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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37585/psn-pdf
    April 29, 2010 - Medication errors involving patient-controlled analgesia.   April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45193/psn-pdf
    October 03, 2017 - Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. October 3, 2017 Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to- Consumer Telemedicine Websites and Apps Treating Skin Disease. JAMA …
  3. psnet.ahrq.gov/web-mm/do-me-favor
    September 12, 2016 - Reluctance to obtain or provide a complete medical history Reluctance to obtain or submit … BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit
  4. psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
    September 01, 2017 - Users may contribute by submitting a case at the following link:  https://psnet.ahrq.gov/webmm/submit-case … BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit
  5. psnet.ahrq.gov/web-mm/failure-report
    July 01, 2008 - part of the job and cannot be prevented); and practical reasons (too time consuming or difficult to submit … BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44338/psn-pdf
    November 23, 2015 - Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. November 23, 2015 Washington, DC: US Department of Health and Human Services. Baltimore, MD: Centers for Medicare & Medicaid Services. Fed Register. July 16, 2015;80:42167-42269. https://psnet.ahrq.gov/issue/medica…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36346/psn-pdf
    April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. April 11, 2011 Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60562/psn-pdf
    June 03, 2020 - A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. June 3, 2020 Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died in hospital: the role of treatment e…
  9. psnet.ahrq.gov/innovations
    February 26, 2025 - Want to submit an innovation? … Submit Your Innovations Latest Innovations
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47286/psn-pdf
    July 18, 2018 - ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. July 18, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;23:1-4,6,7. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part- 2 Mistakes in t…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37446/psn-pdf
    January 06, 2017 - How useful are voluntary medication error reports? The case of warfarin-related medication errors. January 6, 2017 Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45. https://psnet.ahrq.g…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38696/psn-pdf
    April 11, 2012 - Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report. April 11, 2012 Sorra J, Famloaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; 2009. AHRQ Publication No. 09-0030. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2009-compar…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34804/psn-pdf
    January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. January 5, 2017 Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-8. https://psnet.ahrq.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46700/psn-pdf
    November 19, 2018 - Promising practices for improving hospital patient safety culture. November 19, 2018 Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001. https://psnet.ahrq.gov/issue/promising-practices-improving-ho…
  15. psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
    January 16, 2025 - Book/Report Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. Citation Text: Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety In…
  16. psnet.ahrq.gov/issue/pennsylvania-patient-safety-advisory
    April 30, 2024 - Newsletter/Journal Pennsylvania Patient Safety Advisory. Citation Text: Pennsylvania Patient Safety Advisory. Patient Safety Authority Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  17. psnet.ahrq.gov/issue/errors-emr-under-recognized-hazard-ai-healthcare
    November 06, 2024 - Commentary Errors in the EMR: under-recognized hazard for AI in healthcare. Citation Text: Morreim EH. Errors in the EMR: under-recognized hazard for AI in healthcare. Hous J Health Law Policy. 2025;24:127-165. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…
  18. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
    March 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case March 2007 Failure to Report Source and Credits This presentation is based on the March 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Patrice L. Spath, BA, RHIT, Brown-Sp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46923/psn-pdf
    August 17, 2018 - What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. August 17, 2018 O'Hara JK, Reynolds C, Moore S, et al. What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. BMJ Qual Saf. 2018;27(9)…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…

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