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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865483/psn-pdf
    April 03, 2024 - Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. April 3, 2024 Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process and potential solutions to increase…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36852/psn-pdf
    August 29, 2011 - Medication errors among acutely ill and injured children treated in rural emergency departments. August 29, 2011 Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 367.e1-2. https://psnet.ahrq.gov/iss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45446/psn-pdf
    November 16, 2016 - Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. November 16, 2016 Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ Open. 2016;6(9):e012555. doi:10…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37891/psn-pdf
    June 09, 2011 - Classifying and predicting errors of inpatient medication reconciliation. June 9, 2011 Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. https://psnet.ahrq.gov/issue/classifying-and-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37655/psn-pdf
    September 24, 2010 - Reducing anticoagulant medication adverse events and avoidable patient harm. September 24, 2010 Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. https://psnet.ahrq.gov/issue/reducing-anticoagulant…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43626/psn-pdf
    November 05, 2014 - Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. November 5, 2014 Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Health Care Manag Rev…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47346/psn-pdf
    February 22, 2019 - The prevalence of dose errors among paediatric patients in hospital wards with and without health information technology: a systematic review and meta-analysis. February 22, 2019 Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in Hospital Wards with and without Heal…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838633/psn-pdf
    October 19, 2022 - ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. October 19, 2022 Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce—2021. Am J Health Syst Pharm. 2022;79(18):1531-1550. doi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46134/psn-pdf
    September 24, 2017 - Sources of unsafe primary care for older adults: a mixed- methods analysis of patient safety incident reports. September 24, 2017 Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855084/psn-pdf
    November 08, 2023 - Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. November 8, 2023 Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high- performance triggers for identifying patient safety incidents with harm in …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60194/psn-pdf
    April 01, 2020 - Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. April 1, 2020 Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5. http…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44970/psn-pdf
    May 09, 2017 - Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. May 9, 2017 Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.2015.7786. https://psnet.ahrq.gov/issue…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37849/psn-pdf
    March 23, 2011 - The incidence and nature of in-hospital adverse events: a systematic review. March 23, 2011 de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622. https://psnet.ahrq.gov/is…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37875/psn-pdf
    July 08, 2008 - Impact of adverse events on outcomes in intensive care unit patients. July 8, 2008 Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients. Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c. https://psnet.ahrq.gov/issue/impact-adverse-events-o…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854384/psn-pdf
    January 01, 2024 - Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. October 11, 2023 Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Int J Clin Ph…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844764/psn-pdf
    September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. September 11, 2019 ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24. https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection- practices Mistakes i…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40841/psn-pdf
    October 16, 2012 - How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. October 16, 2012 Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med Care. 2011;49(12):1068-75. doi:10.1097/MLR.0b013e31822efb09. https…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836984/psn-pdf
    April 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. April 27, 2022 Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47127/psn-pdf
    June 05, 2018 - Incorporating medication indications into the prescribing process. June 5, 2018 Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346. https://psnet.ahrq.gov/issue/incorporating-medication-indications-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847046/psn-pdf
    April 05, 2023 - Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review an…