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5901. Medication errors in older people with mental health problems: a review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
      April 27, 2022 - Review Medication errors in older people with mental health problems: a review. Citation Text: doi:10.1002/gps.1943. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to y…

5902. Special Section: IEA Health Care 2021. | PSNet
      psnet.ahrq.gov/issue/special-section-iea-health-care-2021
      August 02, 2010 - Special or Theme Issue Special Section: IEA Health Care 2021. Citation Text: Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

5903. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet
      psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
      January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…

5904. Life after death: the aftermath of perioperative catastrophes. | PSNet
      psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
      March 29, 2012 - Review Life after death: the aftermath of perioperative catastrophes. Citation Text: Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77. Copy Citation Format: D…

5905. Deaths due to medical error: jumbo jets or just small propeller planes? | PSNet
      psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
      June 22, 2022 - Commentary Deaths due to medical error: jumbo jets or just small propeller planes? Citation Text: Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. Copy Citation Format: DOI Google S…

5906. A national safety board made transportation safer and could do the same for health care, advocates say. | PSNet
      psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
      August 09, 2023 - Newspaper/Magazine Article A national safety board made transportation safer and could do the same for health care, advocates say. Citation Text: A national safety board made transportation safer and could do the same for health care, advocates say. Jaklevic MC. CNN. May 30, 2023. Co…

5907. Students have a key role in a culture of safety: analysis of student-associated medication incidents. | PSNet
      psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
      July 25, 2018 - Newspaper/Magazine Article Students have a key role in a culture of safety: analysis of student-associated medication incidents. Citation Text: Students have a key role in a culture of safety: analysis of student-associated medication incidents. ISMP Medication Safety Alert! Acute care e…

5908. Concurrent and Overlapping Surgeries: Additional Measures Warranted. | PSNet
      psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
      August 17, 2022 - Book/Report Concurrent and Overlapping Surgeries: Additional Measures Warranted. Citation Text: Concurrent and Overlapping Surgeries: Additional Measures Warranted. US Senate Finance Committee. December 6, 2016. Copy Citation Save Save to your library Print …

5909. Exploring strategies for reducing hospital errors. | PSNet
      psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
      December 12, 2014 - Study Exploring strategies for reducing hospital errors. Citation Text: McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

5910. The cost of serious fall-related injuries at three midwestern hospitals. | PSNet
      psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
      January 03, 2017 - Study The cost of serious fall-related injuries at three midwestern hospitals. Citation Text: Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. Copy Citation Format: …

5911. Introducing the New SOPS Hospital Survey 2.0. | PSNet
      psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
      October 23, 2019 - Webinar Introducing the New SOPS Hospital Survey 2.0. Citation Text: Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019. Copy Citation Save Save to your library Print Download PDF Share …

5912. A spotlight on strategies for increasing safety reporting in nursing education. | PSNet
      psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
      October 19, 2022 - Commentary A spotlight on strategies for increasing safety reporting in nursing education. Citation Text: Cooper EE. A spotlight on strategies for increasing safety reporting in nursing education. J Contin Educ Nurs. 2012;43(4):162-8. doi:10.3928/00220124-20111201-02. Copy Citation …

5913. Designing a strategy to promote safe, innovative off-label use of medications. | PSNet
      psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
      May 06, 2009 - Commentary Designing a strategy to promote safe, innovative off-label use of medications. Citation Text: Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261. Copy Citation Format…

5914. Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet
      psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
      March 18, 2020 - Commentary Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 Copy Citation …

5915. Safety cultural preconditions for organizational learning in high-risk organizations. | PSNet
      psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
      June 17, 2009 - Commentary Safety cultural preconditions for organizational learning in high-risk organizations. Citation Text: Naevestad T-O. Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. J Contingencies Crisis Manage. 2008;16(3):154-163. doi:10.1111/j.1468-5973.…

5916. Tubing misconnections: normalization of deviance. | PSNet
      psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
      December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…

5917. Your company's secret change agents. | PSNet
      psnet.ahrq.gov/issue/your-companys-secret-change-agents
      June 09, 2021 - Commentary Your company's secret change agents. Citation Text: Pascale RT, Sternin J. Your company's secret change agents. Harv Bus Rev. 2005;83(5):72-81, 153. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

5918. Time-out: the professional and organizational ethics of speaking up in the OR. | PSNet
      psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-or
      November 08, 2017 - Commentary Time-out: the professional and organizational ethics of speaking up in the OR. Citation Text: Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609.…

5919. Measuring patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
      June 29, 2011 - Commentary Measuring patient safety in the emergency department. Citation Text: Pham JC, Alblaihed L, Cheung DS, et al. Measuring patient safety in the emergency department. Am J Med Qual. 2014;29(2):99-104. doi:10.1177/1062860613489846. Copy Citation Format: DOI Google Sch…

5920. New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. | PSNet
      psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
      April 26, 2023 - Newspaper/Magazine Article New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Citation Text: New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022. Copy Citation …