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  1. psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
    July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…
  2. psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
    September 23, 2020 - Commentary Improving medication administration safety in a community hospital setting using Lean methodology. Citation Text: Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/N…
  3. psnet.ahrq.gov/issue/principles-pediatric-patient-safety-reducing-harm-due-medical-care
    May 22, 2019 - Organizational Policy/Guidelines Principles of pediatric patient safety: reducing harm due to medical care. Citation Text: Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542…
  4. psnet.ahrq.gov/Information/Editor
    May 23, 2025 - Browse Author Resources Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33880/psn-pdf
    May 01, 2019 - Safety in the Prehospital Emergency Medical Services Setting May 1, 2019 Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting Perspective Emergency medical services (E…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33631/psn-pdf
    April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety April 1, 2006 Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42562/psn-pdf
    June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. June 9, 2015 Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37983/psn-pdf
    November 03, 2008 - A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. November 3, 2008 Calzavacca P, Licari E, Tee A, et al. A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Intensive Care Med. 2008;34(11):2112-6. doi:10.10…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42000/psn-pdf
    March 06, 2013 - Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. March 6, 2013 Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Patient Saf. 2013;39(2):89-95. https://psnet…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38614/psn-pdf
    February 15, 2011 - Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. February 15, 2011 Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch Intern Med. 2009;169(8):757-63. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35108/psn-pdf
    April 06, 2011 - Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. April 6, 2011 Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 2005;14(3):207-11. https://psnet.ahrq.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34722/psn-pdf
    April 07, 2011 - A preliminary taxonomy of medical errors in family practice. April 7, 2011 Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice Efforts to improv…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34902/psn-pdf
    February 27, 2009 - Hospital rules-based system: the next generation of medical informatics for patient safety. February 27, 2009 Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. https://psnet.ahrq.gov/issue/hospit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40199/psn-pdf
    March 03, 2011 - Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. March 3, 2011 Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Acad Med. 2011;86(3):365-8.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40527/psn-pdf
    June 15, 2011 - Online medication error graphic reports: a pilot in North Carolina nursing homes. June 15, 2011 Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4eab. https://psnet.ahrq.gov/issue/o…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50849/psn-pdf
    January 29, 2020 - Prescription drug overload: critics fighting to curb an epidemic of medication side effects. January 29, 2020 Weisman R. Boston Globe. January 13, 2020. https://psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side- effects Polypharmacy is a known contributor to adverse dr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40730/psn-pdf
    August 27, 2012 - Analysis of risk of medical errors using structural- equation modelling: a 6-month prospective cohort study. August 27, 2012 Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf. 2012;21(9):784-790. doi:10.1136/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73996/psn-pdf
    October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care. October 20, 2021 Patient Safety Movement. October 29, 2021.  https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This webinar …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42551/psn-pdf
    May 21, 2019 - Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement? May 21, 2019 Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement? Am J Obstet Gynecol. 2…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35175/psn-pdf
    June 23, 2009 - Overnight and postcall errors in medication orders. June 23, 2009 Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors…

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