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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43190/psn-pdf
    September 04, 2015 - Pediatric obesity and safety in inpatient settings: a systematic literature review. September 4, 2015 Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406. https://psnet.ahrq.gov…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46529/psn-pdf
    November 08, 2017 - Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. November 8, 2017 Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210. doi:10.10…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41898/psn-pdf
    December 05, 2012 - Pharmacy dispensing of electronically discontinued medications. December 5, 2012 Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865973/psn-pdf
    May 29, 2024 - Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. May 29, 2024 Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing letters and cognitive, behavioral…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42836/psn-pdf
    January 08, 2014 - Comparison of medication safety effectiveness among nine critical access hospitals. January 8, 2014 Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. https://psnet.ahrq.gov/issue/comparis…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851914/psn-pdf
    August 02, 2023 - Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. August 2, 2023 Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. Diabetes Tec…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45174/psn-pdf
    November 18, 2016 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. November 18, 2016 Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46431/psn-pdf
    November 22, 2017 - Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. November 22, 2017 Washington, DC: United States Government Accountability Office; October 2017. Publication GAO-18-15. https://psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk- …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862991/psn-pdf
    February 21, 2024 - Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. February 21, 2024 Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incide…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37923/psn-pdf
    July 23, 2008 - Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. July 23, 2008 Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260. doi:10.2146/ajhp0…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40539/psn-pdf
    June 22, 2011 - Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. June 22, 2011 Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. J Am Geriatr Soc. 2011;59(6):1060…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38454/psn-pdf
    January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. January 2, 2017 Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45. https://psn…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40304/psn-pdf
    March 23, 2011 - Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. March 23, 2011 Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42123/psn-pdf
    June 18, 2013 - On higher ground: ethical reasoning and its relationship with error disclosure. June 18, 2013 Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. https://psnet.ahrq.gov/issue/higher-ground-ethical-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74126/psn-pdf
    December 01, 2021 - Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. December 1, 2021 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncont…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842416/psn-pdf
    January 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023 Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41847/psn-pdf
    November 28, 2012 - Improving organizational climate for quality and quality of care: does membership in a collaborative help? November 28, 2012 Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82. doi:10.1…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37446/psn-pdf
    January 06, 2017 - How useful are voluntary medication error reports? The case of warfarin-related medication errors. January 6, 2017 Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45. https://psnet.ahrq.g…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45773/psn-pdf
    January 11, 2017 - Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. January 11, 2017 Weiss AJ, Elixhauser A, Barrett ML, Steiner CA, Bailey MK, O'Malley L. HCUP Statistical Brief #219. Rockville, MD: Agency for Healthcare Research and Quality; December 2016. https://psnet.ahrq.gov/issue/opioid-rela…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44609/psn-pdf
    June 21, 2016 - The missing evidence: a systematic review of patients' experiences of adverse events in health care. June 21, 2016 Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in health care. Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc…