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  1. psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
    July 02, 2019 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication Citation Text: Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50698/psn-pdf
    November 27, 2019 - Missed Opportunities for Suicide Risk Assessment November 27, 2019 Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment Disclosure of Relevant Financial Relationships: As a provider accredited by the Acc…
  3. psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
    February 28, 2011 - Study Misunderstanding of prescription drug warning labels among patients with low literacy. Citation Text: Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. Copy Ci…
  4. psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
    April 23, 2008 - Study Improving medication safety in primary care using electronic health records. Citation Text: Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43. Copy Citation Format: Google Scholar PubM…
  5. psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
    June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…
  6. psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
    January 06, 2017 - Review The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. Citation Text: Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …
  7. psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
    June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…
  8. psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
    March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
  9. psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
    January 04, 2009 - Book/Report Classic Preventing Medication Errors: Quality Chasm Series. Citation Text: Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49659/psn-pdf
    July 01, 2012 - The ED physician reviewed the patient's electronic medical record (EMR) and noted a history of "PE" listed
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49556/psn-pdf
    March 01, 2008 - Many of the recommendations listed above could have helped to prevent this error from occurring.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33899/psn-pdf
    April 16, 2018 - Quick Tips—When Planning for Surgery. April 16, 2018 Agency for Health Research Research and Quality; AHRQ https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery A list of quick tips and questions to aid anyone who is preparing for surgery. https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36376/psn-pdf
    November 21, 2016 - Safety Information for Patients and Families. November 21, 2016 Massachusetts Coalition for the Prevention of Medical Errors; Massachusetts Medical Society https://psnet.ahrq.gov/issue/safety-information-patients-and-families This Web site provides medication safety information for consumers, including a list to he…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35192/psn-pdf
    October 12, 2009 - 10 ways to guarantee a lawsuit. October 12, 2009 Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9. https://psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit This article lists ten nonclinical mistakes physicians make when dealing with patients. https://psnet.ahrq.gov/issue/10-ways-guarantee…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36399/psn-pdf
    May 04, 2015 - Tips for Safer Surgery. May 4, 2015 Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality; 2006. https://psnet.ahrq.gov/issue/tips-safer-surgery This tip sheet provides a list of questions consumers should ask clinicians to help improve the safety of their surgical car…
  16. psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
    December 03, 2014 - Study Medication regimen complexity and hospital readmission for an adverse drug event. Citation Text: Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898. C…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42126/psn-pdf
    November 30, 2016 - 2015 Patient Safety Core Topics and Tips. November 30, 2016 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips This fact sheet lists 10 patient safety concerns such as adverse drug events and offers tips to address them. https:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42220/psn-pdf
    April 17, 2013 - Lessons from America's safest hospitals. April 17, 2013 Howard B. https://psnet.ahrq.gov/issue/lessons-americas-safest-hospitals This magazine article details how several hospitals have taken a comprehensive approach to improving patient safety in their organizations. An interactive graphic displays many of the me…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35372/psn-pdf
    June 06, 2018 - Paralyzed by mistakes: preventing errors with neuromuscular blocking agents. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 22, 2005;10:1-3. https://psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents This article provides examples of incidents involvin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36126/psn-pdf
    March 12, 2016 - Association for Professionals in Infection Control and Epidemiology. March 12, 2016 1400 Crystal Drive, Suite 900, Arlington, VA 22202. 202-789-1890 info@apic.org https://psnet.ahrq.gov/issue/association-professionals-infection-control-and-epidemiology This Web site offers news articles, event listings, and inform…

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