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6741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72763/psn-pdf
      February 17, 2021 - Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings. February 17, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021.    https://psnet.ahrq.gov/issue/apotex-corp-issues…

6742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43114/psn-pdf
      April 09, 2014 - The ethics of empowering patients as partners in healthcare-associated infection prevention. April 9, 2014 Sharp D, Palmore T, Grady C. The ethics of empowering patients as partners in healthcare-associated infection prevention. Infect Control Hosp Epidemiol. 2014;35(3):307-9. doi:10.1086/675288. https://psnet.ahr…

6743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40962/psn-pdf
      December 14, 2011 - American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. December 14, 2011 Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvement and Patient Safety program: …

6744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853442/psn-pdf
      September 13, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions. September 13, 2023 Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication No. 23-0040-5-EF. https://psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-scienc…

6745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45246/psn-pdf
      August 15, 2016 - Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. August 15, 2016 Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resident Handoff Bundle. Acad Pediat…

6746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34914/psn-pdf
      February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. February 27, 2009 Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3…

6747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50744/psn-pdf
      December 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p…

6748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45657/psn-pdf
      March 08, 2017 - The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. March 8, 2017 Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. Acad Med. 2017;92(1):23-30. doi:10.1097/…

6749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46149/psn-pdf
      June 28, 2017 - Clinical outcomes associated with medication regimen complexity in older people: a systematic review. June 28, 2017 Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 2016;65(4):747-753. doi:10.1111/jgs.14…

6750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36529/psn-pdf
      August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…

6751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45228/psn-pdf
      June 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su…

6752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844748/psn-pdf
      February 15, 2023 - 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? February 15, 2023 Renault M. STAT. February 6, 2023. https://psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect- tyre-nichols Emergent care situations are vulnerable to a range …

6753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865978/psn-pdf
      May 29, 2024 - Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. May 29, 2024 Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.…

6754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46633/psn-pdf
      November 22, 2017 - The high costs of unnecessary care. November 22, 2017 Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. https://psnet.ahrq.gov/issue/high-costs-unnecessary-care The provision of unneeded care can result in physical, financial, and psychological harm to patie…

6755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843087/psn-pdf
      January 25, 2023 - Interventions to increase patient safety in long-term care facilities-umbrella review. January 25, 2023 ?witalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities- umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. doi:10.3390/ijerph192215354. http…

6756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47503/psn-pdf
      October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…

6757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47154/psn-pdf
      May 23, 2018 - Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375. doi:1…

6758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40622/psn-pdf
      September 25, 2011 - Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms. September 25, 2011 Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e- prescribing software: triggers and treatment algorithms. BMJ Qua…

6759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47271/psn-pdf
      August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…

6760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47800/psn-pdf
      June 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer…