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psnet.ahrq.gov/node/854266/psn-pdf
October 04, 2023 - Smart Healthcare Safety.
October 4, 2023
Plymouth Meeting PA, ECRI. 2019-2023.
https://psnet.ahrq.gov/issue/smart-healthcare-safety
A wide variety of considerations must converge to inform an understanding of system vulnerabilities and
the application of strategies to address them. This series of webinars covers a…
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psnet.ahrq.gov/node/844753/psn-pdf
September 18, 2019 - Detecting medication administration errors.
September 18, 2019
Durham ML, Jankiewicz A. Detecting Medication Administration Errors. J Patient Saf. 2019;15(3):181-183.
doi:10.1097/PTS.0000000000000384.
https://psnet.ahrq.gov/issue/detecting-medication-administration-errors
Considerable effort has been devoted to op…
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Telehealth and Patient Safety.
December 14, 2022
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
Background
In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications
techno…
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psnet.ahrq.gov/node/35303/psn-pdf
July 14, 2009 - Sedation and patient safety.
July 14, 2009
Simmons D. Sedation and Patient Safety. Crit Care Nurs Clin North Am. 2007;17(3).
doi:10.1016/j.ccell.2005.04.009.
https://psnet.ahrq.gov/issue/sedation-and-patient-safety
The author uses a classification model to outline anesthetic safety considerations.
https://psnet.a…
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psnet.ahrq.gov/node/866524/psn-pdf
August 14, 2024 - Generative artificial intelligence, patient safety and
healthcare quality: a review.
August 14, 2024
Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf.
2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690.
https://psnet.ahrq.gov/issue/generative-artificial-i…
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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…
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psnet.ahrq.gov/node/74249/psn-pdf
January 12, 2022 - Medication safety issues with newly authorized
PAXLOVID.
January 12, 2022
Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022.
https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
Emerging care practices can produce unsafe situations due to the newness…
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psnet.ahrq.gov/node/61025/psn-pdf
October 14, 2020 - COVID-19 pandemic and the tension between the need to
act and the need to know.
October 14, 2020
Scott IA. COVID-19 pandemic and the tension between the need to act and the need to know. Intern Med
J. 2020;50(8):904-909. doi:10.1111/imj.14929.
https://psnet.ahrq.gov/issue/covid-19-pandemic-and-tension-between-need…
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psnet.ahrq.gov/node/841774/psn-pdf
December 21, 2022 - The prosecution of RaDonda Vaught: an ethical and legal
mistake.
December 21, 2022
Vogelstein E. The prosecution of RaDonda Vaught: An ethical and legal mistake. Nurs Forum.
2022;57(6):1571-1574. doi:10.1111/nuf.12838.
https://psnet.ahrq.gov/issue/prosecution-radonda-vaught-ethical-and-legal-mistake
The criminal …
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psnet.ahrq.gov/node/845653/psn-pdf
March 08, 2023 - Examples of Medical Device Misconnections.
March 8, 2023
Food and Drug Administration. February 23. 2023.
https://psnet.ahrq.gov/issue/examples-medical-device-misconnections
Mismatches of medical device connectors are known factors in therapeutic agent administration failures,
despite efforts to redesign equipment…
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - /#8
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#8
Approaches to Improving Patient Safety
Consideration … Consideration of the patient’s history and abdominal anatomy are crucial in determining the safest
entry
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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - Safety Considerations in Building a Point-of-Care
Ultrasound Program
June 1, 2018
Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
Perspective
At the American Colle…
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psnet.ahrq.gov/node/860397/psn-pdf
January 10, 2024 - MRI safety: prepare for new guidance.
January 10, 2024
Gilk T. Appl Radiol. 2023;52(6):24-26.
https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital
and ambulatory scanning environments. This article …
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psnet.ahrq.gov/node/867639/psn-pdf
February 26, 2025 - Framing diagnostic error: an epidemiological perspective.
February 26, 2025
Hunter MK, Singareddy C, Mundt KA. Framing diagnostic error: an epidemiological perspective. Front
Public Health. 2024;12:1479750. doi:10.3389/fpubh.2024.1479750.
https://psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspec…
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psnet.ahrq.gov/node/838027/psn-pdf
September 07, 2022 - Advancing Anticoagulation Stewardship: A Playbook.
September 7, 2022
Washington DC; National Quality Forum and Anticoagulation Forum; 2022.
https://psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
Warfarin and other anticoagulants are high-alert medications that, if errors occur in their use, can…
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psnet.ahrq.gov/node/60356/psn-pdf
May 20, 2020 - How the pandemic is reshaping hospital architecture and
design.
May 20, 2020
Booker C. PBSNewshour Weekend. May 10, 2020.
https://psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design
Built environment characteristics can contribute to the spread of infection. This news segment discusses
de…
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psnet.ahrq.gov/node/865718/psn-pdf
May 01, 2024 - Calculating the cost of medication errors: a systematic
review of approaches and cost variables.
May 1, 2024
Ranasinghe S, Nadeshkumar A, Senadheera S, et al. Calculating the cost of medication errors: a
systematic review of approaches and cost variables. BMJ Open Qual. 2024;13(2):e002570.
doi:10.1136/bmjoq-2023-0…
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psnet.ahrq.gov/node/866522/psn-pdf
August 14, 2024 - Artificial intelligence in anesthetic care: a survey of
physician anesthesiologists.
August 14, 2024
Estrada Alamo CE, Diatta F, Monsell SE, et al. Artificial intelligence in anesthetic care: a survey of
physician anesthesiologists. Anesth Analg. 2024;138(5):938-950. doi:10.1213/ane.0000000000006752.
https://psnet…
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psnet.ahrq.gov/node/852804/psn-pdf
August 23, 2023 - Five new ways to advance diagnostic safety in your
clinical practice.
August 23, 2023
Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16.
https://psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
Diagnostic errors are common in the ambulatory environment.…
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psnet.ahrq.gov/node/50600/psn-pdf
October 30, 2019 - HHS Guide for Clinicians on the Appropriate Dosage
Reduction or Discontinuation of Long-Term Opioid
Analgesics.
October 30, 2019
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid
Analgesics. Washington DC: US Department of Health and Human Services. October 2019.
…