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  1. psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
    January 15, 2009 - Citation Related Resources From the Same Author(s) Profiles in patient safety: medicationerrors in the emergency department.
  2. psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
    August 28, 2019 - July 2, 2014 Profiles in patient safety: medication errors in the emergency department
  3. psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
    June 24, 2020 - May 5, 2021 During the pandemic, aspire to identify and prevent medication errors and
  4. psnet.ahrq.gov/issue/i-think-medicine-actually-killed-my-wife-patient-and-family-perspectives-shared-decision
    October 05, 2022 - Study 'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. Citation Text: Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family perspectives on s…
  5. psnet.ahrq.gov/issue/building-patient-trust-hospitals-combination-hospital-related-factors-and-health-care
    April 14, 2021 - Study Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Citation Text: Greene J, Samuel-Jakubos H. Building patient trust in hospitals: a combination of hospital-related factors and health care clinician behaviors. Jt Comm…
  6. psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
    September 09, 2020 - Study Inappropriate medication in a national sample of US elderly patients receiving home health care. Citation Text: Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med. 2012;27(3):304-310. do…
  7. psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
    October 21, 2015 - Book/Report Examining the Copy and Paste Function in the Use of Electronic Health Records. Citation Text: Examining the Copy and Paste Function in the Use of Electronic Health Records. Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technol…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47051/psn-pdf
    October 18, 2018 - Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. October 18, 2018 Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. BMJ Qual S…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44054/psn-pdf
    November 16, 2015 - Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. November 16, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4. https://psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2 This newsletter se…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72535/psn-pdf
    December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42024/psn-pdf
    February 13, 2013 - The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. February 13, 2013 Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. J Emerg Me…
  12. psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
    November 17, 2021 - September 11, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.
  13. psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
    October 30, 2024 - Associations of person-related, environment-related and communication-related factors on medicationerrors in public and private hospitals: a retrospective clinical audit.
  14. www.ahrq.gov/sites/default/files/2024-01/sirio-report.pdf
    January 01, 2024 - An important unanticipated benefit was identification of medication errors. … tool for providing education and assisting in the promotion of patient safety through decreasing medicationerrors and improving medication adherence behaviors. … errors, improve medication delivery system and administration design issues, enhance and improve patient … • Unexpected and significant medication errors were identified in approximately 20% of a subset of
  15. psnet.ahrq.gov/issue/potentially-inappropriate-opioid-prescribing-overdose-and-mortality-massachusetts-2011-2015
    January 23, 2019 - Study Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015. Citation Text: Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):151…
  16. psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
    September 25, 2011 - Study Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Citation Text: Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…
  17. psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
    September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
    November 08, 2023 - Commentary Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Citation Text: Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…
  19. psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
    October 14, 2011 - Study Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. Citation Text: Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …
  20. psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
    June 25, 2018 - Review Cognitive bias and dissonance in surgical practice: a narrative review. Citation Text: Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003. Copy Citatio…