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  1. Emergency nursing and medical error—a survey of two states. | PSNet

    psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
    January 25, 2010 - Study Emergency nursing and medical error—a survey of two states. Citation Text: Emergency nursing and medical error—a survey of two states. Hohenhaus SM. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

  2. The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. | PSNet

    psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
    June 10, 2015 - Book/Report The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Citation Text: The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659. Copy Citation Save …

  3. How has the current economy affected patient safety? | PSNet

    psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
    May 07, 2018 - Newspaper/Magazine Article How has the current economy affected patient safety? Citation Text: How has the current economy affected patient safety? ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2. Copy Citation Save Save to your library…

  4. Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. | PSNet

    psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
    June 10, 2018 - Newspaper/Magazine Article Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. Citation Text: Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. ISMP Medication Safety Alert! Acute Care Edition. …

  5. How to master the new art of training: teamwork on the fly. | PSNet

    psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
    June 28, 2011 - Commentary How to master the new art of training: teamwork on the fly. Citation Text: How to master the new art of training: teamwork on the fly. Edmondson AC. Harv Bus Rev. April 2012;90:72-80. Copy Citation Save Save to your library Print Download PDF …

  6. Dallas Ebola case shows even sound plans can fail spectacularly. | PSNet

    psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
    September 30, 2009 - Newspaper/Magazine Article Dallas Ebola case shows even sound plans can fail spectacularly. Citation Text: Dallas Ebola case shows even sound plans can fail spectacularly. Loftis RL. Dallas Morning News. October 5, 2014. Copy Citation Save Save to your library …

  7. Hospital Reporting of Deaths Related to Restraint and Seclusion.  | PSNet

    psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
    September 20, 2006 - Book/Report Hospital Reporting of Deaths Related to Restraint and Seclusion.  Citation Text: Hospital Reporting of Deaths Related to Restraint and Seclusion.  Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350 Copy Citation …

  8. Fatal outcome after inadvertent injection of topical epinephrine. | PSNet

    psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
    May 07, 2018 - Newspaper/Magazine Article Fatal outcome after inadvertent injection of topical epinephrine. Citation Text: Fatal outcome after inadvertent injection of topical epinephrine. ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2. Copy Citation Save …

  9. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. | PSNet

    psnet.ahrq.gov/issue/patient-experience-source-understanding-origins-impact-and-remediation-diagnostic-errors
    August 16, 2023 - Book/Report Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Citation Text: Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Schlesinger M, Grob R, Gleason K, et al. Rock…

  10. Nursing management of medication errors. | PSNet

    psnet.ahrq.gov/issue/nursing-management-medication-errors
    November 02, 2022 - Study Nursing management of medication errors. Citation Text: Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  11. Advancing the research agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
    May 25, 2022 - Review Advancing the research agenda for diagnostic error reduction. Citation Text: Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. Copy Citation Format: DOI G…

  12. Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. | PSNet

    psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march-23-27
    December 23, 2020 - Book/Report Classic Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Citation Text: Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Was…

  13. Adverse Events Toolkit: Clinical Guidance for Identifying Harm | PSNet

    psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
    July 26, 2023 - Tools/Toolkit Adverse Events Toolkit: Clinical Guidance for Identifying Harm Citation Text: Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report n…

  14. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet

    psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
    March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…

  15. 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…

  16. Measures to improve diagnostic safety in clinical practice. | PSNet

    psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
    September 01, 2021 - Commentary Measures to improve diagnostic safety in clinical practice. Citation Text: Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338. Copy Citation Format: DOI Goo…

  17. Adverse Events Toolkit: Medical Record Review Methodology. | PSNet

    psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
    July 19, 2023 - Book/Report Adverse Events Toolkit: Medical Record Review Methodology. Citation Text: Adverse Events Toolkit: Medical Record Review Methodology. Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00…

  18. Medical error and vulnerable communities. | PSNet

    psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
    November 04, 2020 - Commentary Medical error and vulnerable communities. Citation Text: Medical error and vulnerable communities. Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  19. Using information to optimize medical outcomes. | PSNet

    psnet.ahrq.gov/issue/using-information-optimize-medical-outcomes
    August 04, 2021 - Commentary Using information to optimize medical outcomes. Citation Text: Duncan JR. Using Information to Optimize Medical Outcomes. JAMA. 2009;301(22). doi:10.1001/jama.2009.827. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  20. Algorithmic Bias Playbook. | PSNet

    psnet.ahrq.gov/issue/algorithmic-bias-playbook
    May 13, 2020 - Book/Report Algorithmic Bias Playbook. Citation Text: Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021. Copy Citation Save Save to your library Print Download PD…
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