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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74209/psn-pdf
    December 22, 2021 - Aligning patient safety and stewardship: a harm reduction strategy for children. December 22, 2021 Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-00227-6. https://psnet.ahrq.gov/iss…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46837/psn-pdf
    March 21, 2018 - Drug shortages: effect on parenteral nutrition therapy. March 21, 2018 Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052. https://psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy Shortages of me…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853061/psn-pdf
    August 30, 2023 - Drug shortages. August 30, 2023 Aronson JK, Heneghan C, Ferner RE. Br J Clin Pharmacol. 2023;89(10):2950-2963. https://psnet.ahrq.gov/issue/drug-shortages-0 Addressing drug shortages is a patient safety priority. Part One of this review summarizes existing definitions for drug shortages and the harms that can occu…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45682/psn-pdf
    November 01, 2017 - Changing smart pump vendors: lessons learned. November 1, 2017 Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned Changes in processes, devices, and technologies can increase ri…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73602/psn-pdf
    August 18, 2021 - The Child Health PSO at 10 years: an emerging learning network. August 18, 2021 Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449. https://psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-le…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43527/psn-pdf
    September 24, 2014 - The morbidity and mortality conference in PICUs in the United States: a national survey. September 24, 2014 Cifra CL, Bembea MM, Fackler JC, et al. The morbidity and mortality conference in PICUs in the United States: a national survey. Crit Care Med. 2014;42(10):2252-7. doi:10.1097/CCM.0000000000000505. https://p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837605/psn-pdf
    June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74238/psn-pdf
    January 12, 2022 - Program access, depressive symptoms, and medical errors among resident physicians with disability. January 12, 2022 Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):e2141511. doi:10.1001/jamanetwo…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42337/psn-pdf
    December 30, 2014 - In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. December 30, 2014 Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf. 2013;22(6):468-77. doi:10.113…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72559/psn-pdf
    December 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for Change. December 9, 2020 Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change Missed diagnosis of a dangerous condition in utero, treatment errors, lack of respons…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838140/psn-pdf
    November 07, 2015 - Safety-I, Safety-II and resilience engineering. November 7, 2015 Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering Organiz…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41544/psn-pdf
    July 25, 2012 - A performance improvement plan to increase nurse adherence to use of medication safety software. July 25, 2012 Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.06.004. https://psnet.ahrq.gov/issue/perfo…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43163/psn-pdf
    September 02, 2016 - Drug shortages: a complex health care crisis. September 2, 2016 Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014. https://psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis National drug shortages in the United …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43505/psn-pdf
    April 25, 2016 - Hospitals often ignore policies on using qualified medical interpreters. April 25, 2016 Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. https://psnet.ahrq.gov/issue/hospitals-often-ignore-polici…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74064/psn-pdf
    May 27, 2021 - Achieving zero inequity: lessons learned from patient safety. May 27, 2021 Gandhi TK. NEJM Catalyst. May 27, 2021. https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system. The author…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44093/psn-pdf
    April 29, 2015 - South Carolina medication error bill is dangerously off target. April 29, 2015 ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4. https://psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target This newsletter article reports on issues related to a legislation, drafted in …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867237/psn-pdf
    December 04, 2024 - Morbidity and mortality: delays in my patient’s cancer care. December 4, 2024 Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. https://psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care Sy…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44782/psn-pdf
    January 13, 2016 - The Swiss cheese model of adverse event occurrence—closing the holes. January 13, 2016 Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. https://psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event…

  19. Overview of Hospital Stays for Children in the United States, 2012 #187

    hcup-us.ahrq.gov/reports/statbriefs/sb187-Hospital-Stays-Children-2012.jsp
    December 01, 2014 - JAMA Pediatrics. 2013;167(2):170-7. 5 Ibid. 6 Elixhauser A.

  20. Cancer-Anemia-Update Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-anemia-update_executive.pdf
    April 01, 2013 - 1 Epoetin and Darbepoetin for Managing Anemia in Patients Undergoing Cancer Treatment: Comparative Effectiveness Update Executive Summary Background Anemia, a deficiency in the concentration of hemoglobin-containing red blood cells, is prevalent among cancer patients, depending on the type of malignancy and t…
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