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7661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72809/psn-pdf
      March 03, 2021 - Dying on the waitlist. March 3, 2021 Armstrong D. Allen M. ProPublica. February 18, 2021. https://psnet.ahrq.gov/issue/dying-waitlist The COVID-19 pandemic has revealed systemic weaknesses in health care access and delivery. This story examines how equipment shortages affected treatment decisions to culminate in r…

7662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37413/psn-pdf
      November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of Care. November 14, 2011 https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0 Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program, AHRQ has released 17 freely available toolkits to help ho…

7663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40854/psn-pdf
      January 01, 2012 - The association between EMS workplace safety culture and safety outcomes. December 7, 2011 Weaver MD, Wang HE, Fairbanks RJ, et al. The association between EMS workplace safety culture and safety outcomes. Prehosp Emerg Care. 2012;16(1):43-52. doi:10.3109/10903127.2011.614048. https://psnet.ahrq.gov/issue/associat…

7664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61002/psn-pdf
      September 17, 2020 - Patient Safety September 17, 2020 Organisation for Economic Co-operation and Development. https://psnet.ahrq.gov/issue/patient-safety-21 Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical error. This website provides a collection of reports and other resources that c…

7665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42975/psn-pdf
      February 26, 2014 - State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics. February 26, 2014 Michigan Pharmacists Association; MPA. https://psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics Children are often prescribed oral liquid medications due to difficulty swa…

7666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841786/psn-pdf
      December 21, 2022 - National Patient Safety Board Act of 2022. December 21, 2022 HR 9377, 117th Cong, 2d Sess (2022). https://psnet.ahrq.gov/issue/national-patient-safety-board-act-2022 The need for a national government-led patient safety effort has long been advocated for. This legislation outlines the structure of a federal agency…

7667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48038/psn-pdf
      June 05, 2019 - Addressing Problematic Opioid Use in OECD Countries. June 5, 2019 Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260. https://psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries The overprescribing of prescription opioids heightens the…

7668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44917/psn-pdf
      November 30, 2016 - Canadian Incident Analysis Framework. November 30, 2016 Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440. https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework Performing incident analysis can help organizations understand why adverse e…

7669. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38171/psn-pdf
      June 29, 2009 - An educational and audit tool to reduce prescribing error in intensive care. June 29, 2009 Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. https://psnet.ahrq.gov/issue/educationa…

7670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38318/psn-pdf
      March 10, 2011 - Tiering drug–drug interaction alerts by severity increases compliance rates. March 10, 2011 Paterno MD, Maviglia SM, Gorman PN, et al. Tiering drug-drug interaction alerts by severity increases compliance rates. J Am Med Inform Assoc. 2009;16(1):40-6. doi:10.1197/jamia.M2808. https://psnet.ahrq.gov/issue/tiering-d…

7671. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40573/psn-pdf
      June 10, 2018 - Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 16, 2011;16:1-3. https://psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs- hospitalization This…

7672. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40886/psn-pdf
      September 29, 2017 - Patient safety in the context of neonatal intensive care: research and educational opportunities. September 29, 2017 Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109-15. doi:10.1203/PDR.0b013e3182182853. ht…

7673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44109/psn-pdf
      November 06, 2015 - Safer Clinical Systems. November 6, 2015 London, UK: Health Foundation. https://psnet.ahrq.gov/issue/safer-clinical-systems This Web site highlights the work of a United Kingdom initiative launched in 2008 to apply safety improvement tactics from high-risk industries to care services. The program engages teams to …

7674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48154/psn-pdf
      July 31, 2019 - Learn Not Blame. July 31, 2019 Doctors' Association UK. https://psnet.ahrq.gov/issue/learn-not-blame This website provides information about a National Health Service (NHS) campaign to shift response to errors from blame to an approach that embraces fairness, openness, learning, and patient and health care profes…

7675. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36708/psn-pdf
      April 21, 2011 - Missed breast cancers at US-guided core needle biopsy: how to reduce them. April 21, 2011 Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 2007;27(1):79-94. https://psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-…

7676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60214/psn-pdf
      April 08, 2020 - Are vital home health workers now a safety threat? April 8, 2020 Galewitz P.  Kaiser Health News. March 25, 2020. https://psnet.ahrq.gov/issue/are-vital-home-health-workers-now-safety-threat Home care is a common option for older and disabled patients for managing their chronic conditions. This story highligh…

7677. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36885/psn-pdf
      March 10, 2011 - Communication outcomes of critical imaging results in a computerized notification system. March 10, 2011 Singh H, Arora HS, Vij MS, et al. Communication outcomes of critical imaging results in a computerized notification system. J Am Med Inform Assoc. 2007;14(4):459-66. https://psnet.ahrq.gov/issue/communication-o…

7678. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40108/psn-pdf
      July 28, 2013 - Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III). July 28, 2013 Berns SD, ed. White Plains, NY: March of Dimes; December 2010. https://psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through- qua…

7679. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34588/psn-pdf
      January 04, 2017 - The Johns Hopkins Hospital: identifying and addressing risks and safety issues. January 4, 2017 Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. https://psnet.ahrq.gov/issue/johns-hopkins-hospital-ident…

7680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43513/psn-pdf
      September 10, 2014 - Preventing medical errors: how to proceed with caution. September 10, 2014 Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64. https://psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution This article provides an overview of patient safety issues…