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  1. psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
    February 17, 2009 - Commentary Detecting adverse drug events through data mining. Citation Text: Glasgow JM, Kaboli PJ. Detecting adverse drug events through data mining. Am J Health Syst Pharm. 2010;67(4):317-20. doi:10.2146/ajhp090115. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  2. psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
    September 09, 2015 - Study Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Citation Text: Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.…
  3. psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
    October 10, 2018 - Commentary The dangers of ignoring the Beers criteria—the prescribing cascade. Citation Text: DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. Copy Citation Format: DO…
  4. psnet.ahrq.gov/issue/overdiagnosis-how-our-compulsion-diagnosis-may-be-harming-children
    March 04, 2020 - Commentary Overdiagnosis: how our compulsion for diagnosis may be harming children. Citation Text: Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778. Copy Citation …
  5. psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
    December 27, 2018 - Newspaper/Magazine Article Safety with nebulized medications requires an interdisciplinary team approach. Citation Text: Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. Copy Ci…
  6. psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
    February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. Citation Text: Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313. Copy Citation Format: DOI Google Scholar PubMed B…
  7. psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
    February 10, 2016 - Book/Report The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Citation Text: The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…
  8. psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
    June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…
  9. psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…
  10. psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions
    June 15, 2022 - Newspaper/Magazine Article CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. Citation Text: CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…
  11. psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
    February 13, 2014 - Review A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. Citation Text: Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…
  12. psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
    December 11, 2024 - Commentary Impact of organizations on healthcare-associated infections. Citation Text: Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. Copy Citation Format: DOI Googl…
  13. psnet.ahrq.gov/issue/preventing-medication-errors
    May 30, 2018 - Commentary Preventing medication errors. Citation Text: Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  14. psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
    November 13, 2024 - Review Addressing postdischarge adverse events: a neglected area. Citation Text: Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38652/psn-pdf
    June 17, 2014 - Pediatric safety. June 17, 2014 Runy LA. Pediatric safety. Hospitals & health networks. 2009;83(5):8 p following 32, 2. https://psnet.ahrq.gov/issue/pediatric-safety This condensed discussion shares information on safety issues that affect care for children. https://psnet.ahrq.gov/issue/pediatric-safety
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41981/psn-pdf
    February 03, 2014 - FIRST Do No Harm. February 3, 2014 Wakefield, MA: Quality and Patient Safety Division, Massachusetts Board of Registration in Medicine. https://psnet.ahrq.gov/issue/first-do-no-harm-1 This free newsletter provides information on quality and patient safety initiatives in Massachusetts. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39209/psn-pdf
    January 06, 2010 - AHRQ 2008 Annual Conference. January 6, 2010 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/ahrq-2008-annual-conference This Web site provides a collection of presentations on health information technology and other research areas supported by AHRQ. https://psnet.ahrq.gov/issue/ahr…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36737/psn-pdf
    June 07, 2008 - Indiana Medical Error Reporting System. June 7, 2008 Indiana State Department of Health. https://psnet.ahrq.gov/issue/indiana-medical-error-reporting-system This Web site provides background and information on Indiana's statewide incident reporting initiative. https://psnet.ahrq.gov/issue/indiana-medical-error-rep…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40877/psn-pdf
    February 05, 2018 - Fire Safety. February 5, 2018 Council on Surgical & Perioperative Safety. https://psnet.ahrq.gov/issue/fire-safety This initiative provides information on surgical fires and makes recommendations to address the risk of fires during surgery. https://psnet.ahrq.gov/issue/fire-safety https://psnet.ahrq.gov/issue/pra…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36876/psn-pdf
    August 30, 2017 - Global Patient Safety Collaborative. August 30, 2017 World Alliance for Patient Safety; World Health Organization https://psnet.ahrq.gov/issue/who-collaborating-centres-patient-safety This Web site shares information on a variety of initiatives from the World Alliance for Patient Safety. https://psnet.ahrq.gov/iss…

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