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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44601/psn-pdf
    February 23, 2018 - Emergency department visits for adverse events related to dietary supplements. February 23, 2018 Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267. https://psnet.ahrq.gov/issue/emergenc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849129/psn-pdf
    November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. May 17, 2023 Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. Patient Saf.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45055/psn-pdf
    December 04, 2016 - Analysis of clinical decision support system malfunctions: a case series and survey. December 4, 2016 Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005. https://psnet.ah…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867337/psn-pdf
    December 11, 2024 - Perspectives on anesthesia and perioperative patient safety: past, present, and future. December 11, 2024 Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164. https://psnet…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836857/psn-pdf
    April 06, 2022 - Increased mortality and costs associated with adverse events in intensive care unit patients. April 6, 2022 Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081. doi:10.1177/08850666221084908. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37997/psn-pdf
    June 16, 2011 - Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. June 16, 2011 Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of p…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38205/psn-pdf
    November 12, 2008 - Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. November 12, 2008 Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatri…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46529/psn-pdf
    November 08, 2017 - Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. November 8, 2017 Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210. doi:10.10…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73698/psn-pdf
    September 15, 2021 - Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. September 15, 2021 Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical tria…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849125/psn-pdf
    May 17, 2023 - Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study. May 17, 2023 Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42178/psn-pdf
    April 10, 2013 - Outside case review of surgical pathology for referred patients: the impact on patient care. April 10, 2013 Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA. htt…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45174/psn-pdf
    November 18, 2016 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. November 18, 2016 Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862991/psn-pdf
    February 21, 2024 - Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. February 21, 2024 Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incide…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47930/psn-pdf
    May 01, 2019 - Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. May 1, 2019 McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60245/psn-pdf
    April 22, 2020 - Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. April 22, 2020 Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic. Infect Control Hosp Epidemiol. 2020;41…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39598/psn-pdf
    September 20, 2011 - A July spike in fatal medication errors: a possible effect of new medical residents. September 20, 2011 Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. doi:10.1007/s11606-010-1356-3. https://psnet.ahrq.gov/issue/july-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47286/psn-pdf
    July 18, 2018 - ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. July 18, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;23:1-4,6,7. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part- 2 Mistakes in t…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38891/psn-pdf
    January 04, 2010 - Do calculation errors by nurses cause medication errors in clinical practice? A literature review. January 4, 2010 Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009. https://psnet.ahrq.gov/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842764/psn-pdf
    January 18, 2023 - Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. January 18, 2023 Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de- prescribing in multiple Veterans Affairs medical centers. J Gen Intern Med. 20…