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  1. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. | PSNet

    psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
    August 04, 2021 - Commentary Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution. Citation Text: Kanwar M, Irvin CB, Frank JJ, et al. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a p…

  2. Building high reliability teams: progress and some reflections on teamwork training. | PSNet

    psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
    March 21, 2017 - Commentary Building high reliability teams: progress and some reflections on teamwork training. Citation Text: Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015. Copy C…

  3. Moving towards a Safety II approach. | PSNet

    psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
    May 18, 2022 - Commentary Moving towards a Safety II approach. Citation Text: Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99. doi:10.1177/2516043519855264. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  4. System-related factors contributing to diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/system-related-factors-contributing-diagnostic-errors
    January 11, 2023 - Review System-related factors contributing to diagnostic errors. Citation Text: Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care. 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004. Copy Citat…

  5. National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. | PSNet

    psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
    January 11, 2013 - Book/Report National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Citation Text: National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012. Copy Citation …

  6. Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. | PSNet

    psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
    September 12, 2018 - Book/Report Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. Citation Text: Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC; The …

  7. Promoting Safety and Quality Through Human Resource Practices: Executive Summary. | PSNet

    psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
    September 14, 2011 - Book/Report Promoting Safety and Quality Through Human Resource Practices: Executive Summary. Citation Text: Promoting Safety and Quality Through Human Resource Practices: Executive Summary. McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Researc…

  8. The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee. | PSNet

    psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-racial-justice-medical-education-and-health-sciences
    May 18, 2022 - Commentary The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee. Citation Text: The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences res…

  9. How nursing homes’ worst offenses are hidden from the public. | PSNet

    psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
    September 22, 2021 - Newspaper/Magazine Article How nursing homes’ worst offenses are hidden from the public. Citation Text: How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021. Copy Citation Save …

  10. Public reporting of surgical outcomes: surgeons, hospitals, or both? | PSNet

    psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
    April 05, 2013 - Commentary Public reporting of surgical outcomes: surgeons, hospitals, or both? Citation Text: Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815. Copy Citation Format: DOI Google Scholar Pu…

  11. Eliminating Medication Overload: A National Action Plan. | PSNet

    psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
    June 19, 2019 - Book/Report Eliminating Medication Overload: A National Action Plan. Citation Text: Eliminating Medication Overload: A National Action Plan. Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020. Copy Citation Save Save to your library …

  12. Surgical site verification: A through Z. | PSNet

    psnet.ahrq.gov/issue/surgical-site-verification-through-z
    October 26, 2022 - Commentary Surgical site verification: A through Z. Citation Text: Dunn D. Surgical site verification: A through Z. J Perianesth Nurs. 2006;21(5):317-28; quiz 329-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  13. Patient concerns about medical errors in emergency departments. | PSNet

    psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
    March 21, 2017 - Study Patient concerns about medical errors in emergency departments. Citation Text: Burroughs TE, Waterman AD, Gallagher TH, et al. Patient concerns about medical errors in emergency departments. Acad Emerg Med. 2005;12(1):57-64. Copy Citation Format: Google Scholar PubM…

  14. Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report
    May 03, 2023 - Government Resource Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Citation Text: Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduct…

  15. Patient safety in dermatology: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
    May 25, 2022 - Review Patient safety in dermatology: a review of the literature. Citation Text: Cao LY, Taylor JS, Vidimos A. Patient safety in dermatology: a review of the literature. Dermatol Online J. 2010;16(1):3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  16. Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. | PSNet

    psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
    November 18, 2011 - Book/Report Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Citation Text: Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…

  17. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet

    psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…

  18. How studying human factors improves patient safety. | PSNet

    psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
    July 24, 2024 - Newspaper/Magazine Article How studying human factors improves patient safety. Citation Text: Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  19. Getting to the root of medication errors. | PSNet

    psnet.ahrq.gov/issue/getting-root-medication-errors
    March 21, 2009 - Study Getting to the root of medication errors. Citation Text: Cohen H, Shastay AD. Getting to the root of medication errors. Nursing (Brux). 2008;38(12):39-49. doi:10.1097/01.NURSE.0000342031.85246.a1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  20. Patient safety in dermatologic surgery: parts 1 and 2. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-dermatology-part-2
    October 04, 2023 - Review Patient safety in dermatologic surgery: parts 1 and 2. Citation Text: Patient safety in dermatologic surgery: parts 1 and 2. Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26. Copy Citation Save Save to your library Print …
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