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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44555/psn-pdfOctober 07, 2015 - Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. October 7, 2015 Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 2015;10(9):e0137158. doi:10.1371/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863758/psn-pdfMarch 06, 2024 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. March 6, 2024 Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024;20(1):7-15. doi:10.1097/pts.00000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74721/psn-pdfFebruary 02, 2022 - Hospital at Home: setting a regulatory course to ensure safe, high-quality care. February 2, 2022 DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high- quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/j.jcjq.2021.12.003. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44833/psn-pdfApril 22, 2016 - The contribution of sociotechnical factors to health information technology–related sentinel events. April 22, 2016 Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2016;42(2):70-76. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60564/psn-pdfJune 03, 2020 - Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? June 3, 2020 ISMP Medication Safety Alert! Acute Care Edition. May 22, 2020;25(10). https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low- dose-alerts Smart infusion … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47355/psn-pdfSeptember 05, 2018 - Preventing medication errors in the information age. September 5, 2018 Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56- 58. doi:10.1097/01.NURSE.0000544230.51598.38. https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age Failure to consider… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44759/psn-pdfMarch 02, 2016 - Using the medication error prioritization system to improve patient safety. March 2, 2016 Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. https://psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety The use of incid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43245/psn-pdfJune 18, 2014 - Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study. June 18, 2014 Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an ob… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73356/psn-pdfJune 02, 2021 - Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021 Silver Spring, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health. May 20, 2021. https://psnet.ahrq.gov/issue/testing-and-labeling-medical-d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43931/psn-pdfMarch 04, 2015 - Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. March 4, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 23, 2015. https://psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp- duode… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60007/psn-pdfMarch 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Horsham, PA: Institute for Safe Medication Practices; 2020. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion- pumps Smart pumps are widely available as a medicat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45912/psn-pdfMay 09, 2017 - Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. May 9, 2017 DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Pediatr Cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47139/psn-pdfAugust 01, 2018 - Board of pharmacy practices related to medication errors and their potential impact on patient safety. August 1, 2018 Degnan DD, Hertig JB, Peters MJ, et al. Board of Pharmacy Practices Related to Medication Errors and Their Potential Impact on Patient Safety. J Pharm Pract. 2018;31(3):312-321. doi:10.1177/0897190… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43385/psn-pdfAugust 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72486/psn-pdfNovember 18, 2020 - ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. November 18, 2020 ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. https://psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside- pharmacy Mistakes in … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42489/psn-pdfMay 19, 2014 - Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. May 19, 2014 Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. A… -
www.ahrq.gov/ncepcr/communities/pbrn/registry/opti-west-practice-based-research-network.htmlJanuary 01, 2012 - OPTI-West Practice-Based Research Network Status: Inactive Registered Date: January 1, 2012 PBRN Acronym: OPTI-WestNet PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Network Category: Established …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47396/psn-pdfJune 02, 2019 - What is new in paediatric medication safety? June 2, 2019 Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. https://psnet.ahrq.gov/issue/what-new-paediatric-medication-safety Pediatric patients are particularly vulnerable to… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46801/psn-pdfJuly 22, 2019 - Promising roles for pharmacists in addressing the U.S. opioid crisis. July 22, 2019 Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. https://psnet.ahrq.gov/issue/promising-roles-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34774/psn-pdfJune 02, 2010 - Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. June 2, 2010 Sharpe VA, Faden AI. Cambridge NY; Cambridge University Press; 1998. ISBN: 9780521634908 https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness An academic exploration…
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