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psnet.ahrq.gov/node/45469/psn-pdf
January 18, 2017 - Tamper-resistant drugs cannot solve the opioid crisis.
January 18, 2017
Leece P, Orkin AM, Kahan M. Tamper-resistant drugs cannot solve the opioid crisis. CMAJ.
2015;187(10):717-718. doi:10.1503/cmaj.150329.
https://psnet.ahrq.gov/issue/tamper-resistant-drugs-cannot-solve-opioid-crisis
Health care organizations ha…
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psnet.ahrq.gov/node/46776/psn-pdf
February 28, 2018 - Older adults' awareness of deprescribing: a population-
based survey.
February 28, 2018
Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am
Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079.
https://psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-pop…
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psnet.ahrq.gov/node/44989/psn-pdf
July 01, 2016 - Can medical record reviewers reliably identify errors and
adverse events in the ED?
July 1, 2016
Klasco RS, Wolfe RE, Lee T, et al. Can medical record reviewers reliably identify errors and adverse
events in the ED? Am J Emerg Med. 2016;34(6):1043-8. doi:10.1016/j.ajem.2016.03.001.
https://psnet.ahrq.gov/issue/can…
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psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue'
spreads through medicine.
September 1, 2016
Luthra S. Kaiser Health News. June 15, 2016.
https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
Alert fatigue is known to contribute to medical error. This news article…
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psnet.ahrq.gov/node/46510/psn-pdf
January 01, 2019 - Pediatric weight errors and resultant medication dosing
errors in the emergency department.
November 22, 2017
Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in
the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642.
doi:10.1097/PEC.0000000000001277.
…
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psnet.ahrq.gov/node/867144/psn-pdf
November 13, 2024 - Life of the Mother. How Abortion Bans Lead to
Preventable Deaths.
November 13, 2024
Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths.
ProPublica. 2024:September - November 2024.
https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deat…
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psnet.ahrq.gov/node/47122/psn-pdf
June 13, 2018 - Intravenous chemotherapy compounding errors in a
follow-up pan-Canadian observational study.
June 13, 2018
Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up
Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007.
https://psne…
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psnet.ahrq.gov/node/73295/psn-pdf
May 19, 2021 - Hospira issues a voluntary nationwide recall for one lot of
0.5% Bupivacaine Hydrochloride Injection, USP and one
lot of 1% Lidocaine HCl Injection, USP due to mislabeling.
May 19, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 4. 2021.
https://psnet.ahrq.gov/issue/hospira-issu…
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psnet.ahrq.gov/node/838030/psn-pdf
September 07, 2022 - Rethinking use of air-safety principles to reduce fatal
hospital errors.
September 7, 2022
Rethinking use of air-safety principles to reduce fatal hospital errors.
doi:10.1377/forefront.20220824.965364.
https://psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors
The safety of co…
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psnet.ahrq.gov/node/44417/psn-pdf
January 25, 2016 - Health information exchange in emergency medicine.
January 25, 2016
Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg
Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018.
https://psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine
Insuffi…
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psnet.ahrq.gov/node/47958/psn-pdf
June 26, 2019 - Patient safety professionals as the third victims of
adverse events.
June 26, 2019
Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk
Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914.
https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…
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psnet.ahrq.gov/node/850177/psn-pdf
June 07, 2023 - As cancer drug shortages grow, some doctors are forced
to ration doses or delay care.
June 7, 2023
Kopf M, Beck C. NBC News. May 26, 2023.
https://psnet.ahrq.gov/issue/cancer-drug-shortages-grow-some-doctors-are-forced-ration-doses-or-delay-
care
Lack of access to appropriate cancer medications can be partic…
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psnet.ahrq.gov/node/73541/psn-pdf
July 28, 2021 - Misdiagnosis of heart failure: a systematic review of the
literature.
July 28, 2021
Wong CW, Tafuro J, Azam Z, et al. Misdiagnosis of heart failure: a systematic review of the literature. J
Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014.
https://psnet.ahrq.gov/issue/misdiagnosis-heart-fail…
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psnet.ahrq.gov/node/74046/psn-pdf
January 01, 2022 - Racial disparities in child abuse medicine.
November 3, 2021
Rosenthal CM, Parker DM, Thompson LA. Racial disparities in child abuse medicine. JAMA Pediatr.
2022;176(2):119-120. doi:10.1001/jamapediatrics.2021.3601.
https://psnet.ahrq.gov/issue/racial-disparities-child-abuse-medicine
The care of child abuse victim…
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psnet.ahrq.gov/node/46440/psn-pdf
September 20, 2017 - Why do people stop taking their meds? Cost is just one
reason.
September 20, 2017
Hobson K. Health Shots. National Public Radio. September 8, 2017.
https://psnet.ahrq.gov/issue/why-do-people-stop-taking-their-meds-cost-just-one-reason
Medication regimen nonadherence can result in patient harm. This news article re…
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psnet.ahrq.gov/node/46019/psn-pdf
April 26, 2017 - Certified registered nurse anesthetist perceptions of
factors impacting patient safety.
April 26, 2017
McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of
Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69.
https://psnet.ahrq.gov/issue/certified-registered-nu…
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psnet.ahrq.gov/node/44386/psn-pdf
August 12, 2015 - Using simulation to improve systems.
August 12, 2015
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-
92. doi:10.1016/j.suc.2015.04.007.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems
Safety approaches from aviation that can be applied to health c…
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psnet.ahrq.gov/node/44994/psn-pdf
October 11, 2017 - Diagnostic delays and errors in head and neck cancer
patients: opportunities for improvement.
October 11, 2017
Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer
Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335.
doi:10.1177/1062860616638413.
ht…
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psnet.ahrq.gov/node/60765/psn-pdf
August 05, 2020 - Coronavirus: can this California prison save itself from
Covid-19?
August 5, 2020
Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News,
Washington. 2020;Jul 27.
https://psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19
Omissions in standard pr…
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psnet.ahrq.gov/node/855003/psn-pdf
November 01, 2023 - The hospital ran out of her child's cancer drug. Now she's
fighting to end shortages.
November 1, 2023
Noguchi Y. Health Shots and All Things Considered. National Public Radio. October 23, 2023.
https://psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
Drug shortages…