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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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/…
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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-…
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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…
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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…
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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…
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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…
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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…
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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…