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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43327/psn-pdf
    July 09, 2014 - Interprofessional learning for medication safety. July 9, 2014 Hardisty J, Scott L, Chandler S, et al. Interprofessional learning for medication safety. Clin Teach. 2014;11(4):290-6. doi:10.1111/tct.12148. https://psnet.ahrq.gov/issue/interprofessional-learning-medication-safety This commentary describes the devel…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41637/psn-pdf
    February 20, 2013 - Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. February 20, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 15, 2012. (Updated February 20, 2013) https://psnet.ahrq.gov/issue/codeine-us…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36661/psn-pdf
    March 22, 2010 - Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. March 22, 2010 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007. https://psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication- errors This …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840494/psn-pdf
    November 30, 2022 - Safety of anesthetic and perioperative medication practices. November 30, 2022 Meyer TA. Anesthesiology News. October 31, 2022. https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices Medication use in the surgical environment is complex and high-risk. This article describes steps tow…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35271/psn-pdf
    June 29, 2009 - Use of specific indicators to detect warfarin-related adverse events.   June 29, 2009 Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. https://psnet.ahrq.gov/issue/use-specific-indic…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35725/psn-pdf
    July 14, 2010 - Characteristics of medication errors made by students during the administration phase: a descriptive study. July 14, 2010 Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006;22(1):39-51. https://psnet.ahrq.gov…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44529/psn-pdf
    September 30, 2015 - Learning from no-fault treatment injury claims to improve the safety of older patients. September 30, 2015 Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. https://psnet.ahrq.gov/issue/learning-no-fault-treatment…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47049/psn-pdf
    July 10, 2019 - Injectable Opioid Shortages: Suggestions for Management and Conservation. July 10, 2019 University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation Efforts to limit the availabilit…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853250/psn-pdf
    September 06, 2023 - ‘The Retrievals’ reveals painful experiences of female patients are often ignored. September 6, 2023 Desjardins L. PBS NewsHour. August 29, 2023. https://psnet.ahrq.gov/issue/retrievals-reveals-painful-experiences-female-patients-are-often-ignored Disregard for women’s pain is a persistent problem in health care. …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45110/psn-pdf
    May 11, 2016 - Hospital discharge: it's one of the most dangerous periods for patients. May 11, 2016 Rau J. Washington Post. April 29, 2016. https://psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients Transitions in care between inpatient and outpatient settings are an increasing concern for patient s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43738/psn-pdf
    December 03, 2014 - Unverified patient-reported error: a false alarm can have real consequences. December 3, 2014 ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3. https://psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences Reviewing an incident involving a patient w…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41377/psn-pdf
    May 16, 2012 - What did the doctor say? Health literacy and recall of medical instructions. May 16, 2012 McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. https://psnet.ahrq.gov/issue/what-did-doctor-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34627/psn-pdf
    December 08, 2015 - Patient & Worker Safety. December 8, 2015 Association of periOperative Registered Nurses. https://psnet.ahrq.gov/issue/patient-worker-safety This site hosts a guideline collection as a part of the Association of PeriOperative Registered Nurses' (AORN) patient safety initiative targeting the needs of perioperative …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38795/psn-pdf
    April 08, 2011 - Cardiovascular medication errors in children. April 8, 2011 Alexander DC, Bundy DG, Shore AD, et al. Cardiovascular medication errors in children. Pediatrics. 2009;124(1):324-32. doi:10.1542/peds.2008-2073. https://psnet.ahrq.gov/issue/cardiovascular-medication-errors-children This study found that diuretics and a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43151/psn-pdf
    April 30, 2014 - Open for Better Care. April 30, 2014 Health Quality & Safety Commission New Zealand. https://psnet.ahrq.gov/issue/open-better-care This Web site hosts tools and resources associated with a national campaign to augment patient care. The initiative aims to build collaborative programs across New Zealand to reduce fa…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42174/psn-pdf
    May 15, 2013 - Strategies to reduce the risk of iatrogenic illness in complex older adults. May 15, 2013 Onder G, van der Cammen TJM, Petrovic M, et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing. 2013;42(3):284-91. doi:10.1093/ageing/aft038. https://psnet.ahrq.gov/issue/strategies-re…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43351/psn-pdf
    July 16, 2014 - Patient involvement in medication safety in hospital: an exploratory study. July 16, 2014 Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. https://psnet.ahrq.gov/issue/patient-in…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43540/psn-pdf
    July 18, 2016 - Physicians' practice of dispensing medicines: a qualitative study. July 18, 2016 Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. https://psnet.ahrq.gov/issue/physicians-practice-dispensing-m…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42591/psn-pdf
    July 16, 2015 - Underreporting of robotic surgery complications. July 16, 2015 Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036. https://psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications By cross-referencing court records a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39133/psn-pdf
    August 15, 2018 - 2009 John M. Eisenberg Patient Safety and Quality Awards. August 15, 2018 Jt Comm J Qual Patient Saf. 2009;35(9):583-603. https://psnet.ahrq.gov/issue/2009-john-m-eisenberg-patient-safety-and-quality-awards This special issue highlights the efforts of the 2009 Eisenberg Award honorees and their impact on improvin…