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181. 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-…

182. 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…

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47144/psn-pdf
     June 13, 2018 - Canadian Anesthesia Incident Reporting System. June 13, 2018 Canadian Anaesthesiologists Society. https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website provides a secure tool for submitting…

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36085/psn-pdf
     September 28, 2010 - VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. September 28, 2010 Washington, DC: Government Accountability Office; May 2006. Report no GAO-06-648. https://psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requir…

185. 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…

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36381/psn-pdf
     April 22, 2011 - Accountability sought by patients following adverse events from medical care: the New Zealand experience. April 22, 2011 Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175(8):889-94. https://psnet.ahrq.gov/…

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856641/psn-pdf
     January 01, 2009 - WebAIRS Anesthesia Incident Reporting System. January 1, 2009 Australian and New Zealand Tripartite Anaesthetic Data Committee. https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system Reporting errors in anesthesiology  practice can motivate and inform safety improvement work. This website serves…

188. 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…

189. 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…

190. 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…

191. 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…

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74256/psn-pdf
     January 19, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. January 19, 2022 Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but …

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74870/psn-pdf
     April 11, 2022 - Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. February 23, 2022 Fed Register. February 10, 2022;87: 7838-7840. https://psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice- centers-disease…

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73296/psn-pdf
     May 19, 2021 - AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. May 19, 2021 Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369. https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre…

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74273/psn-pdf
     January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. January 19, 2022 Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO- 22-105142. https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73696/psn-pdf
     September 15, 2021 - Factors related to serious safety events in a children's hospital patient safety collaborative. September 15, 2021 Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi:10.1542/peds.2020-030346. ht…

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47652/psn-pdf
     February 20, 2019 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. February 20, 2019 Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018. https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43552/psn-pdf
     December 16, 2014 - Robotic-assisted surgery: focus on training and credentialing. December 16, 2014 Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101. https://psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing Research has documented a substantial learning curve for surgeons as they develop sk…

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42360/psn-pdf
     April 16, 2018 - Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. April 16, 2018 Yang A, Grissinger M. PA-PSRS Patient Saf Advis. June 2013;10:41-49. https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and- strategies-preventio…

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44263/psn-pdf
     November 06, 2015 - Delivering the right diet to the right patient every time. November 6, 2015 Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70. https://psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time This article analyzed data on dietary errors submitted to a state reporting program and found that more than …