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  1. Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. | PSNet

    psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
    January 04, 2017 - Commentary Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Citation Text: Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Nadzam DM; Atkins PM; Waggoner DM; Shonk R. Co…

  2. Drug package inserts get mixed reception. | PSNet

    psnet.ahrq.gov/issue/drug-package-inserts-get-mixed-reception
    September 12, 2016 - Newspaper/Magazine Article Drug package inserts get mixed reception. Citation Text: Mitka M. Drug package inserts get mixed reception. JAMA. 2006;295(10):1110-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  3. Wireless technologies and patient safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
    August 30, 2023 - Review Wireless technologies and patient safety in hospitals. Citation Text: Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  4. What causes adverse events in prehospital care? A human-factors approach. | PSNet

    psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
    July 26, 2023 - Study What causes adverse events in prehospital care? A human-factors approach. Citation Text: Price R, Bendall JC, Patterson JA, et al. What causes adverse events in prehospital care? A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. Copy Cit…

  5. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
    February 25, 2013 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Oakbrook Terrace, IL: The Joint Commission; October 2013.  …

  6. Chemotherapy dose limits set by users of a computer order entry system. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
    August 13, 2008 - Study Chemotherapy dose limits set by users of a computer order entry system. Citation Text: Chemotherapy dose limits set by users of a computer order entry system. DuBeshter B; Griggs J; Angel C; Loughner J. Copy Citation Save Save to your library Print …

  7. What does safety commitment mean to leaders? A multi-method investigation. | PSNet

    psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
    September 11, 2024 - Study What does safety commitment mean to leaders? A multi-method investigation. Citation Text: Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. Copy Citation F…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49534/psn-pdf
    May 01, 2007 - Antiseizure Medication Disorder May 1, 2007 Alldredge BK. Antiseizure Medication Disorder. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/antiseizure-medication-disorder Case Objectives Appreciate the challenges of safe use of antiepileptic medications. Identify phenytoin toxicity. Understand the pharmaco…

  9. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-463
    October 30, 2024 - November 6, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  10. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
    February 26, 2025 - In Conversation With… Ann L. Hendrich, RN, PhD December 1, 2011  Citation Text: In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Cita…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose October 31, 2023 Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/weight-and-…

  12. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. | PSNet

    psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
    October 12, 2022 - Review Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Citation Text: Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…

  13. The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
    April 03, 2019 - Book/Report The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…

  14. The novice nurse and clinical decision-making: how to avoid errors. | PSNet

    psnet.ahrq.gov/issue/novice-nurse-and-clinical-decision-making-how-avoid-errors
    May 04, 2022 - Review The novice nurse and clinical decision-making: how to avoid errors. Citation Text: Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x. Copy Citation …

  15. CPOE: strategies for success. | PSNet

    psnet.ahrq.gov/issue/cpoe-strategies-success
    October 09, 2019 - Commentary CPOE: strategies for success. Citation Text: Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  16. Cognitive bias in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
    February 20, 2019 - Commentary Classic Cognitive bias in clinical medicine. Citation Text: O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-232. doi:10.4997/JRCPE.2018.306. Copy Citation Format: DOI Google Sch…

  17. Medical simulation gets real. | PSNet

    psnet.ahrq.gov/issue/medical-simulation-gets-real
    June 14, 2023 - Newspaper/Magazine Article Medical simulation gets real. Citation Text: Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-paediatric-oral-liquid-medication-dosing-errors-caregivers-amoxicillin
    May 31, 2023 - Study Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. Citation Text: Berthe-Aucejo A, Girard D, Lorrot M, et al. Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and …

  19. Digital health technology-specific risks for medical malpractice liability. | PSNet

    psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
    January 18, 2023 - Commentary Digital health technology-specific risks for medical malpractice liability. Citation Text: Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3. C…

  20. Preventing medication errors at small and rural hospitals. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
    May 19, 2021 - Newspaper/Magazine Article Preventing medication errors at small and rural hospitals. Citation Text: Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. Copy Citatio…
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