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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35743/psn-pdf
    July 15, 2010 - ACOG Committee Opinion #327: "Do not use" abbreviations. July 15, 2010 ACOG Committee on Quality Improvement and Patient Safety; ACOG. https://psnet.ahrq.gov/issue/acog-committee-opinion-327-do-not-use-abbreviations This committee opinion suggests that obstetricians and gynecologists be aware of the "do not use" …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37896/psn-pdf
    March 18, 2010 - Sterile water should not be given "freely." March 18, 2010 PA-PSRS Patient Saf Advis. June 2008;5:53-56. https://psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely This article reports on cases of improper IV administration of sterile water, a high-alert substance, for the treatment of hypernatremia and…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39189/psn-pdf
    April 16, 2018 - Neuromuscular blocking agents: reducing associated wrong-drug errors. April 16, 2018 https://psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors This article discusses adverse incidents submitted to the Pennsylvania reporting system involving neuromuscular blocking agents and s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35956/psn-pdf
    August 02, 2010 - Patient Guide: 10 Ways to Improve Communication with Your Doctor. August 2, 2010 Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000199856.82316.50. https://psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor This article lis…
  5. psnet.ahrq.gov/web-mm/confusion-acetaminophen
    December 01, 2009 - Age ranges listed are different for the oral suspension (infant and 2-11) versus the rapidly dissolved
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49477/psn-pdf
    April 01, 2005 - to limit errors associated with these medications, focusing on thrombolysis.(8) The principles are listed
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49469/psn-pdf
    December 01, 2004 - routine testing ordered by his primary care doctor but also for the genetic screening, because it was listed
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36243/psn-pdf
    September 06, 2006 - The Food and Drug Administration's National Drug Code Directory. September 6, 2006 Levinson DR. Washington DC; Office of the Inspector General, US Department of Health and Human Services: August 2006. Report no OEI-06-05-00060. https://psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37149/psn-pdf
    January 02, 2017 - Preventing harm from high-alert medications. January 2, 2017 Federico F. Preventing harm from high-alert medications. Jt Comm J Qual Patient Saf. 2007;33(9):537-42. https://psnet.ahrq.gov/issue/preventing-harm-high-alert-medications The author discusses strategies to improve medication safety and highlights interve…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37489/psn-pdf
    March 03, 2011 - On the trail of quality and safety in health care. March 3, 2011 Grol R, Berwick DM, Wensing M. On the trail of quality and safety in health care. BMJ. 2008;336(7635):74- 6. doi:10.1136/bmj.39413.486944.AD. https://psnet.ahrq.gov/issue/trail-quality-and-safety-health-care This article addresses the gap in health c…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35401/psn-pdf
    April 06, 2011 - What constitutes a prescribing error in paediatrics? April 6, 2011 Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7. https://psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics The authors used a Delphi technique to …
  12. psnet.ahrq.gov/web-mm/flying-object-hits-mri
    September 01, 2005 - Three illustrative cases from the Food and Drug Administration’s Medical Device Reporting system are listed
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38972/psn-pdf
    January 31, 2019 - From tragedy to advocacy. January 31, 2019 DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1. https://psnet.ahrq.gov/issue/tragedy-advocacy This article highlights stories of family members who have become influential patient safety advocates following tragic medical errors. Among tho…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36137/psn-pdf
    September 29, 2010 - Rapid response teams: ten essentials leaders need to know. September 29, 2010 Dahlen GM, Benz BA. Rapid response teams. Ten essentials leaders need to know. Healthcare executive. 2006;21(4):28-32, 34. https://psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know The authors list ten points fo…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42956/psn-pdf
    February 19, 2014 - Patient safety: it takes a team. February 19, 2014 Rosemont, IL: American Academy of Orthopaedic Surgeons. https://psnet.ahrq.gov/issue/patient-safety-it-takes-team Patient engagement is a promising strategy for error reduction and has become a priority of influential regulatory and governmental organizations. Thi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33920/psn-pdf
    December 12, 2018 - Policy Positions and Guidelines. December 12, 2018 Amercian Society of Health-System Pharmacists; ASHP. https://psnet.ahrq.gov/issue/policy-positions-and-guidelines This searchable listing of the American Society of Health-System Pharmacists policy and guideline collection provides user access to various content a…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38423/psn-pdf
    September 08, 2010 - Heparin: improving treatment and reducing risk of harm. September 8, 2010 Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25. https://psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm This article explains safety challenges commonly associated w…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35124/psn-pdf
    June 29, 2005 - JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. June 29, 2005 ECRI. Risk Management Reporter. June 2005. https://psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare- settings This commentary provides a definition of patient-cent…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39247/psn-pdf
    January 27, 2010 - Origins of and solutions for neonatal medication- dispensing errors. January 27, 2010 Sauberan JB, Dean LM, Fiedelak J, et al. Origins of and solutions for neonatal medication-dispensing errors. Am J Health Syst Pharm. 2010;67(1):49-57. doi:10.2146/ajhp090122. https://psnet.ahrq.gov/issue/origins-and-solutions-neo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39750/psn-pdf
    August 11, 2010 - Medication reconciliation in a community pharmacy setting. August 11, 2010 Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. https://psnet.ahrq.gov/issue/medication-reconciliation-community-p…

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