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181. 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…

182. 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/…

183. 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 …

184. 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…

185. The 2-Week Itch | PSNet
     psnet.ahrq.gov/web-mm/2-week-itch
     June 16, 2019 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit

186. 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…

187. 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…

188. 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 …

189. 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…

190. 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…

191. 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…

192. 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 …

193. 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…

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34722/psn-pdf
     April 07, 2011 - A preliminary taxonomy of medical errors in family practice. April 7, 2011 Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice Efforts to improv…

195. 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…

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42602/psn-pdf
     October 16, 2013 - Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. October 16, 2013 Federal Register. Washington, DC: Office of Disease Prevention and Health Promotion. September 4, 2013;78:54469-54470. https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action…

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848362/psn-pdf
     May 03, 2023 - Delays in care during the COVID-19 pandemic in the Veterans Health Administration. May 3, 2023 Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. https://psnet.ahrq.gov/issue/delays-c…

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60927/psn-pdf
     September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. September 16, 2020 O'Donnell J. USA Today. September 8, 2020 https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors- may-slip-through Management and clinical functio…

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836711/psn-pdf
     March 09, 2022 - Ambulatory virtual care during a pandemic: patient safety considerations. March 9, 2022 Mullur J, Chen Y-C, Wickner PG, et al. Ambulatory virtual care during a pandemic: patient safety considerations. J Patient Saf. 2022;18(2):e431-e438. doi:10.1097/pts.0000000000000832. https://psnet.ahrq.gov/issue/ambulatory-vir…

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846149/psn-pdf
     March 15, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program. March 15, 2023 Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016/j.rcsop.2022.100218. https://ps…