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  1. www.ahrq.gov/cpi/about/otherwebsites/safety-patient-healthcare-workers.html
    November 01, 2022 - HHS Announces Listening Session on Protecting the Safety of Patients and Healthcare Workers   The U.S. Department of Health and Human Services (HHS), including leaders from the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, the Centers for Medicare & Medicaid Ser…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60647/psn-pdf
    July 01, 2020 - Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. July 1, 2020 Public Health England. London, UK: Crown Copyright; 2020. https://psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups The COVID-19 pandemic has revealed weaknesses in health care systems worldwide that have af…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45705/psn-pdf
    January 23, 2017 - ASPEN Safe Practices for Enteral Nutrition Therapy. January 23, 2017 Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. https://psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therap…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40942/psn-pdf
    November 23, 2011 - Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. November 23, 2011 Prevention C for DC and. Vital signs: overdoses of prescription opioid pain relievers---United States, 1999-- 2008. MMWR Morb Mortal Wkly Rep. 2011;60(43):1487-92. https://psnet.ahrq.gov/issue/vital-signs-over…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41434/psn-pdf
    June 06, 2012 - ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. June 6, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88. doi:10.2146/ajhp…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43465/psn-pdf
    February 18, 2015 - Hospital Readmissions Reduction Program: implications for pharmacy. February 18, 2015 Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177. https://psnet.ahrq.gov/issue/hospital-readmissions-redu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44608/psn-pdf
    October 28, 2015 - Navigating risks in breast cancer diagnosis and treatment. October 28, 2015 Greenberg P, Ranum D, Siegal D. Patient Saf Qual Healthc. October 2015;12:18-20,22-24. https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment Patients diagnosed with breast cancer face complex health care proce…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45062/psn-pdf
    May 18, 2016 - Opioid Epidemic & Health IT May 18, 2016 Section 4. Health IT Playbook. Office of the National Coordinator for Health Information Technology. https://psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it Overdoses of opioid medications are considered an epidemic in the United States. This website provides ac…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46711/psn-pdf
    July 01, 2019 - The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. July 1, 2019 Washington, DC: America's Health Insurance Plans; 2019. https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety- and-reduced-risk Gu…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45270/psn-pdf
    June 29, 2016 - Using contemporary leadership skills in medication safety programs. June 29, 2016 Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338. https://psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medicatio…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37709/psn-pdf
    April 23, 2008 - Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. April 23, 2008 Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary care practices. Am J Geriatr Pharmacot…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47763/psn-pdf
    February 13, 2019 - Priorities for pediatric patient safety research. February 13, 2019 Hoffman JM, Keeling NJ, Forrest CB, et al. Priorities for Pediatric Patient Safety Research. Pediatrics. 2019;143(2). doi:10.1542/peds.2018-0496. https://psnet.ahrq.gov/issue/priorities-pediatric-patient-safety-research This study aimed to priorit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45866/psn-pdf
    March 08, 2017 - Medication safety in the neonatal intensive care unit: big measures for our smallest patients. March 8, 2017 Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.0000000000000230. https://psnet.ahrq.gov/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50921/psn-pdf
    February 19, 2020 - How chaos at chain pharmacies is putting patients at risk. February 19, 2020 Gabler E. New York Times. January 31, 2020. https://psnet.ahrq.gov/issue/how-chaos-chain-pharmacies-putting-patients-risk Pharmacists are instrumental to safe medication use in the ambulatory setting. This news story discusses f…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46298/psn-pdf
    October 18, 2017 - CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017 Kuang C. Fast Company. October 4, 2017. https://psnet.ahrq.gov/issue/cvs-taps-design-legend-reinvent-prescription-label-next-stop-pharmacy Complicated systems often require more than one change to improve their s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73295/psn-pdf
    May 19, 2021 - Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. May 19, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 4. 2021. https://psnet.ahrq.gov/issue/hospira-issu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855099/psn-pdf
    November 08, 2023 - Doctors wrestle with A.I. in patient care, citing lax oversight. November 8, 2023 Jewett C. New York Times. October 30, 2023 https://psnet.ahrq.gov/issue/doctors-wrestle-ai-patient-care-citing-lax-oversight US Food and Drug Administration regulation and review is noted as having gaps in process that can affect pa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43160/psn-pdf
    May 07, 2014 - Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. May 7, 2014 Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51. https://psnet.ahrq.gov/issue/patien…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46650/psn-pdf
    July 12, 2018 - Towards a more patient-centered approach to medication safety. July 12, 2018 Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…