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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73064/psn-pdf
    March 24, 2021 - Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. March 24, 2021 Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors: Findings from two national surveillance systems, United S…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865344/psn-pdf
    March 27, 2024 - Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review. March 27, 2024 Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision support to prevent dose errors in pedia…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853234/psn-pdf
    September 06, 2023 - Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. September 6, 2023 de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC Pediatr. 2023;23(1):380. doi:10.…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40561/psn-pdf
    March 23, 2012 - Principles of conservative prescribing. March 23, 2012 Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. https://psnet.ahrq.gov/issue/principles-conservative-prescribing Strategies to prevent medication errors …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860715/psn-pdf
    January 17, 2024 - Development of prescribing indicators related to opioid- related harm in patients with chronic pain in primary care- a modified e-Delphi study. January 17, 2024 Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care—…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37368/psn-pdf
    January 10, 2017 - Effective implementation of work-hour limits and systemic improvements. January 10, 2017 Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29. https://psnet.ahrq.gov/issue/effective-implementation-wo…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856583/psn-pdf
    January 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42113/psn-pdf
    March 20, 2013 - Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. March 20, 2013 Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-4819-158-5-201303051-00008. https:/…
  9. psnet.ahrq.gov/issue/shakespeare-was-target-dont-be-borrower-or-lender
    May 11, 2022 - Newspaper/Magazine Article Shakespeare was on target—don't be a borrower or lender. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 10, 2018 This piece describes the dangers…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38964/psn-pdf
    November 27, 2009 - Development of a measure of patient safety event learning responses. November 27, 2009 Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. https://psnet.ahrq.gov/issue/development-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838251/psn-pdf
    October 05, 2022 - Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. October 5, 2022 Uramatsu M, Maeda H, Mishima S, et al. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. J Cardiothorac Surg.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863748/psn-pdf
    March 06, 2024 - Scaling the EQUIPPED medication safety program: traditional and hub-and-spoke implementation models. March 6, 2024 Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and hub?and?spoke implementation models. J Am Geriatr Soc. 2024;72(7):2184-2194. doi:10.1111/jgs.18746.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39985/psn-pdf
    November 10, 2010 - Establishing a global learning community for incident- reporting systems. November 10, 2010 Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. https://psnet.ahrq.gov/issue/establishing-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36975/psn-pdf
    March 24, 2011 - Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? March 24, 2011 Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41611/psn-pdf
    November 23, 2012 - Self-reported uptake of recommendations after dissemination of medication incident alerts. November 23, 2012 Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1136/bmjqs-2012-000828. https://p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866864/psn-pdf
    October 02, 2024 - Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). October 2, 2024 Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the P…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72649/psn-pdf
    January 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. January 20, 2021 Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. Patient Safety. 2020;2(4):24-39. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46450/psn-pdf
    August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48057/psn-pdf
    June 26, 2019 - Multicenter study to evaluate the benefits of technology- assisted workflow on i.v. room efficiency, costs, and safety. June 26, 2019 Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…

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