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  1. Medicare failed to investigate suspicious infection cases from 96 hospitals. | PSNet

    psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
    May 29, 2019 - Newspaper/Magazine Article Medicare failed to investigate suspicious infection cases from 96 hospitals. Citation Text: Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017. Copy Citation Save Save t…

  2. Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. | PSNet

    psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
    October 12, 2022 - Book/Report Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Citation Text: Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Washington, DC: United States Government Accountability Office; N…

  3. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet

    psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
    March 03, 2021 - Newspaper/Magazine Article Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. Citation Text: Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…

  4. Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01
    May 19, 2021 - Press Release/Announcement Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. Citation Text: Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. Copy …

  5. ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. | PSNet

    psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
    December 02, 2020 - Newspaper/Magazine Article ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. Citation Text: ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. ISMP Medication Safety Alert! Acute care edition. November 5…

  6. USA Today news series: clarifying the issues and embracing community pharmacy safety. | PSNet

    psnet.ahrq.gov/issue/usa-today-news-series-clarifying-issues-and-embracing-community-pharmacy-safety
    March 14, 2023 - Newspaper/Magazine Article USA Today news series: clarifying the issues and embracing community pharmacy safety. Citation Text: USA Today news series: clarifying the issues and embracing community pharmacy safety. ISMP Medication Safety Alert! Acute care edition. February 28, 2008. Cop…

  7. Pain assessment and management standards for hospitals. | PSNet

    psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
    September 11, 2019 - Newspaper/Magazine Article Pain assessment and management standards for hospitals. Citation Text: Pain assessment and management standards for hospitals. R3 Report. August 29, 2017;11:1-7. Copy Citation Save Save to your library Print Download PDF …

  8. Your attention please... designing effective warnings. | PSNet

    psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
    March 14, 2023 - Newspaper/Magazine Article Your attention please... designing effective warnings. Citation Text: Your attention please... designing effective warnings. ISMP Medication Safety Alert! Acute care edition. February 28, 2019. Copy Citation Save Save to your library …

  9. Mark My Limb | PSNet

    psnet.ahrq.gov/web-mm/mark-my-limb
    February 10, 2015 - BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Submit

  10. Reporting Patient Safety Events | PSNet

    psnet.ahrq.gov/primer/reporting-patient-safety-events
    March 30, 2022 - Reporting Patient Safety Events Citation Text: Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  11. Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. | PSNet

    psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
    June 10, 2018 - Newspaper/Magazine Article Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. Citation Text: Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.…

  12. Understanding and managing IV container overfill. | PSNet

    psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
    June 10, 2018 - Newspaper/Magazine Article Understanding and managing IV container overfill. Citation Text: Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4. Copy Citation Save Save to your library …

  13. Prescribing errors that cause harm. | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-cause-harm
    March 30, 2016 - Government Resource Prescribing errors that cause harm. Citation Text: Prescribing errors that cause harm. Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91. Copy Citation Save Save to your library Print Download PDF …

  14. Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. | PSNet

    psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
    December 18, 2013 - Book/Report Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Citation Text: Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…

  15. Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. | PSNet

    psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
    July 18, 2018 - Newspaper/Magazine Article Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Citation Text: Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27. Copy Citation …

  16. Medication errors attributed to health information technology. | PSNet

    psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
    March 27, 2018 - Newspaper/Magazine Article Medication errors attributed to health information technology. Citation Text: Medication errors attributed to health information technology. Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. Copy Citation Save Save to …

  17. Analysis of reported drug interactions: a recipe for harm to patients. | PSNet

    psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
    January 20, 2016 - Newspaper/Magazine Article Analysis of reported drug interactions: a recipe for harm to patients. Citation Text: Analysis of reported drug interactions: a recipe for harm to patients. Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148. Copy Citation Save …

  18. Medication errors involving healthcare students. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
    December 19, 2016 - Newspaper/Magazine Article Medication errors involving healthcare students. Citation Text: Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23. Copy Citation Save Save to your library …

  19. Medication errors involving neuromuscular blocking agents. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-neuromuscular-blocking-agents
    November 01, 2012 - Study Medication errors involving neuromuscular blocking agents. Citation Text: Santell JP. Medication errors involving neuromuscular blocking agents. Jt Comm J Qual Patient Saf. 2006;32(8):470-5, 417. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  20. Sentinel Event Data Summary. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
    February 28, 2018 - Measurement Tool/Indicator Sentinel Event Data Summary. Citation Text: Sentinel Event Data Summary. Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
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