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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:/…
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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…
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psnet.ahrq.gov/node/47680/psn-pdf
January 16, 2019 - Perioperative medication errors: uncovering risk from
behind the drapes.
January 16, 2019
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17.
https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
The operating room environment harbors particular pat…
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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…
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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.…
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psnet.ahrq.gov/node/44787/psn-pdf
January 20, 2016 - Medication errors involving overrides of healthcare
technology.
January 20, 2016
Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148.
https://psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
Users often bypass alerts meant to enhance safety of medication ordering and d…
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psnet.ahrq.gov/node/41573/psn-pdf
October 30, 2013 - The medical student as a patient: attitudes towards
involvement in the quality and safety of health care.
October 30, 2013
Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the
quality and safety of health care. J Eval Clin Pract. 2013;19(5):812-8. doi:10.1111/j.13…
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psnet.ahrq.gov/node/43030/psn-pdf
March 26, 2014 - Recommendations for practitioners and manufacturers to
address system-based causes of vaccine errors.
March 26, 2014
ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.
https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-
causes-vaccine-…
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psnet.ahrq.gov/node/44923/psn-pdf
June 07, 2016 - Completeness of serious adverse drug event reports
received by the US Food and Drug Administration in 2014.
June 7, 2016
Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received
by the US Food and Drug Administration in 2014. Pharmacoepidemiol Drug Saf. 2016;25(6):713-8.…
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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…
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psnet.ahrq.gov/issue/2022-american-hospital-association-mckesson-quest-quality-prize
October 21, 2015 - Award Recipient
2022 American Hospital Association–McKesson Quest for Quality Prize.
Citation Text:
American Hospital Association.
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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.
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April 16, 2018
This article discu…
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psnet.ahrq.gov/node/44424/psn-pdf
August 19, 2015 - Taking patients' narratives about clinicians from anecdote
to science.
August 19, 2015
Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to
Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361.
https://psnet.ahrq.gov/issue/taking-patients-narrati…
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psnet.ahrq.gov/node/45790/psn-pdf
January 11, 2017 - Analysis of reported drug interactions: a recipe for harm
to patients.
January 11, 2017
Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148.
https://psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
Drawing from reports of medication errors submitted over a 7-year period t…
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psnet.ahrq.gov/node/45282/psn-pdf
July 13, 2016 - Health literacy and patient safety events.
July 13, 2016
Gardner LA. Health literacy and patient safety events. PA-PSRS Patient Saf Advis. 2016;13(2):58-65.
https://psnet.ahrq.gov/issue/health-literacy-and-patient-safety-events
Insufficient health literacy is a known patient safety hazard. This article reviews inci…
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psnet.ahrq.gov/node/42194/psn-pdf
April 24, 2013 - Drug errors and related interventions reported by United
States clinical pharmacists: The American College of
Clinical Pharmacy Practice-Based Research Network
medication error detection, amelioration and prevention
study.
April 24, 2013
Kuo GM, Touchette DR, Marinac JS. Drug errors and related interventions repo…
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psnet.ahrq.gov/node/862128/psn-pdf
February 07, 2024 - Embracing the future-is artificial intelligence already
better? A comparative study of artificial intelligence
performance in diagnostic accuracy and decision-making.
February 7, 2024
Fonseca Â, Ferreira A, Ribeiro L, et al. Embracing the future—is artificial intelligence already better? A
comparative study of art…
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psnet.ahrq.gov/node/866644/psn-pdf
September 04, 2024 - The impact of independent chemotherapy prescribing by
advanced practice providers on patient safety and
clinician satisfaction.
September 4, 2024
LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by
advanced practice providers on patient safety and clinician satisfaction.…
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psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - Artificial intelligence related safety issues associated with
FDA medical device reports.
February 26, 2025
Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA
medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5.
https://psnet.ahr…
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psnet.ahrq.gov/issue/award-excellence-medication-use-safety
March 14, 2007 - Award Recipient
Award for Excellence in Medication-Use Safety.
Citation Text:
American Society of Health-system Pharmacists; ASHP
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March 6,…