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  1. psnet.ahrq.gov/issue/examples-medical-device-misconnections
    March 04, 2015 - Multi-use Website Examples of Medical Device Misconnections. Citation Text: Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…
  2. psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
    October 03, 2018 - Newspaper/Magazine Article Insulin pumps have most reported problems in FDA database. Citation Text: Insulin pumps have most reported problems in FDA database. Mohr H, Weiss M. Associated Press. November 27, 2018. Copy Citation Save Save to your library Prin…
  3. psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
    October 21, 2016 - Government Resource Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…
  4. psnet.ahrq.gov/issue/health-literacy-and-patient-safety-events
    January 11, 2017 - Newspaper/Magazine Article Health literacy and patient safety events. Citation Text: Gardner LA. Health literacy and patient safety events. PA-PSRS Patient Saf Advis. 2016;13(2):58-65. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  5. psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
    May 01, 2005 - 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
  6. psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
    July 24, 2024 - Study Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest eve…
  7. psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
    February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…
  8. psnet.ahrq.gov/issue/patient-centered-insights-using-health-care-complaints-reveal-hot-spots-and-blind-spots
    November 29, 2023 - Study Emerging Classic Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. Citation Text: Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind…
  9. psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients
    January 10, 2024 - Study Using a learning system approach to improve safety for prone-position ventilation patients. Citation Text: 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:10.10…
  10. psnet.ahrq.gov/issue/taking-patients-narratives-about-clinicians-anecdote-science
    March 20, 2019 - Commentary Taking patients' narratives about clinicians from anecdote to science. Citation Text: 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. Copy Citation…
  11. psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
    July 08, 2020 - Study Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Citation Text: Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555. Copy …
  12. psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
    October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…
  13. psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
    December 09, 2020 - Book/Report Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Citation Text: Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of C…
  14. psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
    December 21, 2022 - Press Release/Announcement Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. Citation Text: Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
  15. psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
    September 23, 2020 - Study An improvement approach to integrate teaching teams in the reporting of safety events. Citation Text: 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. Co…
  16. psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances
    June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…
  17. psnet.ahrq.gov/issue/80-hour-work-week-why-safer-patient-care-will-mean-more-health-care-provided-physician
    November 03, 2021 - Commentary The 80-hour work week: why safer patient care will mean more health care is provided by physician extenders. Citation Text: McLean TR. The 80-Hour Work Week. Journal of Legal Medicine. 2005;26(3). doi:10.1080/01947640500218349. Copy Citation Format: DOI Google …
  18. psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
    March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
    December 12, 2018 - Newspaper/Magazine Article IV push medications survey results—part 1 and part 2. Citation Text: IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. Copy Citation Save …
  20. psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
    March 03, 2019 - Organizational Policy/Guidelines Preventing home medication administration errors. Citation Text: Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. Copy Citation Format: …

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