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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42360/psn-pdf
    April 16, 2018 - Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. April 16, 2018 Yang A, Grissinger M. PA-PSRS Patient Saf Advis. June 2013;10:41-49. https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and- strategies-preventio…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41480/psn-pdf
    November 05, 2013 - Hospital patients' reports of medical errors and undesirable events in their health care. November 5, 2013 Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.1111/j.1365-2753.2012.01867.x. https…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42629/psn-pdf
    October 02, 2013 - The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. October 2, 2013 Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurrence of Reported Paediatric Medica…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37264/psn-pdf
    May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). May 21, 2014 Farley D, Morton SC, Damberg CL et al. Santa Monica, CA: Rand Corporation; 2007. https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluati…
  5. psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
    November 02, 2022 - Book/Report Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Citation Text: Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Allegranzi B, Nejad SB, Castillejos GG, Kilpatrick C, Kelley E, Mathai E; Clean Care is Safer Care Team. …
  6. psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
    March 06, 2019 - Review Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. Citation Text: Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 20…
  7. psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event
    April 26, 2023 - Study A natural language processing approach to categorise contributing factors from patient safety event reports. Citation Text: A natural language processing approach to categorise contributing factors from patient safety event reports. Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Healt…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42050/psn-pdf
    January 07, 2015 - The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in- training. January 7, 2015 De Oliveira GS, Rahmani R, Fitzgerald PC, et al. The association between frequency of self-reported medical errors and anesthesia t…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37486/psn-pdf
    January 23, 2009 - Medication report reduces number of medication errors when elderly patients are discharged from hospital. January 23, 2009 Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World Sci. 2007;30(1):92-98. doi:10.1007…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46143/psn-pdf
    June 14, 2017 - Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. June 14, 2017 Dublin, Ireland: Health Information and Quality Authority; May 2017. https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital- tullamore-coun…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44413/psn-pdf
    October 07, 2015 - Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. October 7, 2015 Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9):615-8. doi:10.1002/jhm.2393. h…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40945/psn-pdf
    November 23, 2011 - The nature and causes of unintended events reported at 10 internal medicine departments. November 23, 2011 Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.1097/PTS.0b013e3182388f97. https://…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44300/psn-pdf
    July 29, 2015 - Learning From Serious Failings in Care: Main Report. July 29, 2015 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015. https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report Substantive reports of failures have t…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40165/psn-pdf
    December 29, 2014 - Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. December 29, 2014 Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2011;23(2):182-6. doi:10.1093/in…
  15. psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
    December 18, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. Citation Text: Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …
  16. psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - Study Emerging Classic Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. Citation Text: Härkänen M, Turunen H, Vehviläine…
  17. psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
    May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. Citation Text: Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports. J Nerv Ment Dis…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45184/psn-pdf
    June 01, 2016 - Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC). June 1, 2016 Ricci-Cabello I, Avery A, Reeves D, et al. Measuring Patient Safety in Primary Care: The Development and Validation of the "Patient Reporte…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73100/psn-pdf
    March 31, 2021 - Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. March 31, 2021 Fed Register. 2021;86(51):14752-14753. https://psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-d…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38804/psn-pdf
    July 22, 2009 - Tenfold therapeutic dosing errors in young children reported to US poison control centers. July 22, 2009 Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10.2146/080377. https://psnet.ahrq.go…

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