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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43337/psn-pdfJuly 09, 2014 - My Medicines. July 9, 2014 Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores. https://psnet.ahrq.gov/issue/my-medicines This toolkit offers tips for patients to prevent adverse drug events and provides a way to record important medication in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41939/psn-pdfFebruary 11, 2014 - The role of the electronic health record in patient safety events. February 11, 2014 Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21. https://psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events This piece analyzes data submitted to the Pennsylvania Patient Safety Reporting Sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40687/psn-pdfSeptember 03, 2011 - HIM functions in healthcare quality and patient safety. September 3, 2011 Berretoni A, Bochantin F, Brown T, et al. HIM functions in healthcare quality and patient safety. J AHIMA. 2011;82(8):42-5. https://psnet.ahrq.gov/issue/him-functions-healthcare-quality-and-patient-safety This piece discusses the role of hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43357/psn-pdfJuly 16, 2014 - Wake Up Safe. July 16, 2014 Society for Pediatric Anesthesia. https://psnet.ahrq.gov/issue/wake-safe This Web site provides information about a Patient Safety Organization initiative to develop an adverse event registry in perioperative care for pediatric patients, determine causes for errors, and design preventi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35474/psn-pdfSeptember 21, 2009 - Is consent required for publication of medical errors? September 21, 2009 Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q. 2005;8(4):66-9. https://psnet.ahrq.gov/issue/consent-required-publication-medical-errors The authors argue that, under certain conditions, p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40112/psn-pdfJuly 12, 2016 - Panel set to study safety of electronic patient data. July 12, 2016 Freudenheim M. https://psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data This article reports on a committee created by the Institute of Medicine to analyze the potential impact of electronic medical records (EMR) on costs and qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35190/psn-pdfJune 17, 2014 - The quality connection. June 17, 2014 Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2. https://psnet.ahrq.gov/issue/quality-connection This article reports on the results of Hospitals & Health Networks' 2005 Most Wired Survey and Benchmarking Study. Results … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35208/psn-pdfJuly 10, 2015 - Fentanyl transdermal system (marketed as Duragesic) information. July 10, 2015 US Food and Drug Administration. MedWatch. July 10, 2015. https://psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches This Food and Drug Administration resource alerts health care professionals, patients… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36382/psn-pdfOctober 28, 2010 - Design and implementation of an ICU incident registry. October 28, 2010 van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. https://psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry The authors describe the developmen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35359/psn-pdfNovember 28, 2016 - Being open: communicating patient safety incidents with patients and their carers. November 28, 2016 National Patient Safety Agency. https://psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers This Web site provides the United Kingdom's set of disclosure guidelines for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38806/psn-pdfDecember 08, 2015 - Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient. December 8, 2015 Chicago, IL: Consumers Advancing Patient Safety; 2009. https://psnet.ahrq.gov/issue/taking-charge-your-healthcare-your-path-being-empowered-patient This toolkit includes comprehensive information for patients and families t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36824/psn-pdfOctober 03, 2017 - Department of Defense (DoD) Patient Safety Program. October 3, 2017 US Department of Defense; DOD https://psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program This Web site includes information on several initiatives within the US Military Health System to support its culture of safety and reduce med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45424/psn-pdfSeptember 21, 2016 - Shift to Safety. September 21, 2016 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/shift-safety This initiative facilitates a patient safety approach that focuses on the roles of patients, clinicians, and organizations. The website provides tools and resources to inform and engage individuals as l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41441/psn-pdfJuly 08, 2021 - National Diabetes Inpatient Audit -- Harms. July 8, 2021 Leeds, UK: Health and Social Care Information Centre. https://psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017 This annual report identified a significant number of medication errors associated with diabetes care in acute hospitals in England and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41333/psn-pdfApril 25, 2012 - Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. April 25, 2012 St Andrews, Scotland: Scottish Information Commissioner; February 21, 2012. Reference No: 201100433. https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans This report de… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38390/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33 This monthly selection of medication error reports includes information about the risks of cutting medication patches, describes examples of dr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41902/psn-pdfNovember 19, 2018 - High-Alert Medication Learning Guides for Consumers. November 19, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers This set of leaflets provides patients with information about taking high-alert medications safely. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37407/psn-pdfSeptember 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. September 2, 2014 Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832. https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada This report describes a new metric used to an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35988/psn-pdfMay 04, 2015 - Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. May 4, 2015 Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006. https://psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events This fact sheet provides information regarding the Cen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41734/psn-pdfOctober 03, 2012 - Prescribing errors in hospital practice. October 3, 2012 Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x. https://psnet.ahrq.gov/issue/prescribing-errors-hospital-practice Highlighting inconsistencies in defining and measuring prescrib…
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