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  1. psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
    May 06, 2015 - Commentary The moderate success of quality of care improvement efforts: three observations on the situation. Citation Text: Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…
  2. psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
    August 10, 2016 - Review Blood sampling guidelines with focus on patient safety and identification—a review. Citation Text: Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…
  3. psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
    October 03, 2018 - Study Deaths following prehospital safety incidents: an analysis of a national database. Citation Text: Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724. Copy Ci…
  4. psnet.ahrq.gov/issue/association-patient-photographs-and-reduced-retract-and-reorder-events
    February 24, 2021 - Study Association of patient photographs and reduced retract-and-reorder events. Citation Text: Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042. Copy Cit…
  5. psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
    December 20, 2023 - Study Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. Citation Text: Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…
  6. psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
    July 14, 2009 - Review National efforts to improve health information system safety in Canada, the United States of America and England. Citation Text: Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …
  7. psnet.ahrq.gov/issue/impact-feeling-responsible-adverse-events-doctors-personal-and-professional-lives-importance
    March 13, 2013 - Study Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. Citation Text: Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and professional live…
  8. psnet.ahrq.gov/issue/normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
    June 15, 2022 - Study Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. Citation Text: Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…
  9. psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
    September 27, 2022 - Commentary The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Citation Text: Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. Copy Ci…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47738/psn-pdf
    February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 Horsham, PA: Institute for Safe Medication Practices; January 2019. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information Inaccurate or incomplete data in electronic health reco…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35340/psn-pdf
    July 10, 2008 - Posthospital medication discrepancies: prevalence and contributing factors. July 10, 2008 Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847. https://psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prev…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46632/psn-pdf
    May 11, 2019 - Higher accuracy of complex medication reconciliation through improved design of electronic tools. May 11, 2019 Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):465-475. doi:10.1093/jamia/ocx127. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867599/psn-pdf
    January 22, 2025 - Assessing patient work system factors for medication management during transition of care among older adults: an observational study. January 22, 2025 Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among older adults: an observational st…
  14. psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and
    July 11, 2007 - December 29, 2014 Medication-error reporting and pharmacy resident experience during
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43265/psn-pdf
    February 15, 2024 - Five Medication Safety Tips for Older Adults. February 15, 2024 FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15, 2024. https://psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults Highlighting how aging affects medication absorption that may lead to complic…
  16. psnet.ahrq.gov/issue/decade-preventing-harm
    July 10, 2008 - August 17, 2016 Initiatives to identify and mitigate medication errors in England.
  17. psnet.ahrq.gov/issue/peer-review-comments-augment-diagnostic-error-characterization-and-departmental-quality
    September 02, 2020 - June 16, 2009 Characteristics of medication errors and adverse drug events in hospitals
  18. psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
    April 24, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medicationerrors.
  19. psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-prescription-records
    September 23, 2020 - June 30, 2011 View More Related Resources ISMP medication error … June 16, 2019 ISMP medication error report analysis. … October 6, 2016 ISMP medication error report analysis.
  20. psnet.ahrq.gov/issue/icn-position-statement-patient-safety
    March 09, 2022 - Organizational Policy/Guidelines ICN Position Statement: Patient Safety. Citation Text: ICN Position Statement: Patient Safety. Geneva, Switzerland; International Council of Nurses: 2023. Copy Citation Save Save to your library Print Download PDF …