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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46382/psn-pdf
    December 19, 2017 - Medication errors and trainees: advice for learners and organizations. December 19, 2017 Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. https://psnet.ahrq.gov/issue/medication-errors-and…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37746/psn-pdf
    May 14, 2008 - Reducing preventable medication safety events by recognizing renal risk. May 14, 2008 Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f. https://psnet.ahrq.gov/issue/red…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74735/psn-pdf
    February 02, 2022 - Addressing intimate partner violence and helping to protect patients. February 2, 2022 Quick Safety. January 18, 2022(63):1-3. https://psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients Patients may not always reveal underlying causes of ill health such as alcohol and drug misus…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47025/psn-pdf
    April 11, 2018 - Chemotherapy medication errors. April 11, 2018 Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. https://psnet.ahrq.gov/issue/chemotherapy-medication-errors Chemotherapy errors can result in serious patient harm. This revi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46469/psn-pdf
    October 25, 2017 - RxAwareness. October 25, 2017 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/rxawareness The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46477/psn-pdf
    January 08, 2018 - The iatrogenic potential of the physician's words. January 8, 2018 Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216. https://psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words Inadequate information sharing between physicians and patien…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47710/psn-pdf
    May 11, 2019 - Evaluation of an electronic dosing calculator to reduce pediatric medication errors. May 11, 2019 Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/0009922818821871. https://psnet.ahrq.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43734/psn-pdf
    January 21, 2015 - Explicit and Standardized Prescription Medicine Instructions. January 21, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions Standardization has been embraced as a strategy to improve health litera…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43985/psn-pdf
    December 06, 2017 - Development of a medication safety and quality survey for small rural hospitals. December 6, 2017 Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154. https://psnet.ahrq.go…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37457/psn-pdf
    February 15, 2011 - Benefits of direct observation in medication administration to detect errors. February 15, 2011 Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3. https://psnet.ahrq.gov/issue/be…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37839/psn-pdf
    April 22, 2011 - Incidence, severity and preventability of medication- related visits to the emergency department: a prospective study. April 22, 2011 Zed PJ, Abu-Laban RB, Balen RM, et al. Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study. CMAJ. 2008;178(12):1563-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41880/psn-pdf
    January 08, 2014 - DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. January 8, 2014 Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13- 26.   https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transit…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47466/psn-pdf
    October 17, 2018 - ASHP guidelines on preventing medication errors in hospitals. October 17, 2018 Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Pharm. 2018;75(19):1493-1517. doi:10.2146/ajhp170811. https://psnet.ahrq.gov/issue/ashp-guidelines-preven…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41820/psn-pdf
    November 07, 2012 - Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. November 7, 2012 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 25, 2012. https://psnet.ahrq.gov/issue/serious-adverse-events-accidental-ingestion-children-over-counter-ey…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43833/psn-pdf
    February 04, 2015 - Sterile compounding: clinical, legal, and regulatory implications for patient safety. February 4, 2015 Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191. https://psnet.ahrq.gov/issue/ster…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40160/psn-pdf
    January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. January 19, 2011 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011. https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46095/psn-pdf
    April 26, 2017 - Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. April 26, 2017 Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376. https://psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient- safety This book provides information o…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36736/psn-pdf
    March 21, 2012 - FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. March 21, 2012 Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1, 2007. https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42622/psn-pdf
    October 02, 2013 - Effect of barcode-assisted medication administration on emergency department medication errors. October 2, 2013 Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6. doi:10.1111/acem.12189. https://…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38469/psn-pdf
    March 11, 2009 - Post-discharge medication reviews for patients with heart failure: a pilot study. March 11, 2009 Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-9230-7. https://psnet.ahrq.gov/issue/po…
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