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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. 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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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 …
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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 ConsiderationConsideration of the patient’s history and abdominal anatomy are crucial in determining the safest entry
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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 …
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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.…
  20. Psn-Pdf (pdf file)

    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. …

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