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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37251/psn-pdf
     February 28, 2018 - Drug labeling and packaging — looking beyond what meets the eye. February 28, 2018 PA-PSRS Patient Safety Advisory. https://psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye Drawing from data submitted to the Patient Safety Authority reporting system, this article documents factors in…

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866345/psn-pdf
     July 24, 2024 - Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. July 24, 2024 Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555. https://psnet.ahrq.gov/issue/long-term-ca…

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865874/psn-pdf
     May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems: a scoping review. May 15, 2024 Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. https://psnet.ahrq.gov/issue/perceptions-us-and-…

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42600/psn-pdf
     September 18, 2013 - Oral medications inadvertently given via the intravenous route. September 18, 2013 Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91. https://psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route Analyzing data submitted to the Pennsylvania Patient Safety Reporti…

145. Preventable Rash | PSNet
     psnet.ahrq.gov/web-mm/preventable-rash
     October 01, 2012 - are reportable in the state, where reporting forms are located, and taking the time to complete and submit … BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72733/psn-pdf
     February 10, 2021 - Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021 ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2). https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020 Medication safety is chal…

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848827/psn-pdf
     May 10, 2023 - TQIP Mortality Reporting System Case Reports. May 10, 2023 ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports Anonymous case reporting provides opportunities to examine unexpected patient harm instances to pin…

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74762/psn-pdf
     February 09, 2022 - Start the year off right by addressing these top 10 medication safety concerns from 2021. February 9, 2022 ISMP Medication Safety Alert! Acute care edition. January 27, 2022;27(2):1-6. https://psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021 Medication errors are a cons…

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33946/psn-pdf
     July 26, 2010 - AHRQ WebM&M: Morbidity & Mortality Rounds on the Web. July 26, 2010 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web The Agency for Healthcare Research and Quality's (AHRQ) online journal and forum on patient safety and health care quality. The sit…

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38755/psn-pdf
     July 01, 2009 - Review of Patient Safety for Children and Young People. July 1, 2009 London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071. https://psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety …

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34011/psn-pdf
     April 03, 2009 - AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. April 3, 2009 https://psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments- journey-excellence In the face of evidence that outlines the impact work environments play on providing…

152. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
     psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
     August 25, 2021 - Users may contribute by submitting a case at the following link:  https://psnet.ahrq.gov/webmm/submit-case … BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863765/psn-pdf
     March 06, 2024 - Patient safety and artificial intelligence in clinical care. March 6, 2024 Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866247/psn-pdf
     July 10, 2024 - Analysis of critical incident reports using natural language processing. July 10, 2024 Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using…

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867097/psn-pdf
     November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865482/psn-pdf
     April 03, 2024 - Impact of a relocation to a new critical care building on pediatric safety events. April 3, 2024 Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324. https://psnet.ahrq.gov/issue/impact-relo…

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36650/psn-pdf
     January 05, 2017 - Intralipid medication errors in the neonatal intensive care unit. January 5, 2017 Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11. https://psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit The…

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42616/psn-pdf
     September 25, 2013 - Spotlight on electronic health record errors: errors related to the use of default values. September 25, 2013 Sparnon E. PA-PSRS Patient Saf Advis. September 2013;10:92-95. https://psnet.ahrq.gov/issue/spotlight-electronic-health-record-errors-errors-related-use-default-values Analyzing data submitted to the Penns…

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73075/psn-pdf
     March 24, 2021 - Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021 ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6. https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety- challenges Skin patches are a conveni…

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60718/psn-pdf
     July 22, 2020 - First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. July 22, 2020 Cumberlege J. London, England, Crown Copyright. July 8, 2020. https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety- review Implicit biases are known to affect…