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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44894/psn-pdf
    March 16, 2016 - An observational study of adult admissions to a medical ICU due to adverse drug events. March 16, 2016 Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s13613-016-0109-9. https://psnet.ah…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43395/psn-pdf
    July 30, 2014 - The current and ideal state of anatomic pathology patient safety. July 30, 2014 Raab SS. The current and ideal state of anatomic pathology patient safety. MLO Med Lab Obs. 2014;46(6):8-10. https://psnet.ahrq.gov/issue/current-and-ideal-state-anatomic-pathology-patient-safety This commentary illustrates the proces…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865682/psn-pdf
    April 24, 2024 - Global Medical Supply Chain Security. April 24, 2024 Cadwallader AB, ed. AMA J Ethics. 2024;26(4):e275-e359. https://psnet.ahrq.gov/issue/global-medical-supply-chain-security Drug shortages are a known problem that gained patient safety prominence during the COVID-19 pandemic. This special issue covers a rang…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74128/psn-pdf
    December 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60566/psn-pdf
    June 03, 2020 - Fear of Covid-19 leads other patients to decline critical treatment. June 3, 2020 Hafner K. Fear of Covid-19 leads other patients to decline critical treatment. New York Times. 2020;May 25. https://psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment The uncertainties surrounding cor…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60999/psn-pdf
    October 07, 2020 - Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. October 7, 2020 Geneva, Switzerland; World Health Organization: September 2020. ISBN 9789240010789. https://psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73450/psn-pdf
    June 30, 2021 - Decision Making in Emergency Medicine: Biases, Errors and Solutions. June 30, 2021 Raz M, Pouryahya P, eds. Singapore; Springer Nature Singapore Pte Ltd; 2021. ISBN 9789811601422. https://psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions Decision making is vulnerable to huma…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50666/psn-pdf
    November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use- non-profile…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42962/psn-pdf
    September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. September 7, 2016 Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14- 194. https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43095/psn-pdf
    April 09, 2014 - Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. April 9, 2014 White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. J Oncol Pharm Pract. 2014;20(1…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45986/psn-pdf
    March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46831/psn-pdf
    April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38356/psn-pdf
    January 21, 2009 - Oxytocin as a high-alert medication: implications for perinatal patient safety. January 21, 2009 Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859.62828.ee. https://psnet.ahrq.gov…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45454/psn-pdf
    September 04, 2016 - Headline-grabbing study brings attention back to medical errors. September 4, 2016 Abbasi J. Headline-Grabbing Study Brings Attention Back to Medical Errors. JAMA. 2016;316(7):698-700. doi:10.1001/jama.2016.8073. https://psnet.ahrq.gov/issue/headline-grabbing-study-brings-attention-back-medical-errors The presenc…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42643/psn-pdf
    October 09, 2013 - FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety?emphasizing that accidental exposure to used patches can cause death. October 9, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 23, 2013. https://psnet.ahrq.gov/issue/fda-requiring-color-change…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42896/psn-pdf
    February 23, 2015 - Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. February 23, 2015 Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J Oncol Pharm Pract. 2015;21(1):10-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47809/psn-pdf
    April 03, 2019 - What's in a name? Provider perception of injured John Doe patients. April 3, 2019 Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. https://psnet.ahrq.gov/issue/whats-name-provider-perception-injured-…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46876/psn-pdf
    August 15, 2018 - Design for patient safety: a systems-based risk identification framework. August 15, 2018 Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10.1080/00140139.2018.1437224. https://psnet.ahrq.gov/issue/design-patient-sa…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73585/psn-pdf
    August 11, 2021 - Breast cancer screening and overdiagnosis. August 11, 2021 Bulliard J?L, Beau A?B, Njor S, et al. Breast cancer screening and overdiagnosis. Int J Cancer. 2021;149(4):846-853. doi:10.1002/ijc.33602. https://psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis Overdiagnosis of breast cancer and the result…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34702/psn-pdf
    December 23, 2008 - Increase in US medication-error deaths between 1983 and 1993. December 23, 2008 Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4. https://psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993 In this research…
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