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psnet.ahrq.gov/node/43741/psn-pdf
December 03, 2014 - Overdiagnosis: how our compulsion for diagnosis may be
harming children.
December 3, 2014
Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be
harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778.
https://psnet.ahrq.gov/issue/overdiagnosis-how-our-c…
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psnet.ahrq.gov/node/73994/psn-pdf
October 20, 2021 - A culture of safety in EMS systems.
October 20, 2021
American College of Emergency Physicians, National Association of Emergency Medical Services.
Ann Emerg Med. 2021;78(3):e37-e57.
https://psnet.ahrq.gov/issue/culture-safety-ems-systems-0
Emergency medical services (EMS) are often provided in stressfu…
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psnet.ahrq.gov/node/43734/psn-pdf
January 21, 2015 - Explicit and Standardized Prescription Medicine
Instructions.
January 21, 2015
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions
Standardization has been embraced as a strategy to improve health litera…
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psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient
safety.
February 14, 2018
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-
e81.
https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
This commentary discusses how sleep deprivation affects…
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psnet.ahrq.gov/node/60808/psn-pdf
August 12, 2020 - Paediatric International Patient Safety and Quality
Community.
August 12, 2020
Paediatric International Patient Safety and Quality Community. 525 University Ave, Suite 630, Toronto,
Ontario M5G 2L3, Canada.
https://psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
The safety of ch…
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psnet.ahrq.gov/node/44934/psn-pdf
February 07, 2023 - National Safety Standards for Invasive Procedures
(NatSSIPs2).
February 7, 2023
Centre for Perioperative Care. London, UK; January 2023.
https://psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
Patients face risks when undergoing surgery. This revised guidance provides recommendations de…
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psnet.ahrq.gov/node/41880/psn-pdf
January 08, 2014 - DOD and VA Health Care: Medication Needs During
Transitions May Not Be Managed for All Servicemembers.
January 8, 2014
Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-
26.
https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transit…
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psnet.ahrq.gov/node/47466/psn-pdf
October 17, 2018 - ASHP guidelines on preventing medication errors in
hospitals.
October 17, 2018
Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in
Hospitals. Am J Health-Syst Pharm. 2018;75(19):1493-1517. doi:10.2146/ajhp170811.
https://psnet.ahrq.gov/issue/ashp-guidelines-preven…
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psnet.ahrq.gov/node/38190/psn-pdf
May 14, 2009 - Oncology medication safety: a 3D status report 2008.
May 14, 2009
Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm
Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634.
https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008
This survey di…
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psnet.ahrq.gov/node/864384/psn-pdf
March 13, 2024 - Rx for reality: clinicians confront medical gaslighting.
March 13, 2024
Booth G, ed. Anamnesis. MedPage Today. March 1, 2024.
https://psnet.ahrq.gov/issue/rx-reality-clinicians-confront-medical-gaslighting
The dismissal of patient health concerns by providers degrades diagnosis, treatment, and trust. Thi…
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psnet.ahrq.gov/node/46095/psn-pdf
April 26, 2017 - Impact of Medical Errors and Malpractice on Health
Economics, Quality, and Patient Safety.
April 26, 2017
Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376.
https://psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient-
safety
This book provides information o…
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psnet.ahrq.gov/node/36736/psn-pdf
March 21, 2012 - FDA preliminary public health notification: unpredictable
events in medical equipment due to new daylight savings
time change.
March 21, 2012
Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1,
2007.
https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…
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psnet.ahrq.gov/node/38272/psn-pdf
December 10, 2008 - Interprofessional conflict and medical errors: results of a
national multi-specialty survey of hospital residents in the
US.
December 10, 2008
Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-
specialty survey of hospital residents in the US. J Interprof Care. 20…
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psnet.ahrq.gov/node/36935/psn-pdf
September 01, 2011 - When should a multicampus hospital be considered a
single entity for public reporting on patient safety issues?
September 1, 2011
Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single
entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…
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psnet.ahrq.gov/node/47817/psn-pdf
February 27, 2019 - FactFinders.
February 27, 2019
SIS Patient Safety Committee. Spine Intervention Society.
https://psnet.ahrq.gov/issue/factfinders
This resource provides newsletters that target concerns associated with spinal pain interventions and offers
safety strategies. The collection focuses on three primary areas: procedural…
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psnet.ahrq.gov/node/44478/psn-pdf
September 09, 2015 - Oral chemotherapy: not just an ordinary pill.
September 9, 2015
ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2.
https://psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
Chemotherapy delivered by any method is a high-alert medication. This news article provides tips for both
patients and practitio…
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psnet.ahrq.gov/node/39036/psn-pdf
October 21, 2009 - Disclosing medical errors to patients: a challenge for
health care professionals and institutions.
October 21, 2009
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and
institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/35700/psn-pdf
February 15, 2010 - Point-of-care testing error: sources and amplifiers,
taxonomy, prevention strategies, and detection monitors.
February 15, 2010
Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies,
and detection monitors. Arch Pathol Lab Med. 2005;129(10):1262-1267.
https://psne…
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psnet.ahrq.gov/node/73991/psn-pdf
October 20, 2021 - Digital Clinical Safety Strategy
October 20, 2021
NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021.
https://psnet.ahrq.gov/issue/digital-clinical-safety-strategy
Digital clinical technologies hold promise for care improvement while contributing to potential failures due to
th…
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psnet.ahrq.gov/node/40083/psn-pdf
December 15, 2010 - Nighttime and weekend medication error rates in an
inpatient pediatric population.
December 15, 2010
Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient
pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P252.
https://psnet.ahrq.gov/issue/…