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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34792/psn-pdf
    January 01, 2011 - Physician knowledge, attitudes, and behavior related to reporting adverse drug events. July 10, 2008 Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600. doi:10.1001/archinte.1988.00380070090021. https:…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36003/psn-pdf
    March 28, 2011 - The "To Err Is Human Report" and the patient safety literature. March 28, 2011 Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature This study …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45350/psn-pdf
    October 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39512/psn-pdf
    June 11, 2010 - An intervention to decrease patient identification band errors in a children's hospital. June 11, 2010 Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288. https://psnet.ahrq.g…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36154/psn-pdf
    September 29, 2010 - Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. September 29, 2010 Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. https://psnet.ahrq.gov/issue/har…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866580/psn-pdf
    August 28, 2024 - The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. August 28, 2024 Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10?year review of enteral misconnection adverse events and narrative review. Nutr Clin Prac. 2024;39(5):1251-1258. doi:1…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47118/psn-pdf
    August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. August 8, 2018 Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008. https:/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36486/psn-pdf
    June 13, 2011 - Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. June 13, 2011 Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated Services to Support Inte…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72579/psn-pdf
    January 01, 2021 - Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. December 16, 2020 Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864854/psn-pdf
    March 20, 2024 - Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population- based study. March 20, 2024 Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Emerg Me…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850346/psn-pdf
    June 14, 2023 - The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. June 14, 2023 D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44552/psn-pdf
    June 21, 2016 - Reducing diagnostic errors—why now? June 21, 2016 Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491- 2493. doi:10.1056/NEJMp1508044. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now Diagnostic error has recently garnered attention as a patient safety pr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37849/psn-pdf
    March 23, 2011 - The incidence and nature of in-hospital adverse events: a systematic review. March 23, 2011 de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622. https://psnet.ahrq.gov/is…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46134/psn-pdf
    September 24, 2017 - Sources of unsafe primary care for older adults: a mixed- methods analysis of patient safety incident reports. September 24, 2017 Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72743/psn-pdf
    February 17, 2021 - Preventable medication harm across health care settings: a systematic review and meta-analysis. February 17, 2021 Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9. https:…
  16. psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
    January 25, 2017 - April 12, 2011 Managing the adverse event occurring during elective, ambulatory pediatric
  17. psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - June 30, 2021 Analysis of risk factors for patient safety events occurring in the emergency
  18. psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
    April 12, 2011 - More Related Resources Analysis of risk factors for patient safety events occurring
  19. psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
    October 18, 2018 - October 30, 2010 Medication errors occurring with the use of bar-code administration
  20. psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
    March 04, 2011 - March 4, 2011 Systematic evaluation of errors occurring during the preparation of intravenous