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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46697/psn-pdf
    January 10, 2018 - Primary care providers' perspectives on errors of omission. January 10, 2018 Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. https://psnet.ahrq.gov/issue/primary-care-providers-perspectives…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38735/psn-pdf
    June 24, 2009 - Reflection and analysis of how pharmacy students learn to communicate about medication errors. June 24, 2009 Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399. https://psnet.ahrq.gov/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42642/psn-pdf
    October 09, 2013 - The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. October 9, 2013 Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over stud…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854992/psn-pdf
    November 01, 2023 - Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? November 1, 2023 Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. 2023;46(1):227. doi:10.1007/s1014…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48028/psn-pdf
    August 28, 2019 - Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019 Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636. https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process proble…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837695/psn-pdf
    July 20, 2022 - Narrowing the mindware gap in medicine. July 20, 2022 Croskerry P. Narrowing the mindware gap in medicine. Diagnosis (Berl). 2022;9(2):176-183. doi:10.1515/dx-2020-0128. https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine In dual process thinking, Type 1 decisions are made rapidly, but can result in diagn…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39710/psn-pdf
    July 28, 2010 - Repeat medication errors in nursing homes: contributing factors and their association with patient harm. July 28, 2010 Crespin DJ, Modi A, Wei D, et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmacother. 2010;8(3):258-70. doi:10.1016/…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44956/psn-pdf
    March 09, 2016 - Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. March 9, 2016 Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854382/psn-pdf
    October 11, 2023 - Battling alarm fatigue in the pediatric intensive care unit. October 11, 2023 Herrera H, Wood D. Battling alarm fatigue in the pediatric intensive care unit. Crit Care Nurs Clin North Am. 2023;35(3):347-355. doi:10.1016/j.cnc.2023.05.003. https://psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44994/psn-pdf
    October 11, 2017 - Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. October 11, 2017 Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. doi:10.1177/1062860616638413. ht…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46641/psn-pdf
    December 20, 2017 - A review of best practices for intravenous push medication administration. December 20, 2017 Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. https://psnet.ahrq.gov/issue/review-best-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60259/psn-pdf
    April 22, 2020 - Spikes in demand from coronavirus patients are creating shortages of asthma drugs and sedatives for ventilator patients. April 22, 2020 Rowland C, Slater J. Washington Post. April 12, 2020. https://psnet.ahrq.gov/issue/spikes-demand-coronavirus-patients-are-creating-shortages-asthma-drugs- and-sedatives Drug sho…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60631/psn-pdf
    June 24, 2020 - Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. June 24, 2020 Girion L, Levine D, Respaut R. Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. Reuters. 2020;June 9. https://psnet.ahrq.gov/issue/special-report-covid-deepens-other-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850356/psn-pdf
    June 14, 2023 - Prescribing errors in children: why they happen and how to prevent them. June 14, 2023 Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184013. https://psnet.ahrq.gov/issue/prescribing-errors-ch…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41358/psn-pdf
    July 06, 2012 - Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety. July 6, 2012 Arora S, Sevdalis N, Ahmed M, et al. Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness of patient safety. Surgery. 2012;152…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837517/psn-pdf
    June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44066/psn-pdf
    September 21, 2016 - Raising an alarm, doctors fight to yank hospital ICUs into the modern era. September 21, 2016 McFarling UL. STAT. September 7, 2016. https://psnet.ahrq.gov/issue/raising-alarm-doctors-fight-yank-hospital-icus-modern-era Intensive care units (ICUs) are complex environments that harbor various challenges to safe car…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43119/psn-pdf
    April 16, 2014 - Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. April 16, 2014 ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5. https://psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices This newsletter article reports results…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855436/psn-pdf
    November 15, 2023 - Medication Safety for Look-alike, Sound-alike Medicines. November 15, 2023 Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897. https://psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines Look-alike, sound-alike (LASA) medicines…
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