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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45452/psn-pdf
    August 24, 2016 - What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. August 24, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3. https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. February 5, 2014 Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Health Aff (M…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39322/psn-pdf
    February 24, 2010 - Complications and death at the start of the new academic year: is there a July phenomenon? February 24, 2010 Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.0b013e3181b88dfe. https://psnet…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45521/psn-pdf
    December 21, 2016 - The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. December 21, 2016 Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866442/psn-pdf
    August 07, 2024 - Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. August 7, 2024 Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Breast C…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72474/psn-pdf
    January 01, 2021 - Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020 Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080. do…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838188/psn-pdf
    September 28, 2022 - Changes in unprofessional behaviour, teamwork, and co- operation among hospital staff during the COVID-19 pandemic. September 28, 2022 Westbrook JI, McMullan R, Urwin R, et al. Changes in unprofessional behaviour, teamwork and co? operation among hospital staff during the COVID?19 pandemic. Intern Med J. 2022;52(1…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46255/psn-pdf
    September 06, 2017 - Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. September 6, 2017 Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities The ambulatory env…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46133/psn-pdf
    May 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46084/psn-pdf
    February 21, 2018 - The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. February 21, 2018 Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility characteristics on patient safety, pa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43710/psn-pdf
    October 06, 2016 - Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. October 6, 2016 Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73062/psn-pdf
    January 01, 2022 - Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 25, 2021 Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846760/psn-pdf
    March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis: a systematic review. March 29, 2023 Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a syst…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34694/psn-pdf
    February 10, 2011 - Computerized surveillance of adverse drug events in hospital patients. February 10, 2011 Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51. https://psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867047/psn-pdf
    October 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867388/psn-pdf
    December 18, 2024 - Secure messaging use and wrong-patient ordering errors among inpatient clinicians. December 18, 2024 Lou SS, Lew D, Xia L, et al. Secure messaging use and wrong-patient ordering errors among inpatient clinicians. JAMA Netw Open. 2024;7(12):e2447797. doi:10.1001/jamanetworkopen.2024.47797. https://psnet.ahrq.gov/is…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859343/psn-pdf
    December 20, 2023 - Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023 Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847. https…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48040/psn-pdf
    July 24, 2019 - Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies. July 24, 2019 Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta- Analysis of Observational Studies. Ann Fam Med. 2019;17(3):257-266. doi:10.1370/afm.2373. https://…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850165/psn-pdf
    June 07, 2023 - Adolescents identifying errors and omissions in their electronic health records: a national survey. June 7, 2023 Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform. 2023;302:242-246. doi:10.3233/shti2…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843324/psn-pdf
    February 01, 2023 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. February 1, 2023 Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. JAMA Health Forum. 2023;4(…