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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36352/psn-pdf
     April 14, 2011 - Patient expectations of fair complaint handling in hospitals: empirical data. April 14, 2011 Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC Health Serv Res. 2006;6:106. https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37285/psn-pdf
     December 24, 2007 - Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. December 24, 2007 Thomson R, Luettel D, Healey F, Scobie S. London, England: National Patient Safety Agency; 2007. ISBN 9780955634055. https://psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents In analyzing inform…

143. 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…

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47803/psn-pdf
     October 07, 2021 - Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. October 7, 2021 US Food and Drug Administration. October 7, 2021. https://psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples Errors of commission during complex procedures can contribute to patient har…

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50838/psn-pdf
     January 29, 2020 - Start the new year off right by preventing these top 10 medication errors and hazards. January 29, 2020 ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6. https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards Medication errors routinely c…

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842432/psn-pdf
     January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60547/psn-pdf
     May 28, 2020 - Devices in this class submit non-clinical, and sometimes clinical, evidence to demonstrate equivalence … Devices in this class submit clinical and nonclinical data to demonstrate a reasonable assurance of

148. 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…

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853058/psn-pdf
     August 30, 2023 - Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. August 30, 2023 Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207. https://psnet.ahrq.gov/iss…

150. 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…

151. 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-…

152. 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…

153. 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…

154. 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 …

155. 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…

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47585/psn-pdf
     December 05, 2018 - Insulin pumps have most reported problems in FDA database. December 5, 2018 Mohr H, Weiss M. Associated Press. November 27, 2018. https://psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database Usability issues, poor design, and lack of effective instruction hinder  safe use of medical equipmen…

157. 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…

158. 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…

159. 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…

160. 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…