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psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
February 09, 2022 - This newsletter article analyzes incidents submitted to the Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/better-safer-care-victoria
August 09, 2023 - This Website houses content from a partnership of two Australian organizations to collect, analyze submitted
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psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
May 29, 2019 - the Office of Inspector General that found regulator review of hospital-acquired infection reports submitted
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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - This article summarizes reports of errors submitted voluntarily to the Institute for Safe Medication
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - This article examines transdermal patch errors submitted to a national reporting program to provide
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psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
October 12, 2022 - Five recommendations submitted to drive improvement underscore the value of adherence to policy and
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psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - This study sought to address this deficiency, using data
submitted through a voluntary incident reporting
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psnet.ahrq.gov/node/36346/psn-pdf
April 11, 2011 - The participating institutions
voluntarily submitted data on more than 30,000 encounters and found that
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - This study
examined more than 9000 errors in warfarin use submitted voluntarily through MEDMARX, a database
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psnet.ahrq.gov/issue/fda-pharmacists-help-consumers-use-medicines-safely
September 02, 2016 - pharmacists as participants in a government drug information center and reveals the top five questions submitted
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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
December 19, 2016 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies incidents
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psnet.ahrq.gov/issue/prescribing-errors-cause-harm
March 30, 2016 - Analyzing prescribing error reports submitted over a 12- year period, this article recommends strategies
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - This article analyzes reports submitted to the Pennsylvania Patient Safety Authority to determine the
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psnet.ahrq.gov/issue/exploring-vulnerability-patient-safety-events-along-age-continuum
July 18, 2018 - This article analyzed 2017 data submitted to the Pennsylvania Patient Safety Authority to document age-related
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psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process
September 18, 2013 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies problems
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psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety
September 27, 2016 - Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece outlines the
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psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
March 27, 2018 - This article analyzed data on dietary errors submitted to a state reporting program and found that
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psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
October 20, 2021 - Drawing from an analysis of medical device reports submitted to the Food and Drug Administration, this
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances
June 15, 2022 - The strategies submitted focus on foundational, organizational, and individual prevention actions that
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psnet.ahrq.gov/issue/care-post-roe-documenting-cases-poor-quality-care-dobbs-decision
December 09, 2020 - This document reports the preliminary findings of a study examining 50 cases submitted where clinicians