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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72644/psn-pdf
     February 01, 2021 - Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 7, 2020.  https://psnet.ahrq.gov/issue/best-practices-developing-p…

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867044/psn-pdf
     October 30, 2024 - "Near miss": a mixed-methods analysis of medical student assignments in patient safety. October 30, 2024 Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196. https://psnet.ahr…

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867340/psn-pdf
     December 11, 2024 - Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. December 11, 2024 Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed…

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867229/psn-pdf
     January 01, 2025 - Feasibility of prospective error reporting in home palliative care: a mixed methods study. December 4, 2024 Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774. https://psnet.ahr…

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867086/psn-pdf
     November 06, 2024 - Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. November 6, 2024 Bartles R, Reese S, Gumbar A. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. Am J Infec…

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865976/psn-pdf
     May 29, 2024 - What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. May 29, 2024 Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real?time narratives. J Hosp Med. 2024;19(9):765-776. doi:10.1002/j…

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45875/psn-pdf
     May 10, 2017 - An improvement approach to integrate teaching teams in the reporting of safety events. May 10, 2017 Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807. https://psnet.ahrq.gov/issue/improvemen…

208. 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 equipment…

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41985/psn-pdf
     October 26, 2016 - Legislative Report to the General Assembly: Adverse Event Reporting. October 26, 2016 Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2016. https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting This annual publication provi…

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46648/psn-pdf
     March 14, 2018 - Parenteral nutrition errors and potential errors reported over the past 10 years. March 14, 2018 Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/0884533617715868. https://psnet.ahrq.gov/issue/…

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45007/psn-pdf
     March 30, 2016 - Medication errors involving healthcare students. March 30, 2016 Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23. https://psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students Using reports of medication errors submitted to the Pennsylvania Patient Safety Authority that …

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47028/psn-pdf
     May 02, 2018 - Medication errors 2018: the year in review. May 2, 2018 Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. https://psnet.ahrq.gov/issue/medication-errors-2018-year-review Despite considerable effort, medication errors continue to occur and result in patient harm. Summari…

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44074/psn-pdf
     November 16, 2015 - Investigating Clinical Incidents in the NHS. November 16, 2015 Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs Applying evidence ge…

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848036/psn-pdf
     April 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023 Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone- position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.1097/pts.0000000000001108. https:/…

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74217/psn-pdf
     December 22, 2021 - NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. December 22, 2021 Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub. No. 22-0005. https://psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid…

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838074/psn-pdf
     January 01, 2023 - Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. September 14, 2022 Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Risk Anal. 2023;43(7):1463-1477.…

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837764/psn-pdf
     August 03, 2022 - Disparities in adverse event reporting for hospitalized children. August 3, 2022 Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049. https://psnet.ahrq.gov/issue/disparities-adverse-event…

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45692/psn-pdf
     January 01, 2020 - A patient reported approach to identify medical errors and improve patient safety in the emergency department. November 23, 2016 Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Patient Saf. 2020;16(3):211-215. …

219. Neuromuscular blocking agents: reducing associated wrong-drug errors. | PSNet
     psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
     April 26, 2023 - Newspaper/Magazine Article Neuromuscular blocking agents: reducing associated wrong-drug errors. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 16, 2018 This article discu…

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46479/psn-pdf
     October 04, 2017 - Managing the Costs of Clinical Negligence in Trusts. October 4, 2017 Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395. https://psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts Applying evidence generated from complaints submitted to h…