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  1. psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear
    June 13, 2011 - Newspaper/Magazine Article Legality of technicians' involvement in medication reconciliation not clear. Citation Text: Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the A…
  2. psnet.ahrq.gov/issue/winning-battle-standardization
    March 02, 2022 - Newspaper/Magazine Article Winning the battle for standardization. Citation Text: Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag…
  3. psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
    January 21, 2015 - Study A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Citation Text: Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress…
  4. psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…
  5. psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
    October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…
  6. psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
    December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in the ED. Citation Text: Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…
  7. psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
    March 06, 2019 - Review Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. Citation Text: Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 20…
  8. psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
    February 14, 2017 - Commentary A case for improving measurement of intraoperative iatrogenic injuries. Citation Text: Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries. JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237. Copy Citation Form…
  9. psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
    September 29, 2017 - Relationships Between Physician Professional Satisfaction and Patient Safety Mark Friedberg, MD, MPP | February 1, 2016  View more articles from the same authors. Citation Text: Friedberg MW. Relationships Between Physician Professional Satisfaction and Patient Saf…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49439/psn-pdf
    March 01, 2004 - Lethal Cap March 1, 2004 Schillinger D. Lethal Cap. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-cap The Case A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49730/psn-pdf
    April 01, 2015 - Transition to Nowhere April 1, 2015 Farrell TW. Transition to Nowhere. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transition-nowhere The Case A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension, and chronic kidney disease was admitted to the hospital …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49467/psn-pdf
    December 01, 2004 - A "Weak" Response December 1, 2004 Reisman AB. A "Weak" Response. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/weak-response The Case A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said, "They started me on a new pill for my blood pressure and now I fe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33631/psn-pdf
    April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety April 1, 2006 Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49488/psn-pdf
    August 21, 2005 - PCA Overdose August 21, 2005 Doyle JD. PCA Overdose. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/pca-overdose The Case A 49-year-old woman underwent an uneventful total abdominal hysterectomy bilateral salpingo- oophorectomy. Postoperatively, the patient complained of severe pain and received intravenou…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49435/psn-pdf
    February 01, 2004 - X-ray Flip February 1, 2004 Shapiro MJ. X-ray Flip. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/x-ray-flip The Case A 19-year-old man presented to the emergency department with respiratory distress after blunt chest trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33829/psn-pdf
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety March 1, 2017 Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49830/psn-pdf
    May 01, 2018 - Suicide Risk in the Hospital May 1, 2018 Mills PD. Suicide Risk in the Hospital. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/suicide-risk-hospital The Case A 37-year-old woman with a past medical history of depression, anxiety, and posttraumatic stress disorder presented to the emergency department (ED)…
  18. psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
    December 22, 2018 - Annual Perspective Burnout Among Health Professionals and Its Effect on Patient Safety Audrey Lyndon, PhD | January 1, 2015  View more articles from the same authors. Citation Text: Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety…
  19. psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
    August 21, 2005 - Patient Allergies and Electronic Health Records Citation Text: Doyle MJ. Patient Allergies and Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33824/psn-pdf
    January 01, 2016 - Patient Safety and Opioid Medications January 1, 2016 Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications Annual Perspective 2016 Opioid medications confer significant risks of harm, including overdose death …

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