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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843234/psn-pdf
    January 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. February 1, 2023 Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive D…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73530/psn-pdf
    July 28, 2021 - The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. July 28, 2021 Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: T…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866692/psn-pdf
    September 11, 2024 - Relationships between medications used in a mental health hospital and types of medication errors: a cross- sectional study over an 8-year period. September 11, 2024 Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of medication errors: a cross-sect…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43366/psn-pdf
    March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836829/psn-pdf
    March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. March 30, 2022 O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach for identifying patient safety in…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848358/psn-pdf
    May 03, 2023 - Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. May 3, 2023 Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. JAMA Netw Open. …
  8. psnet.ahrq.gov/issue/relationships-among-clinician-delay-diagnosis-breast-cancer-and-tumor-size-nodal-status-and
    March 08, 2017 - Study The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage. Citation Text: Hardin C, Pommier S, Pommier RF. The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage. Am J Surg.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41541/psn-pdf
    September 26, 2012 - Failures in communication and information transfer across the surgical care pathway: interview study. September 26, 2012 Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):843-9. https://psnet.ahrq.gov/is…
  10. psnet.ahrq.gov/issue/patient-safety-climate-strength-concept-requires-more-attention
    March 04, 2011 - Study Patient safety climate strength: a concept that requires more attention. Citation Text: Ginsburg LR, Oore DG. Patient safety climate strength: a concept that requires more attention. BMJ Qual Saf. 2016;25(9):680-7. doi:10.1136/bmjqs-2015-004150. Copy Citation Format: …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33735/psn-pdf
    August 01, 2012 - associated with preventable drug-related injuries occurred most often at the ordering and monitoring stages
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39124/psn-pdf
    February 18, 2011 - Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention. February 18, 2011 Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician Order Entry for Prevention…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837793/psn-pdf
    August 10, 2022 - The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. August 10, 2022 Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47935/psn-pdf
    April 17, 2019 - Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. April 17, 2019 Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob Health. 2019;4(1). doi:10.1136/bmjgh-201…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. December 12, 2018 Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2018.0712. https://psnet.ahrq.g…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50836/psn-pdf
    January 29, 2020 - Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. January 29, 2020 Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment? related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49767/psn-pdf
    August 21, 2016 - the form of increasingly robust Meaningful Use criteria, and interoperability was deferred to later stages
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850161/psn-pdf
    June 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44922/psn-pdf
    March 01, 2017 - Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. March 1, 2017 Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887. https://psnet.ahrq.gov/issue/mobilising-team-who-sur…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45965/psn-pdf
    April 19, 2017 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017 Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH…

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