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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39360/psn-pdfMarch 17, 2010 - Medical error reduction and tort reform through private contractually-based quality medicine societies. March 17, 2010 MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):505-61. https://psnet.ahrq.gov/issue/medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853971/psn-pdfSeptember 27, 2023 - Unconscious bias among health professionals: a scoping review. September 27, 2023 Meidert U, Dönnges G, Bucher T, et al. Unconscious bias among health professionals: a scoping review. Int J Environ Res Public Health. 2023;20(16):6569. doi:10.3390/ijerph20166569. https://psnet.ahrq.gov/issue/unconscious-bias-among-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60153/psn-pdfMarch 25, 2020 - A protocol for the safe use of hazardous drugs in the OR. March 25, 2020 Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960. https://psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or Perioperative personnel often ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60192/psn-pdfApril 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43033/psn-pdfMarch 12, 2014 - Current challenges and future perspectives for patient safety in surgery. March 12, 2014 Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9. https://psnet.ahrq.gov/issue/current-challenges-and-future-pe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46701/psn-pdfDecember 20, 2017 - The other big drug problem: older people taking too many pills. December 20, 2017 Boodman SG. Washington Post. December 9, 2017. https://psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills The prevalence of polypharmacy among older patients represents an important concern for health care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42031/psn-pdfFebruary 06, 2013 - Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. February 6, 2013 Ilgen JS, Humbert AJ, Kuhn G, et al. Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. Acad Emerg Med. 2012;19(12):1454-61. doi:10.1111/acem.1203… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37661/psn-pdfJune 12, 2008 - Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. June 12, 2008 Pastakia SD, Corbett AH, Raasch RH, et al. Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. Ann Pharmacother. 2008;42(4):491-7. doi:10.1345/aph.1K547. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46366/psn-pdfSeptember 27, 2017 - Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. September 27, 2017 Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03.009. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42763/psn-pdfMay 29, 2014 - Economic evaluation of the impact of medication errors reported by US clinical pharmacists. May 29, 2014 Samp JC, Touchette DR, Marinac JS, et al. Economic evaluation of the impact of medication errors reported by U.S. clinical pharmacists. Pharmacotherapy. 2014;34(4):350-7. doi:10.1002/phar.1370. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74100/psn-pdfNovember 24, 2021 - Pediatric medication errors and reduction strategies in the perioperative period. November 24, 2021 Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324. https://psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period Pediatric medication errors during anesthesia … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47342/psn-pdfAugust 22, 2018 - The doctor doesn't listen to her. But the media is starting to. August 22, 2018 Fetters A. The Atlantic. August 10, 2018. https://psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting Women face implicit bias that can affect the safety and effectiveness of their care. Reviewing several high- profile accoun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45930/psn-pdfApril 26, 2017 - A boy's life is lost to sepsis. Thousands are saved in his wake. April 26, 2017 Dwyer J. New York Times. April 13, 2017. https://psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake Stories of patient harm due to medical mistakes can serve as catalysts for organizational improvement. This newsp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45756/psn-pdfDecember 21, 2016 - Accidental IV infusion of heparinized irrigation in the OR. December 21, 2016 ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. https://psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or Accidental administration of irrigation solutions are a wrong-route error that can re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47513/psn-pdfOctober 24, 2021 - Measurement and Monitoring of Safety Framework October 24, 2021 Healthcare Excellence Canada. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply a framework fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72583/psn-pdfDecember 16, 2020 - Wear face masks with no metal during MRI exams. December 16, 2020 FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. https://psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams Magnetic resonance imaging (MRI) requires patient prep… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47781/psn-pdfFebruary 27, 2019 - Medicine Safety: Take Care. February 27, 2019 Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019. https://psnet.ahrq.gov/issue/medicine-safety-take-care Analyzing the evidence on medication errors in Australia, this report estimates the incidence of acute care ad… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73594/psn-pdfAugust 11, 2021 - 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. August 11, 2021 Renault M. STAT. July 28, 2021. https://psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients- best-care Care and safety concerns for patients, fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46630/psn-pdfNovember 15, 2017 - Patient Safety in the Office-Based Practice Setting. November 15, 2017 Philadelphia, PA: American College of Physicians; 2017. https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting Patient safety in the ambulatory setting is gaining traction as a focus for research, intervention, and policy. Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47803/psn-pdfOctober 07, 2021 - Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. October 7, 2021 US Food and Drug Administration. October 7, 2021. https://psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples Errors of commission during complex procedures can contribute to patient har…
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