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  1. psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
    March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Improving Error Reporting in Ambulatory Pediatrics with a Team Approach Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA Abstract Objective: We aimed to determine the effectiveness of team-based reporting, system…
  3. www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/low-dose-aspirin-use-for-the-prevention-of-morbidity-and-mortality-from-preeclampsia-preventive-medication
    September 28, 2021 - Administration released a safety drug communication warning that the use of nonsteroidal anti-inflammatory drugs
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44305/psn-pdf
    January 22, 2016 - National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. January 22, 2016 Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and After Accreditation Council for Gra…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45156/psn-pdf
    June 22, 2017 - Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. June 22, 2017 Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551. doi:10.1136/bmjqs-2015-005149. h…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844537/psn-pdf
    February 15, 2023 - Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. February 15, 2023 Maierhofer CN, Ranapurwala SI, DiPrete BL, et a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47578/psn-pdf
    November 28, 2018 - Identifying electronic health record usability and safety challenges in pediatric settings. November 28, 2018 Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings. Health Aff (Millwood). 2018;37(11):1752-1759. doi:10.1377/hlthaff.2018.0699. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46074/psn-pdf
    December 22, 2017 - A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. December 22, 2017 Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration errors from original medication pa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39139/psn-pdf
    June 02, 2010 - Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. June 2, 2010 Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. https://psnet.ahrq.gov/issue/assessing-res…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44374/psn-pdf
    August 12, 2015 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37. doi:10.21…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45976/psn-pdf
    December 21, 2017 - Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. December 21, 2017 Stockton KR, Wickham ME, Lai S, et al. Incidence of clinically relevant medication errors in the era of electronically prepopulated medicatio…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. December 7, 2017 Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47152/psn-pdf
    October 12, 2018 - A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. October 12, 2018 Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. Simul Healthc. 2018;13(5):324-330…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45207/psn-pdf
    August 17, 2016 - Unit-based incident reporting and root cause analysis: variation at three hospital unit types. August 17, 2016 Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/bmjopen-2016-011277. https://psn…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39583/psn-pdf
    October 30, 2010 - The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. October 30, 2010 Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Saf Health Care. 2010;19(5):440-5. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46612/psn-pdf
    February 22, 2018 - Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. February 22, 2018 Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance in care of patients with acute …
  18. psnet.ahrq.gov/issue/dangerous-infections-are-more-likely-pediatric-intensive-care-units
    December 18, 2019 - Newspaper/Magazine Article Dangerous infections are more likely in pediatric intensive-care units. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 15, 2012 Consumer Re…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43016/psn-pdf
    May 28, 2014 - Identification of serious and reportable events in home care: a Delphi survey to develop consensus. May 28, 2014 Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47603/psn-pdf
    March 20, 2019 - Electronic patient identification for sample labeling reduces wrong blood in tube errors. March 20, 2019 Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfusion (Paris). 2019;59(3):972-980. doi:10.1111/trf.15102. https://psnet.ahrq.g…