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  1. Examples of Medical Device Misconnections. | PSNet

    psnet.ahrq.gov/issue/examples-medical-device-misconnections
    March 04, 2015 - 22, 2025 Health tech hazards: at-home medical devices, AI governance on ECRI's new list … December 20, 2023 Home medical device safety tops ECRI'S list of healthcare technology

  2. FDA urged to move faster to fix pulse oximeters for darker-skinned patients. | PSNet

    psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients
    September 21, 2016 - 16, 2024 Health tech hazards: at-home medical devices, AI governance on ECRI's new list … March 8, 2023 Home medical device safety tops ECRI'S list of healthcare technology.

  3. Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. | PSNet

    psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - February 22, 2024 ISMP's List of High-Alert Medications in Acute Care Settings. … April 30, 2024 ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations

  4. Guidelines for Adult IV Push Medications. | PSNet

    psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
    April 01, 2015 - July 8, 2015 ISMP's List of Confused Drug Names. … May 11, 2017 ISMP's List of High-Alert Medications in Acute Care Settings.

  5. Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet

    psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
    June 10, 2018 - June 10, 2018 Survey on LASA drug name pairs: who knows what’s on your list and the best … May 7, 2018 Your high-alert medication list—relatively useless without associated risk-reduction

  6. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38
    June 16, 2019 - discusses incidents involving insulin preparation, automated medication cabinet stocking, and medication list

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47779/psn-pdf
    June 12, 2019 - that 23% of prescribed medications differed between the progress note and the structured medication list

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45673/psn-pdf
    December 07, 2016 - This publication explores how mistakes such as selecting the wrong drug from an ordering pick list can

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73380/psn-pdf
    June 09, 2021 - adverse-events-dentistry https://psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764407/psn-pdf
    March 02, 2022 - This study explored clinically relevant deviations in a patient’s medication list by comparing the personal

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49788/psn-pdf
    March 01, 2017 - reduce errors during transitions in and out of the hospital, decrease mortality, enhance medication list … case, the pharmacist's decision to review the patient's medical record, and not just the medication list … pharmacists in transitions of care is beneficial and should extend beyond simply keeping the medication list … are active users of and contributors to the electronic health record, going beyond simple medication list … Evaluation of medication list completeness, safety, and annotations.

  12. Anatomy of a medical device recall: how defective products can slip through an outdated system. | PSNet

    psnet.ahrq.gov/issue/anatomy-medical-device-recall-how-defective-products-can-slip-through-outdated-system
    December 03, 2014 - 22, 2025 Health tech hazards: at-home medical devices, AI governance on ECRI's new list … May 31, 2023 Home medical device safety tops ECRI'S list of healthcare technology.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847549/psn-pdf
    April 12, 2023 - April 12, 2023 Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48090/psn-pdf
    August 28, 2019 - https://psnet.ahrq.gov/issue/preventing-errors-high-risk-medications https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings

  15. Webmm Spotlight Suicide Risk Assessment (pdf file)

    psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
    January 01, 2019 - • List three elements of a basic quality improvement plan to ensure suicide risk assessments are completed … Prioritizing Suicidal Ideation and Attempts on Medical History/Problem List 3. … Prioritizing Suicidal ideation/ Attempt on Medical History/ Problem List • Suicidal ideation or attempt … should be entered on Problem List – Include an appropriate plan that carries over onto Progress Note … – More likely to be seen by nursing staff and primary medical teams – Suicide item on problem list

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49707/psn-pdf
    April 01, 2014 - given by a patient's other providers negates the value of the subspecialist's contributions.(14) Drug list … Drug list reconciliation is the most effective method of ensuring medication safety and effectiveness … On a practical level, patients should be encouraged to carry a complete list of their current medications … Drug list reconciliation should be routinely performed and patients should be encouraged to carry their … most recent list of prescribed medications.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847057/psn-pdf
    April 05, 2023 - focus include reducing emphasis on the “Five Rights” to address system problems, enhancing medication list

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72715/psn-pdf
    February 03, 2021 - issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855436/psn-pdf
    November 15, 2023 - psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60889/psn-pdf
    January 01, 2021 - expert-consensus-currently-accepted-measures-harm This article describes an innovative expert consensus process to generate a contemporary list
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