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2161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42648/psn-pdf
      October 09, 2013 - The cost of poor blood specimen quality and errors in preanalytical processes. October 9, 2013 Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001. https://psnet.ahrq.gov/issue/cost-poor-blood-specimen-q…

2162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47678/psn-pdf
      December 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand and improve patient safety and covers topics such as the epidemiology of error, its impact on the individuals involved, …

2163. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45047/psn-pdf
      April 13, 2016 - Is misdiagnosis inevitable? April 13, 2016 Page L. Medscape Business of Medicine. March 28, 2016. https://psnet.ahrq.gov/issue/misdiagnosis-inevitable This news article reports on the prevalence of diagnostic error and describes characteristics that contribute to the problem, including insufficient clinician famil…

2164. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41758/psn-pdf
      October 10, 2012 - The Broselow tape as an effective medication dosing instrument: a review of the literature. October 10, 2012 Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.pedn.2012.04.009. https://psnet.ah…

2165. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49785/psn-pdf
      February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…

2166. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49394/psn-pdf
      April 01, 2003 - Premature or Overdue? April 1, 2003 Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/premature-or-overdue The Case A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history was unremarkable, and results of her prenatal …

2167. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
      psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
      February 01, 2014 - Interruptions and Distractions in Health Care: Improved Safety With Mindfulness Suzanne Beyea, RN, PhD | February 1, 2014  Also Read the Conversations In Conversation With… Enrico Coiera, MB, BS, PhD In Conversation With… Richard Kronick, PhD View more …

2168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47348/psn-pdf
      September 05, 2018 - Hospital-Acquired Condition Reduction Program (HACRP). September 5, 2018 QualityNet. Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program Eliminating hospital-acquired harm requires policy, organizational, and individual approaches to motivate …

2169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40642/psn-pdf
      July 27, 2011 - Prevalence of adverse drug events in ambulatory care: a systematic review. July 27, 2011 Taché S, Sönnichsen A, Ashcroft DM. Prevalence of adverse drug events in ambulatory care: a systematic review. Ann Pharmacother. 2011;45(7-8):977-89. doi:10.1345/aph.1P627. https://psnet.ahrq.gov/issue/prevalence-adverse-drug-…

2170. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43215/psn-pdf
      May 28, 2014 - When medical students make errors. May 28, 2014 https://psnet.ahrq.gov/issue/when-medical-students-make-errors This newspaper article highlights the need for medical students to be educated about how to disclose errors to patients and families when mistakes occur, even if the patient was not harmed. https://psnet.…

2171. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40416/psn-pdf
      June 27, 2018 - Reducing alarm hazards: selection and implementation of alarm notification systems. June 27, 2018 Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17. https://psnet.ahrq.gov/issue/reducing-alarm-hazards-selection-and-implementation-alarm-notification- systems Highlighting dangers presented by al…

2172. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39991/psn-pdf
      November 02, 2011 - Measuring the cost of hospital adverse patient safety events. November 2, 2011 Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680. https://psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events This analysis o…

2173. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39783/psn-pdf
      August 25, 2010 - Ethics, oversight and quality improvement initiatives. August 25, 2010 Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034. https://psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initia…

2174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37533/psn-pdf
      April 22, 2011 - Systematic evaluation of errors occurring during the preparation of intravenous medication. April 22, 2011 Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743. https://psnet.ahrq.gov/issue/sys…