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  1. Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. | PSNet

    psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
    March 18, 2010 - Special or Theme Issue Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. Citation Text: Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50.  …

  2. BBC News 'wrong guy' is revealed. | PSNet

    psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
    August 05, 2020 - Newspaper/Magazine Article BBC News 'wrong guy' is revealed. Citation Text: BBC News 'wrong guy' is revealed. BBC News. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  3. Medical errors are hard for doctors to admit, but it's wise to apologize to patients. | PSNet

    psnet.ahrq.gov/issue/medical-errors-are-hard-doctors-admit-its-wise-apologize-patients
    November 14, 2011 - Newspaper/Magazine Article Medical errors are hard for doctors to admit, but it's wise to apologize to patients. Citation Text: Medical errors are hard for doctors to admit, but it's wise to apologize to patients. Jain M. Copy Citation Save Save to your library …

  4. Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. | PSNet

    psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions
    March 27, 2005 - Government Resource Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. Citation Text: Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. Veterans Affairs; National Center for Patient Safety Copy C…

  5. Discharge missteps can send seniors back to hospital. | PSNet

    psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
    March 28, 2012 - Newspaper/Magazine Article Discharge missteps can send seniors back to hospital. Citation Text: Discharge missteps can send seniors back to hospital. Korc B, Landers SJ. American Medical News. February 15, 2010. Copy Citation Save Save to your library …

  6. Reducing diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/reducing-diagnostic-errors-0
    May 09, 2018 - Newspaper/Magazine Article Reducing diagnostic errors. Citation Text: Reducing diagnostic errors. Gittlen S. HealthLeaders Media. October 1, 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  7. ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. | PSNet

    psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
    May 11, 2017 - Organizational Policy/Guidelines ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Citation Text: ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Horsham, PA: Institute for Safe Medication Practices; May 2017. Copy Citation …

  8. Patient alarms often unheard, unheeded. | PSNet

    psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
    August 24, 2016 - Newspaper/Magazine Article Patient alarms often unheard, unheeded. Citation Text: Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011. Copy Citation Save Save to your library Print Download PDF Share …

  9. Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. | PSNet

    psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
    May 04, 2015 - Newspaper/Magazine Article Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. Citation Text: Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. Galloway A. Seattle Post-Intel…

  10. In men, it's Parkinson's. In women, it's hysteria. | PSNet

    psnet.ahrq.gov/issue/men-its-parkinsons-women-its-hysteria
    March 03, 2021 - Newspaper/Magazine Article In men, it's Parkinson's. In women, it's hysteria. Citation Text: In men, it's Parkinson's. In women, it's hysteria. Armstrong D. ProPublica. August 23, 2019. Copy Citation Save Save to your library Print Download PDF S…

  11. Quality, Safety, and Noninterpretive Skills. | PSNet

    psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills
    November 11, 2015 - Special or Theme Issue Quality, Safety, and Noninterpretive Skills. Citation Text: Quality, Safety, and Noninterpretive Skills. Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848. Copy Citation Save Save to your library Print Download PDF …

  12. ECRI out with 10 deadly healthcare technology hazards for 2017. | PSNet

    psnet.ahrq.gov/issue/ecri-out-10-deadly-healthcare-technology-hazards-2017
    February 21, 2024 - Newspaper/Magazine Article ECRI out with 10 deadly healthcare technology hazards for 2017. Citation Text: ECRI out with 10 deadly healthcare technology hazards for 2017. Monegain B. Healthcare IT News. November 7, 2016. Copy Citation Save Save to your library …

  13. A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. | PSNet

    psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
    February 01, 2013 - EMERGING INNOVATIONS A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. Citation Text: Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT…

  14. Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. | PSNet

    psnet.ahrq.gov/issue/assessing-information-sources-elucidate-diagnostic-process-errors-radiologic-imaging-human
    May 29, 2019 - Study Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. Citation Text: Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors frame…

  15. Resilience from a stakeholder perspective: the role of next of kin in cancer care. | PSNet

    psnet.ahrq.gov/issue/resilience-stakeholder-perspective-role-next-kin-cancer-care
    April 14, 2021 - Study Resilience from a stakeholder perspective: the role of next of kin in cancer care. Citation Text: Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532…

  16. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. | PSNet

    psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
    September 03, 2011 - Study Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. Citation Text: Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …

  17. Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
    March 01, 2023 - Review Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. Citation Text: Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Me…

  18. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

    psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
    December 02, 2020 - Study Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Citation Text: Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…

  19. Assessing nourishment problems at a hospital: what can we learn from them? | PSNet

    psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
    January 08, 2025 - Study Assessing nourishment problems at a hospital: what can we learn from them? Citation Text: Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745. C…

  20. The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. | PSNet

    psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
    October 27, 2021 - Review The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. Citation Text: Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…
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