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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34786/psn-pdf
    March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845637/psn-pdf
    March 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. March 8, 2023 Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50736/psn-pdf
    December 11, 2019 - Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. December 11, 2019 Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable Adverse Drug Events in Paediatric and Neon…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842421/psn-pdf
    January 11, 2023 - Weight and size descriptors for drug dosing: too many options and too many errors. January 11, 2023 Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zxac283. https://psnet.ahrq.gov/issue/…
  5. psnet.ahrq.gov/issue/transitions-care-toc-portal
    March 07, 2018 - Multi-use Website Transitions of Care (TOC) Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 27, 2013 This Web site provides resources for clinicians and patien…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46304/psn-pdf
    November 01, 2017 - Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. November 1, 2017 Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 2015;33(8):548-552. doi:10.1097/pe…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47130/psn-pdf
    October 10, 2018 - Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. October 10, 2018 Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. doi:10.1016/j.nedt.2018.08.024. http…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43001/psn-pdf
    March 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…
  9. psnet.ahrq.gov/issue/ashrm-patient-safety-portal
    September 27, 2016 - Multi-use Website ASHRM Patient Safety Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 21, 2012 This Web site provides access to educational resources for risk ma…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43958/psn-pdf
    April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. April 22, 2015 Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6. doi:10.10…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50890/psn-pdf
    February 12, 2020 - Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. February 12, 2020 Leguelinel-Blache G, Castelli C, Rolain J, et al. Impact of pharmacist-led multidisciplinary medication review on the safety and med…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34993/psn-pdf
    June 22, 2009 - Five system barriers to achieving ultrasafe health care. June 22, 2009 Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care This commentary builds on the…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35577/psn-pdf
    April 06, 2011 - Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. April 6, 2011 Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47547/psn-pdf
    February 13, 2019 - Prevention of prescription opioid misuse and projected overdose deaths in the United States. February 13, 2019 Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621. doi:10.1001/jamanetworkopen.2018.76…
  15. psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
    February 26, 2025 - In Conversation With… Gordon Schiff, MD July 1, 2018  Citation Text: In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37706/psn-pdf
    December 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4. https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk and to p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42705/psn-pdf
    November 26, 2013 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. November 26, 2013 Oakbrook Terrace, IL: The Joint Commission; October 2013.  https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2013 This Joint Commission…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35906/psn-pdf
    May 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 27, 2011 Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8. https:/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47735/psn-pdf
    June 24, 2019 - The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. June 24, 2019 Boston, MA: Betsy Lehman Center for Patient Safety; June 2019. https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead- way-patient-safety The Betsy L…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49621/psn-pdf
    March 01, 2011 - Volume Too Low: In and Out March 1, 2011 Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/volume-too-low-and-out Case Objectives Appreciate that because of multiple factors, children are at high risk for medical errors. Describe the importance of weight-based dosing of…

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