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  1. Partnering with families and patient advocates: another line of defense in adverse event surveillance. | PSNet

    psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
    September 11, 2019 - Newspaper/Magazine Article Partnering with families and patient advocates: another line of defense in adverse event surveillance. Citation Text: Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…

  2. AI in medicine needs to be carefully deployed to counter bias – and not entrench it. | PSNet

    psnet.ahrq.gov/issue/ai-medicine-needs-be-carefully-deployed-counter-bias-and-not-entrench-it
    January 31, 2024 - Newspaper/Magazine Article AI in medicine needs to be carefully deployed to counter bias – and not entrench it. Citation Text: AI in medicine needs to be carefully deployed to counter bias – and not entrench it. Levi R, Gorenstein D. Health Shots. National Public Radio. June 6, 2023…

  3. Learning from error: identifying contributory causes of medication errors in an Australian hospital. | PSNet

    psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
    October 19, 2022 - Study Learning from error: identifying contributory causes of medication errors in an Australian hospital. Citation Text: Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…

  4. Latest Results From the "FIRST" Trial. | PSNet

    psnet.ahrq.gov/issue/latest-results-first-trial
    October 29, 2017 - Special or Theme Issue Latest Results From the "FIRST" Trial. Citation Text: Latest Results From the "FIRST" Trial. J Am Coll Surg. 2017;224:103-159. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  5. Preventing vincristine administration errors: does evidence support minibag infusions? | PSNet

    psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
    January 01, 2008 - Commentary Preventing vincristine administration errors: does evidence support minibag infusions? Citation Text: Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …

  6. Complementary telephone strategies to improve postdischarge communication. | PSNet

    psnet.ahrq.gov/issue/complementary-telephone-strategies-improve-postdischarge-communication
    July 02, 2014 - Commentary Complementary telephone strategies to improve postdischarge communication. Citation Text: Rennke S, Kesh S, Neeman N, et al. Complementary telephone strategies to improve postdischarge communication. Am J Med. 2012;125(1):28-30. doi:10.1016/j.amjmed.2011.05.011. Copy Citat…

  7. Implementing a safe and reliable process for medication administration. | PSNet

    psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
    June 22, 2022 - Commentary Implementing a safe and reliable process for medication administration. Citation Text: Richardson B, Bromirski B, Hayden A. Implementing a safe and reliable process for medication administration. Clin Nurse Spec. 2012;26(3):169-76. doi:10.1097/NUR.0b013e3182503fbe. Copy Ci…

  8. Disclosure of adverse events in pediatrics. | PSNet

    psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
    April 21, 2021 - Organizational Policy/Guidelines Disclosure of adverse events in pediatrics. Citation Text: Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…

  9. Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. | PSNet

    psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
    March 10, 2021 - Newspaper/Magazine Article Classic Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. Citation Text: Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…

  10. Beyond negligence: avoidability and medical injury compensation. | PSNet

    psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
    February 17, 2011 - Study Beyond negligence: avoidability and medical injury compensation. Citation Text: Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402. Copy Citation Format: Google Scholar PubMed Bib…

  11. Overtreatment in the United States. | PSNet

    psnet.ahrq.gov/issue/overtreatment-united-states
    November 21, 2017 - Study Overtreatment in the United States. Citation Text: Lyu H, Xu T, Brotman D, et al. Overtreatment in the United States. PLoS One. 2017;12(9):e0181970. doi:10.1371/journal.pone.0181970. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  12. Mistakes and disclosure. | PSNet

    psnet.ahrq.gov/issue/mistakes-and-disclosure
    October 19, 2022 - Commentary Mistakes and disclosure. Citation Text: Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  13. Disclosing medical errors: views from the United States and the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
    September 23, 2020 - Commentary Disclosing medical errors: views from the United States and the United Kingdom. Citation Text: Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  14. FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication | PSNet

    psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
    October 28, 2020 - Grant Announcement FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Citation Text: FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019. Copy Citati…

  15. Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. | PSNet

    psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
    April 08, 2020 - Press Release/Announcement Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. Citation Text: Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …

  16. Rethinking rapid response teams. | PSNet

    psnet.ahrq.gov/issue/rethinking-rapid-response-teams
    February 23, 2019 - Commentary Rethinking rapid response teams. Citation Text: Litvak E, Pronovost P. Rethinking rapid response teams. JAMA. 2010;304(12):1375-6. doi:10.1001/jama.2010.1385. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  17. Framework for patient safety—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/framework-patient-safety-part-1-and-part-2
    September 07, 2016 - Commentary Framework for patient safety—part 1 and part 2. Citation Text: Blouin AS, McDonagh KJ. Framework for patient safety, part 1: culture as an imperative. J Nurs Adm. 2011;41(10):397-400. doi:10.1097/NNA.0b013e31822edb4d. Copy Citation Format: DOI Google Scholar Pu…

  18. Drug shortages continue to compromise patient care. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
    February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

  19. Survey shows room for improvement with three new best practices for hospitals. | PSNet

    psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
    June 01, 2022 - Newspaper/Magazine Article Survey shows room for improvement with three new best practices for hospitals. Citation Text: Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  Copy Ci…

  20. Medication safety: look-alike/sound-alike drugs in home care. | PSNet

    psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
    February 03, 2021 - Commentary Medication safety: look-alike/sound-alike drugs in home care. Citation Text: Friedman MMG. Medication safety: look-alike/sound-alike drugs in home care. Home Healthc Nurse. 2005;23(4):243-253. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…
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