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  1. psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
    November 16, 2015 - Newspaper/Magazine Article Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. Citation Text: Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
  2. psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
    October 23, 2019 - Book/Report Iowans' Views on Medical Errors: Iowa Patient Safety Study. Citation Text: Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018. Copy Citation Save Save to your library Print …
  3. psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
    September 26, 2017 - Commentary Don't abandon the "second victims" of medical errors. Citation Text: Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0. Copy Citation Format: DOI Google Scholar PubMed BibTe…
  4. psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
    June 28, 2013 - Image/Poster To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. Citation Text: To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…
  5. psnet.ahrq.gov/issue/will-my-patient-fall
    March 13, 2013 - Review Will my patient fall? Citation Text: Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007;297(1):77-86. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  6. psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
    September 26, 2017 - Commentary Unlabeled containers lead to patient's death. Citation Text: Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  7. psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume.…
  8. psnet.ahrq.gov/issue/focusing-health-care-safety
    January 16, 2008 - Special or Theme Issue Focusing on Health Care Safety. Citation Text: Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778. Copy Citation Save Save to your library Print Down…
  9. psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
    July 17, 2024 - Toolkit TeamSTEPPS for Diagnosis Improvement. Citation Text: TeamSTEPPS for Diagnosis Improvement. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your librar…
  10. psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
    June 13, 2018 - Toolkit ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Citation Text: ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018. Copy Citation Save Save to your library …
  11. 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 …
  12. psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
    December 24, 2008 - Government Resource Patient Safety and Quality Improvement; Final Rule. Citation Text: Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814. C…
  13. psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
    May 05, 2018 - Newspaper/Magazine Article Oral chemotherapy: not just an ordinary pill. Citation Text: Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2. Copy Citation Save Save to your library Print Download PDF …
  14. psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
    August 01, 2012 - Book/Report Classic Advances in Patient Safety: New Directions and Alternative Approaches. Citation Text: Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publicatio…
  15. psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
    August 30, 2023 - Newspaper/Magazine Article NHS staff cried in safety interviews, says watchdog. Citation Text: NHS staff cried in safety interviews, says watchdog. Reed J. BBC. February 27, 2023. Copy Citation Save Save to your library Print Download PDF Share…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49587/psn-pdf
    May 01, 2009 - Missing Trauma May 1, 2009 Jurkovich GJ. Missing Trauma. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/missing-trauma The Case A 54-year-old woman collapsed behind the counter of a small neighborhood market. She was discovered a few minutes later by a customer, who immediately called 911. On arrival, para…
  18. psnet.ahrq.gov/print/pdf/node/842920
    December 14, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Errors Case Studies Curated Library Web M&Ms A Postpartum Woman with an Erroneous SARS-CoV-2 Test Stephen A. Martin, MD, EdM, Gordon D. Schiff, MD, and Sanjat Kanjilal, MD, MPH | April 28, 2021 A pregnant patient was admitted for…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44024/psn-pdf
    October 13, 2015 - Cultivating a culture of medication safety in prelicensure nursing students. October 13, 2015 Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. https://psnet.ahrq.gov/issue/cultivatin…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46973/psn-pdf
    June 25, 2018 - Balancing innovation and safety when integrating digital tools into health care. June 25, 2018 Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. https://psnet.ahrq.gov/issue/balancing-inno…

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