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241. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
     psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
     April 01, 2005 - reporting system, the Web site allowed clinicians from around the country (and the world) to safely submit … We hope you like the pieces and invite you to suggest topics and authors or even submit a Perspective … We really hope you like it and continue to read the site, submit cases, and tell your friends and colleagues … Your registration for AHRQ WebM&M, which allows you to submit cases and receive the email alert for each

242. In Conversation with…Christopher P. Landrigan, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
     April 01, 2005 - reporting system, the Web site allowed clinicians from around the country (and the world) to safely submit … We hope you like the pieces and invite you to suggest topics and authors or even submit a Perspective … We really hope you like it and continue to read the site, submit cases, and tell your friends and colleagues … Your registration for AHRQ WebM&M, which allows you to submit cases and receive the email alert for each

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60361/psn-pdf
     May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). May 20, 2020 Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020. https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare- professional-respo…

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73665/psn-pdf
     September 01, 2021 - Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021 Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectious- agent-isolation environment…

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73288/psn-pdf
     May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. May 19, 2021 Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. Pa…

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837967/psn-pdf
     September 01, 2022 - Free-text computerized provider order entry orders used as workaround for communicating medication information. September 1, 2022 Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J Patient Saf. 2022;18(5):430-4…

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848361/psn-pdf
     May 03, 2023 - More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. May 3, 2023 Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform Assoc. 2023;30(7):1227-1236. doi:1…

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60713/psn-pdf
     July 22, 2020 - Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. July 22, 2020 Powell L, Sittig DF, Chrouser K, et al. Assessment of health information technology-related outpatient diagnosti…

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842763/psn-pdf
     January 18, 2023 - Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. January 18, 2023 Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Jt Comm J Qual Patien…

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841469/psn-pdf
     December 14, 2022 - Users may contribute by submitting a case at the following link:  https://psnet.ahrq.gov/webmm/submit-case … [Free full text] https://psnet.ahrq.gov/webmm/submit-case https://doi.org/10.1345/aph.1K302 https://

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73650/psn-pdf
     August 25, 2021 - https://psnet.ahrq.gov/webmm/submit-case Periodically, the Primary-Care Research in Diagnosis Errors … References https://psnet.ahrq.gov/webmm/submit-case 1. Taveira-DaSilva AM, Moss J.  

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35138/psn-pdf
     July 10, 2008 - Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. July 10, 2008 Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969- 2002: the importance of reporting suspected reactions. Arch Intern Med. 2005;165(12):1363-9. https://psnet.ahrq…

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47257/psn-pdf
     September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46047/psn-pdf
     May 17, 2017 - Medicare failed to investigate suspicious infection cases from 96 hospitals. May 17, 2017 Jewett C. Kaiser Health News. May 9, 2017. https://psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals The Centers for Medicare and Medicaid Services decision to withhold payment for certa…

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39298/psn-pdf
     June 11, 2010 - Medication error reporting in nursing homes: identifying targets for patient safety improvement. June 11, 2010 Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44351/psn-pdf
     October 21, 2015 - Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. October 21, 2015 Federal Register. Washington, DC: US Department of Health and Human Services. Baltimore, MD: Food and Drug Administrati…

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47002/psn-pdf
     April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). April 25, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750. https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r18 Research …

258. AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. | PSNet
     psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-journey-excellence
     January 27, 2021 - Organizational Policy/Guidelines AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Apri…

259. 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

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44020/psn-pdf
     March 25, 2015 - Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. March 25, 2015 Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27. https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience Wrong-site surgeries are considered never events by the National Qu…