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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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. …
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…