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161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850176/psn-pdf
     June 07, 2023 - Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. June 7, 2023 Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of California, San Francisco; 2023. https://psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-deci…

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44802/psn-pdf
     April 01, 2021 - Overall Hospital Quality Star Ratings. April 1, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview Hospital rating programs have received significant public attention, but concerns have been raised regarding their usefulness. This website prov…

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73407/psn-pdf
     June 16, 2021 - Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. June 16, 2021 The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01 Measurement of diagnostic errors is an imp…

164. 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…

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36828/psn-pdf
     August 29, 2011 - Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. August 29, 2011 Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. https://psnet.ahrq.gov/issue/pediatric-medicati…

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42812/psn-pdf
     August 02, 2016 - Healthcare Practitioner’s Vaccine Error Reporting Form. August 2, 2016 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form This form collects data on errors and concerns associated with vaccines as part of a national reporting program tracking…

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866529/psn-pdf
     October 08, 2024 - HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. October 8, 2024 HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fed Register. October 02, 2024;89:80247-80249. https://…

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43680/psn-pdf
     November 19, 2014 - FDA Pharmacists Help Consumers Use Medicines Safely. November 19, 2014 Silver Spring, MD: United States Food and Drug Administration; October 31, 2014. https://psnet.ahrq.gov/issue/fda-pharmacists-help-consumers-use-medicines-safely Studies have shown that pharmacist involvement can prevent medication errors. To he…

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47318/psn-pdf
     October 12, 2018 - ISMP Survey on IV Push Medication Practices. October 12, 2018 Institute for Safe Medication Practices; ISMP. https://psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices Errors in IV push medication use can cause patient harm. This survey seeks to gather data on how clinicians administer IV push medicatio…

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45544/psn-pdf
     December 19, 2016 - Prescribing errors that cause harm. December 19, 2016 Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91. https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year period, t…

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44550/psn-pdf
     September 30, 2015 - Infections associated with reprocessed flexible bronchoscopes. September 30, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes Use of incompletely cleaned medical devices has b…

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848382/psn-pdf
     May 03, 2023 - Events that inspired change: the importance of sharing what happened to stop it from happening again. May 3, 2023 Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.33940/001c.74079. https://psnet.ahrq.gov/iss…

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841488/psn-pdf
     December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled Substances. December 14, 2022 Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246. https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841785/psn-pdf
     December 21, 2022 - Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. December 21, 2022 Agency for Healthcare Research and Quality. Fed Register. December 12, 2022;87:76046-76048. https://psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance…

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837513/psn-pdf
     June 22, 2022 - Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' June 22, 2022 Agency for Healthcare Quality and Research. Fed Register. June 3, 2022;87: 33795-33796.  https://psnet.ahrq.gov/issue/agency-information-collection-a…

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867637/psn-pdf
     February 26, 2025 - Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. February 26, 2025 Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care u…

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865807/psn-pdf
     May 08, 2024 - Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. May 8, 2024 Motamedi M, Degeling C, M. Carter S. Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. BM…

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867521/psn-pdf
     April 01, 2024 - Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. April 1, 2024 Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. Patient Saf…

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866119/psn-pdf
     June 12, 2024 - Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. June 12, 2024 Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35982/psn-pdf
     September 17, 2010 - Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). September 17, 2010 Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486-9. https://psnet.ahrq.gov/issu…