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  1. Preventing vincristine administration errors: does evidence support minibag infusions? | PSNet

    psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
    January 01, 2008 - Commentary Preventing vincristine administration errors: does evidence support minibag infusions? Citation Text: Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …

  2. Reducing medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
    March 21, 2012 - Review Reducing medical errors and adverse events. Citation Text: Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  3. Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. | PSNet

    psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
    February 14, 2024 - Newspaper/Magazine Article Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. Citation Text: Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. McFarling UL. Stat.…

  4. Quality and safety indicators in anesthesia: a systematic review. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-indicators-anesthesia-systematic-review
    June 08, 2010 - Review Quality and safety indicators in anesthesia: a systematic review. Citation Text: Haller G, Stoelwinder J, Myles PS, et al. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology. 2009;110(5):1158-75. doi:10.1097/ALN.0b013e3181a1093b. Copy Citation …

  5. FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet

    psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
    June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…

  6. Sensemaking in Organizations. | PSNet

    psnet.ahrq.gov/issue/sensemaking-organizations
    June 20, 2018 - Book/Report Classic Sensemaking in Organizations. Citation Text: Sensemaking in Organizations. Weick KE. Thousand Oaks, CA: Sage Publications; 1995. ISBN: 9780803971776. Copy Citation Save Save to your library Print Download PDF…

  7. Creating complex health improvement programs as mindful organizations: from theory to action. | PSNet

    psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
    October 19, 2022 - Commentary Creating complex health improvement programs as mindful organizations: from theory to action. Citation Text: Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. Copy C…

  8. Towards a model of surgeons' leadership in the operating room. | PSNet

    psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
    July 01, 2020 - Review Towards a model of surgeons' leadership in the operating room. Citation Text: Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295. Copy Citation Format: DOI G…

  9. Patient Safety Act. | PSNet

    psnet.ahrq.gov/issue/patient-safety-act
    November 09, 2011 - Book/Report Patient Safety Act. Citation Text: Patient Safety Act. Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10-281. Copy Citation Save Save to your library Print Download PDF Share …

  10. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). | PSNet

    psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp
    January 02, 2017 - Commentary A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Citation Text: Pronovost P, King J, Holzmueller CG, et al. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Jt Comm J Qual Patient Saf. 2006;32(3):119-29. Copy Citation Forma…

  11. Decision Making in Emergency Medicine: Biases, Errors and Solutions. | PSNet

    psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
    January 20, 2021 - Book/Report Decision Making in Emergency Medicine: Biases, Errors and Solutions. Citation Text: Decision Making in Emergency Medicine: Biases, Errors and Solutions. Raz M, Pouryahya P, eds. Singapore; Springer Nature Singapore Pte Ltd; 2021. ISBN 9789811601422. Copy Citation …

  12. Developing process-support tools for patient safety: finding the balance between validity and feasibility. | PSNet

    psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
    January 20, 2010 - Commentary Developing process-support tools for patient safety: finding the balance between validity and feasibility. Citation Text: Marsteller JA, Holzmueller CG, Makary MA, et al. Developing process-support tools for patient safety: finding the balance between validity and feasibility.…

  13. Just Culture and its critical link to patient safety—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
    June 10, 2018 - Newspaper/Magazine Article Just Culture and its critical link to patient safety—part 1 and part 2. Citation Text: Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3. Copy …

  14. Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. | PSNet

    psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review
    June 14, 2023 - Book/Report Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Citation Text: Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018. Copy…

  15. Surgical fires, a clear and present danger. | PSNet

    psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
    May 16, 2018 - Review Surgical fires, a clear and present danger. Citation Text: Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  16. Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. | PSNet

    psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
    June 14, 2017 - Book/Report Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. Citation Text: Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…

  17. Common formats for patient safety data collection and event reporting. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
    July 03, 2013 - Press Release/Announcement Common formats for patient safety data collection and event reporting. Citation Text: Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…

  18. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet

    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…

  19. Challenges and opportunities of patient safety event reporting. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
    June 23, 2021 - Commentary Challenges and opportunities of patient safety event reporting. Citation Text: Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014. Copy Citation Format: DOI Google Scholar B…

  20. The silent epidemic--the health effects of illiteracy. | PSNet

    psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
    January 12, 2011 - Commentary The silent epidemic--the health effects of illiteracy. Citation Text: Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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