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  1. 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73522/psn-pdf
    July 21, 2021 - Federal speech rulings may embolden health care workers to call out safety issues. July 21, 2021 Meyer H. Kaiser Health News. July 9, 2021. https://psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety- issues Whistleblower protections are a key component to raising awarenes…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44791/psn-pdf
    January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46813/psn-pdf
    March 14, 2018 - Our other prescription drug problem. March 14, 2018 Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693- 695. doi:10.1056/NEJMp1715050. https://psnet.ahrq.gov/issue/our-other-prescription-drug-problem Unintended consequences can emerge when targeted strategies divert …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34724/psn-pdf
    May 27, 2011 - From patients to politicians: a cognitive engineering view of patient safety. May 27, 2011 Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety V…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846465/psn-pdf
    March 22, 2023 - Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. March 22, 2023 Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae.15897. https://psnet.ahrq.gov/iss…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45422/psn-pdf
    October 12, 2016 - Maths anxiety and medication dosage calculation errors: a scoping review. October 12, 2016 Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005. https://psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosag…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45403/psn-pdf
    September 21, 2016 - 'Superbug' scourge spreads as U.S. fails to track rising human toll. September 21, 2016 McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016. https://psnet.ahrq.gov/issue/superbug-scourge-spreads-us-fails-track-rising-human-toll Antimicrobial resistance is a pervasive threat to patient safety…

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35635/psn-pdf
    June 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61033/psn-pdf
    October 14, 2020 - L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. October 14, 2020 Dolan J, Mejia B. Los Angeles Times. September 30, 2020. https://psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die- waiting Socioeconomic conditions influence acces…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45444/psn-pdf
    December 04, 2016 - Alarm fatigue: use of an evidence-based alarm management strategy. December 4, 2016 Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. https://psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy Reducing nuisance…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50626/psn-pdf
    November 06, 2019 - Prevalence of medication transfer errors in nephrology patients and potential risk factors. November 6, 2019 Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016/j.ejim.2019.09.003. https://ps…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46808/psn-pdf
    February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been a le…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866966/psn-pdf
    October 16, 2024 - Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. October 16, 2024 Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No. 24- 0010-9-EF https://psnet.ahrq.g…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46671/psn-pdf
    June 25, 2018 - Twelve tips for embedding human factors and ergonomics principles in healthcare education. June 25, 2018 Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159x.2017.1387240. https://psnet.ahrq.gov/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60007/psn-pdf
    March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Horsham, PA: Institute for Safe Medication Practices; 2020. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion- pumps Smart pumps are widely available as a medicat…

  20. Friedman, Amy | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/friedman-amy
    January 01, 2023 - Friedman, Amy Web-based Renal Transplant Patient Medication System - Final Report Citation Friedman A. Web-based Renal Transplant Patient Medication System - Final Report. (Prepared by Yale University under Grant No. R01 HS015038). Rockville, MD: Agency for Healthcare Research…
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