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  1. psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…
  2. psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
    January 18, 2023 - Commentary Leveraging consistent communication tools and organizational values to promote accountability among health care providers. Citation Text: Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
  3. psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics
    June 16, 2021 - Review Epidemiology of malpractice lawsuits in paediatrics. Citation Text: Najaf-Zadeh A, Dubos F, Aurel M, et al. Epidemiology of malpractice lawsuits in paediatrics. Acta Paediatr. 2008;97(11):1486-91. doi:10.1111/j.1651-2227.2008.00898.x. Copy Citation Format: DOI Goog…
  4. psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
    July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…
  5. psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
    July 13, 2010 - Commentary Residual anaesthesia drugs in intravenous lines—a silent threat? Citation Text: Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. Copy Citation Format: DOI G…
  6. psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
    May 01, 2020 - Commentary Using the medication error prioritization system to improve patient safety. Citation Text: Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…
  7. psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
    October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…
  8. psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
    December 06, 2023 - Study Managing medication errors—a qualitative study. Citation Text: Stetina P, Groves M, Pafford L. Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39632/psn-pdf
    May 20, 2016 - Medical Liability Reform & Patient Safety Initiative. May 20, 2016 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate medical liability …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37082/psn-pdf
    January 02, 2017 - Improving rapid response systems: progress, issues, and future directions. January 2, 2017 Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions. https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions The authors discuss …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40176/psn-pdf
    May 25, 2011 - A leadership initiative to improve communication and enhance safety. May 25, 2011 Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. https://psnet.ahrq.gov/issue/leadership-initiati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38221/psn-pdf
    June 13, 2011 - Medication reconciliation in a community, nonteaching hospital. June 13, 2011 Wortman SB. Medication reconciliation in a community, nonteaching hospital. Am J Health Syst Pharm. 2008;65(21):2047-54. doi:10.2146/ajhp080091. https://psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital This …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36957/psn-pdf
    October 16, 2008 - The Patient Safety in Surgery Study. October 16, 2008 J Am Coll Surg. 2007;204(6):1087-1300. https://psnet.ahrq.gov/issue/patient-safety-surgery-study This special issue shares the results of the AHRQ-funded Patient Safety in Surgery Study, which compared surgical outcomes at Veterans Affairs' medical centers with…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42557/psn-pdf
    August 28, 2013 - European Union Network for Patient Safety and Quality of Care. August 28, 2013 European Union Network for Patient Safety and Quality of Care; PaSQ. https://psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care This organization aims to promote implementation of recommended patient safety prac…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39757/psn-pdf
    September 02, 2016 - Drug shortages threaten patient safety. September 2, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 29, 2010;15:1-4. https://psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety This article discusses medication shortages and how they exacerbate medication error and treatment delay. The piece i…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41681/psn-pdf
    January 01, 2013 - Patient safety in plastic surgery. September 12, 2012 Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e. doi:10.1097/prs.0b013e31825dc349. https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery This commentary outlines tactics to prevent complications in pla…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38923/psn-pdf
    September 09, 2009 - Improving communication in the emergency department. September 9, 2009 Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. https://psnet.ahrq.gov/issue/improving-communication-emergency-department Implementation of structu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42797/psn-pdf
    June 10, 2018 - Understanding and managing IV container overfill. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4. https://psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill This newsletter article reports on concerns associated with chemotherapy preparations due to varia…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39961/psn-pdf
    March 08, 2015 - When errors occur. March 8, 2015 Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. https://psnet.ahrq.gov/issue/when-errors-occur This article describes how hospital responses to adverse events have affected disclosure process strate…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41350/psn-pdf
    May 02, 2012 - Medication reconciliation in the hospital: what, why, where, when, who and how? May 2, 2012 Fernandes O; Shojania KG. https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how This commentary examines the practical considerations required to implement a high quality medication…

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