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3421. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet
      psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
      October 21, 2016 - September 14, 2007 Trends in Nursing Home Deficiencies and Complaints.

3422. Introducing the New SOPS Hospital Survey 2.0. | PSNet
      psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
      October 23, 2019 - Network of Patient Safety Databases Chartbook, 2019 February 5, 2020 AHRQ Nursing … Home Survey on Patient Safety Culture: 2019 User Comparative Database Report.

3423. Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. | PSNet
      psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
      November 17, 2010 - May 25, 2016 Resident Safety Practices in Nursing Home Settings.

3424. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet
      psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
      January 06, 2017 - March 28, 2012 The association of nursing home characteristics and quality with adverse

3425. Dangerous deception--hiding the evidence of adverse drug events. | PSNet
      psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
      November 09, 2022 - September 25, 2008 The association of nursing home characteristics and quality with adverse

3426. Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. | PSNet
      psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
      October 06, 2016 - October 5, 2015 Resident Safety Practices in Nursing Home Settings.

3427. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet
      psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
      June 15, 2011 - November 15, 2023 The National Imperative to Improve Nursing Home Quality: Honoring Our

3428. Healthcare Simulation Dictionary, Third Edition. | PSNet
      psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
      January 10, 2024 - December 24, 2008 Resident Safety Practices in Nursing Home Settings.

3429. Improving the usability of intravenous medication labels to support safe medication delivery. | PSNet
      psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
      September 26, 2016 - November 16, 2022 Identifying modifiable barriers to medication error reporting in the nursing … home setting.

3430. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet
      psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
      December 01, 2010 - March 3, 2021 Omissions of care in nursing home settings: a narrative review.

3431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49762/psn-pdf
      June 01, 2016 - The Case of Mistaken Intubation June 1, 2016 Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/case-mistaken-intubation Case Objectives Appreciate that most older adults and many younger chronically ill patients have discussed or documented their preferences for l…

3432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49451/psn-pdf
      June 01, 2004 - The Result Stopped Here June 1, 2004 Astion ML. The Result Stopped Here. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/result-stopped-here The Case A 91-year-old female was transferred to a hospital-based skilled nursing unit from the acute care hospital for continued wound care and intravenous (IV) antib…

3433. The Role of the Patient in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
      March 01, 2007 - The Role of the Patient in Improving Patient Safety Rosemary Gibson, MSc | March 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…

3434. Challenges of Diabetes Management and Medication Reconciliation | PSNet
      psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
      March 15, 2023 - Challenges of Diabetes Management and Medication Reconciliation Citation Text: Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation …

3435. Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. | PSNet
      psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
      December 07, 2022 - August 26, 2020 Impact of a pharmacist-administered deprescribing intervention on nursing … home residents: a randomized controlled trial.

3436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49562/psn-pdf
      May 01, 2008 - The Inside of a Time Out May 1, 2008 Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/inside-time-out The Case A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was no…

3437. Potentially inappropriate medication use among elderly home care patients in Europe. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-among-elderly-home-care-patients-europe
      September 19, 2016 - Study Potentially inappropriate medication use among elderly home care patients in Europe. Citation Text: Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005;293(11):1348-58. Copy Citation Form…

3438. Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet
      psnet.ahrq.gov/issue/sources-medication-omissions-among-hospitalized-older-adults-polypharmacy
      January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

3439. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. | PSNet
      psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000-2021
      October 30, 2024 - Study Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Citation Text: DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.154…

3440. Identification of adverse events at an orthopedics department in Sweden. | PSNet
      psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden
      May 08, 2013 - Study Identification of adverse events at an orthopedics department in Sweden. Citation Text: Unbeck M, Muren O, Lillkrona U. Identification of adverse events at an orthopedics department in Sweden. Acta Orthop. 2008;79(3):396-403. doi:10.1080/17453670710015319. Copy Citation For…