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9681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37265/psn-pdf
      May 02, 2018 - Potassium may no longer be stocked on patient care units, but serious threats still exist! May 2, 2018 ISMP Medication Safety Alert! Acute care edition. October 4, 2007. https://psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still- exist This article describes how error…

9682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38550/psn-pdf
      May 08, 2018 - Fatal outcome after inadvertent injection of topical epinephrine. May 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2. https://psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine This article reports on the mistaken administration of a high-alert medic…

9683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45165/psn-pdf
      July 19, 2016 - Standardize 4 Safety. July 19, 2016 American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/standardize-4-safety Standardization has been highlighted as a way to improve safety in surgery, care transitions, and medication administration. This initiative seeks to develop consensus guidelines and…

9684. Innovations | PSNet
      psnet.ahrq.gov/innovations
      February 26, 2025 - Venous Thrombosis and Thromboembolism (1) Medication Safety (12) Medication … Errors/Preventable Adverse Drug Events (7) Administration Errors (1) Dispensing

9685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865922/psn-pdf
      May 22, 2024 - Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. May 22, 2024 Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase compliance with intraveno…

9686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37478/psn-pdf
      February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p…

9687. Medication safety technologies: what is and is not working. | PSNet
      psnet.ahrq.gov/issue/medication-safety-technologies-what-and-not-working
      January 02, 2017 - Newspaper/Magazine Article Medication safety technologies: what is and is not working. Citation Text: Medication safety technologies: what is and is not working. Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27. Copy Citation Sav…

9688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74022/psn-pdf
      March 01, 2021 - The Role of Community Pharmacists in Patient Safety October 25, 2021 Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety What is a community pharmacy? Community pharmacies are somet…

9689. Guidelines for Adult IV Push Medications. | PSNet
      psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
      April 01, 2015 - Book/Report Guidelines for Adult IV Push Medications. Citation Text: Guidelines for Adult IV Push Medications. Horsham, PA: The Institute for Safe Medication Practices; July 2015. Copy Citation Save Save to your library Print Download PDF Share …

9690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73300/psn-pdf
      July 01, 2022 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care May 26, 2021 https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care Summary The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge needs,…

9691. Resident Safety Practices in Nursing Home Settings. | PSNet
      psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
      July 27, 2018 - Common safety issues in nursing homes are medication errors , falls , and inappropriate use of restraints

9692. Never events: Utah hospitals saw nearly 60 serious errors in 2007. | PSNet
      psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007
      July 08, 2009 - Newspaper/Magazine Article Never events: Utah hospitals saw nearly 60 serious errors in 2007. Citation Text: Never events: Utah hospitals saw nearly 60 serious errors in 2007. May H. Salt Lake Tribune. August 18, 2008. Copy Citation Save Save to your library…

9693. Association between patient outcomes and accreditation in US hospitals: observational study. | PSNet
      psnet.ahrq.gov/issue/association-between-patient-outcomes-and-accreditation-us-hospitals-observational-study
      May 19, 2021 - Study Emerging Classic Association between patient outcomes and accreditation in US hospitals: observational study. Citation Text: Lam MB, Figueroa JF, Feyman Y, et al. Association between patient outcomes and accreditation in US hospitals: observational study. …

9694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43153/psn-pdf
      May 07, 2014 - issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey https://psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer

9695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854254/psn-pdf
      October 04, 2023 - Part 1 of this series provides examples of patient safety concerns in dermatology (e.g., medication … errors, teledermatology) and how key patient safety concepts such as safety culture and root cause analysis

9696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45453/psn-pdf
      November 02, 2016 - giving frontline employees mechanisms to recommend organizational change, is associated with fewer medication … errors and falls.

9697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47584/psn-pdf
      February 20, 2019 - patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy

9698. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40277/psn-pdf
      November 26, 2014 - acgme https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety https://psnet.ahrq.gov/issue/rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study

9699. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45288/psn-pdf
      September 04, 2016 - nonrandomized-intervention-study-naloxone-coprescription-primary-care-patients-receiving-long https://psnet.ahrq.gov/issue/addressing-opioid-misuse https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46914/psn-pdf
      January 01, 2021 - issue/safety-hazards-cancer-care-findings-using-three-different-methods https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy