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6641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852803/psn-pdf
      August 23, 2023 - Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. August 23, 2023 Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006. https://psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-sa…

6642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34594/psn-pdf
      January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. January 4, 2017 Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9. https://psnet.ahrq.gov/…

6643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46206/psn-pdf
      August 02, 2017 - Patient safety in dentistry: development of a candidate 'never event' list for primary care. August 2, 2017 Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. https://psnet.ahrq.gov/issue/patie…

6644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839326/psn-pdf
      November 02, 2022 - Safety considerations for challenges when using smart infusion pumps. November 2, 2022 ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. https://psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps Errors due to inadequate information use with intraveno…

6645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850356/psn-pdf
      June 14, 2023 - Prescribing errors in children: why they happen and how to prevent them. June 14, 2023 Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184013. https://psnet.ahrq.gov/issue/prescribing-errors-ch…

6646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72813/psn-pdf
      March 10, 2021 - Racial/ethnic inequities in pregnancy-related morbidity and mortality. March 10, 2021 Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;48(1):31-51. doi:10.1016/j.ogc.2020.11.005. https://psnet.ahrq.gov/issue/racialet…

6647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73185/psn-pdf
      April 28, 2021 - Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21. https://psnet.ahrq.gov/issue/…

6648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38774/psn-pdf
      July 08, 2009 - Evaluation of causes and frequency of medication errors during information technology downtime. July 8, 2009 Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm. 2009;66(12):1119-24. doi:10.2146/a…

6649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34730/psn-pdf
      October 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi…

6650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43045/psn-pdf
      August 02, 2015 - A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. August 2, 2015 Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a…

6651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838623/psn-pdf
      October 19, 2022 - Resident and nurse perspectives on the use of secure text messaging systems. October 19, 2022 Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. https://psnet.ahrq.gov/issue/resident-and-nurse-perspe…

6652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837075/psn-pdf
      May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. May 11, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin…

6653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862613/psn-pdf
      February 14, 2024 - Standardizing medication reconciliation in a pediatric emergency department. February 14, 2024 Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. https://psnet.ahrq.gov/issue/st…

6654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852748/psn-pdf
      August 23, 2023 - Compliance with central line maintenance bundle and infection rates. August 23, 2023 Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688. https://psnet.ahrq.gov/issue/compliance-central-line-mai…

6655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43030/psn-pdf
      March 26, 2014 - Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. March 26, 2014 ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.   https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based- causes-vaccine-…

6656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46931/psn-pdf
      January 15, 2019 - Strategies for optimizing OR drug safety. January 15, 2019 Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration durin…

6657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44378/psn-pdf
      August 05, 2015 - Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. August 5, 2015 Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 2015;41(8):351-60. https://psnet.ahrq.gov…

6658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837040/psn-pdf
      May 04, 2022 - Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. May 4, 2022 Silver Spring, MD: US Food and Drug Administration; April 5, 2022. https://psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety- communication The challenge of medical device steriliza…

6659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866250/psn-pdf
      July 10, 2024 - Attention among health care professionals : a scoping review. July 10, 2024 Kissler MJ, Porter S, Knees M, et al. Attention among health care professionals : a scoping review. Ann Intern Med. 2024;177(7):941-952. doi:10.7326/m23-3229. https://psnet.ahrq.gov/issue/attention-among-health-care-professionals-scoping-r…

6660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45440/psn-pdf
      November 09, 2016 - Safety lessons from the NIH Clinical Center. November 9, 2016 Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center System failures can remain undetected over time in large organizations. This perspective describ…