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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61075/psn-pdf
    October 28, 2020 - FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 13, 2020. https://psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen- packag…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46062/psn-pdf
    December 19, 2017 - Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. December 19, 2017 Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. Drug Saf. 2017;40(10):871-886. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47737/psn-pdf
    March 06, 2019 - Quality improvement and safety in pediatric emergency medicine. March 6, 2019 Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36829/psn-pdf
    March 28, 2011 - Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. March 28, 2011 Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system facto…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44172/psn-pdf
    September 28, 2016 - Preventing high-alert medication errors in hospital patients. September 28, 2016 Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients High-alert medications have the potential to cause serious patient harm. This article fo…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34811/psn-pdf
    March 28, 2005 - Medication error prevention by clinical pharmacists in two children's hospitals. March 28, 2005 Folli HL; Poole RL; Benitz WE; Russo JC https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals This prospective study recorded the rate and potential for harm caused by err…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838187/psn-pdf
    September 28, 2022 - Diagnostic delays in infectious diseases. September 28, 2022 Suneja M, Beekmann SE, Dhaliwal G, et al. Diagnostic delays in infectious diseases. Diagnosis (Berl). 2022;9(3):332-339. doi:10.1515/dx-2021-0092. https://psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases Delayed diagnosis of infectious diseases…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47963/psn-pdf
    June 02, 2019 - Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. June 2, 2019 Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;122(6):723-725. doi:10.1016/j.bja.2019.02…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843094/psn-pdf
    January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72763/psn-pdf
    February 17, 2021 - Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings. February 17, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021.    https://psnet.ahrq.gov/issue/apotex-corp-issues…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44259/psn-pdf
    April 01, 2024 - Training Program for Nurses on Shift Work and Long Work Hours. April 1, 2024 Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and He…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46354/psn-pdf
    November 21, 2017 - Controlled trial to improve resident sign-out in a medical intensive care unit. November 21, 2017 Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. https://psnet.ahrq.gov/issue/contr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45908/psn-pdf
    April 05, 2017 - Towards a framework for managing risk associated with technology-induced error. April 5, 2017 Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36529/psn-pdf
    August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46183/psn-pdf
    July 12, 2017 - Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. July 12, 2017 Boston, MA: CRICO Strategies; 2017. https://psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report Medication errors are a persistent challenge in health care that can occur a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855438/psn-pdf
    November 15, 2023 - Intravenous (IV) push medications – bridging the gap between education and clinical practice. November 15, 2023 ISMP Medication Safety Alert! Acute Care. November 2, 2023;28(22):1-4. https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical- practice Intravenous…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38534/psn-pdf
    January 31, 2013 - Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. January 31, 2013 Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):1276-8. doi:10.1001/jama.2009.398. https…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46938/psn-pdf
    April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse practitioners. April 25, 2018 Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03. https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47271/psn-pdf
    August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…