17, 2018 - Newspaper/Magazine Article Surgical checklists save lives—but once in a while, they don't. Why? Citation Text: Surgical checklists save lives—but once in a while, they don't. Why? Mukherjee S. New York Times Magazine. May 9, 2018. Copy Citation Save Save to your l…
  14. psnet.ahrq.gov/issue/ismps-safe-medicine
    January 26, 2023 - Newsletter/Journal Consumer Safe Medicine. Citation Text: Consumer Safe Medicine. Plymouth Meeting, PA; Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Li…
  15. psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
    August 09, 2023 - Study Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. Citation Text: Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
  16. psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line
    February 24, 2016 - Commentary A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. Citation Text: Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…
  17. psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
    August 26, 2009 - Study Feedback from incident reporting: information and action to improve patient safety. Citation Text: Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…
  18. psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
    September 26, 2018 - Study A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Citation Text: Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…
  19. psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
    November 16, 2022 - Study Impact of time pressure on dentists' diagnostic performance. Citation Text: Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011. Copy Citation Format: DOI Google Scho…
  20. psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
    June 08, 2022 - Newspaper/Magazine Article Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. Citation Text: Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. Copy Citation Format: Go…

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