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  1. psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
    March 02, 2011 - Study Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. Citation Text: Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…
  2. psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility
    January 20, 2021 - Study Patient safety education to change medical students' attitudes and sense of responsibility. Citation Text: Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…
  3. psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
    March 03, 2010 - Study Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Citation Text: Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.13…
  4. psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
    August 24, 2022 - Study Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. Citation Text: Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41673/psn-pdf
    September 12, 2012 - A root cause analysis project in a medication safety course. September 12, 2012 Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. https://psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course This commentary descri…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39519/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume. Hosp Pharm. 2010;45(4). doi:10.1310/hpj45…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40830/psn-pdf
    October 05, 2011 - "Tech-check-tech": a review of the evidence on its safety and benefits. October 5, 2011 Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022. https://psnet.ahrq.gov/issue/tech-check-tech-review-ev…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37819/psn-pdf
    April 14, 2010 - Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. April 14, 2010 Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2008. https://psnet.ahrq.gov/issue/standardizing-medica…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40655/psn-pdf
    September 12, 2016 - Impact of drug shortages on U.S. health systems. September 12, 2016 Kaakeh R, Sweet B, Reilly C, et al. Impact of drug shortages on U.S. health systems. Am J Health Syst Pharm. 2011;68(19):1811-9. doi:10.2146/ajhp110210. https://psnet.ahrq.gov/issue/impact-drug-shortages-us-health-systems This study surveyed pharm…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50582/psn-pdf
    October 23, 2019 - Medication errors: the year in review. October 23, 2019 Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019. https://psnet.ahrq.gov/issue/medication-errors-year-review Medication error prevention is an evolving goal for health care. This article discusses distinct medications and errors…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49625/psn-pdf
    May 01, 2011 - Pocket Syringe Swap May 1, 2011 Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/pocket-syringe-swap The Case A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for postoperative pain management. Surgery proceeded uneventfully under…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73999/psn-pdf
    October 27, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room October 27, 2021 Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42130/psn-pdf
    June 10, 2018 - Survey results: community liaison programs to decrease hospital readmissions. June 10, 2018 ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3. https://psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions This newsletter article details the characteristic…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42807/psn-pdf
    February 17, 2015 - ASPEN parenteral nutrition safety consensus recommendations. February 17, 2015 Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992. https://psnet.ahrq.gov/issue/aspen-parenteral-nutrit…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49845/psn-pdf
    October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages October 1, 2018 Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages The Case A 1-month-old preterm infant in the ne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50677/psn-pdf
    November 20, 2019 - What Happens When Doctors Make Diagnostic Errors? November 20, 2019 The Peoples Pharmacy. Show 1186: National Public Radio. October 24, 2019. https://psnet.ahrq.gov/issue/what-happens-when-doctors-make-diagnostic-errors Misdiagnosis growing area of concern in health care. This radio feature explores three commonly …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45063/psn-pdf
    May 04, 2016 - Value of the pharmacist in the medication reconciliation process. May 4, 2016 Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8. https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process Medication reconciliation has been shown to r…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43564/psn-pdf
    January 15, 2019 - Are hospitals in a med safety standard slump? January 15, 2019 Wild D. Pharmacy Practice News. September 8, 2014. https://psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump Highlighting how hospital compliance rates with Joint Commission medication–related standards have remained mostly unchanged from 20…
  19. psnet.ahrq.gov/issue/effect-health-care-working-conditions-patient-safety-evidence-reporttechnology-assessment
    December 18, 2008 - March 18, 2020 Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
  20. psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
    December 24, 2008 - June 28, 2023 Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative

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