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  1. Oxytocin as a high-alert medication: implications for perinatal patient safety. | PSNet

    psnet.ahrq.gov/issue/oxytocin-high-alert-medication-implications-perinatal-patient-safety
    September 29, 2010 - December 4, 2019 View More Related Resources WebM&M Cases … Error During Spinal Epidural Anesthesia August 30, 2023 WebM&M Cases … June 28, 2023 A multidisciplinary model for reviewing severe maternal morbidity cases … May 29, 2013 WebM&M Cases Failure to Latch September

  2. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. | PSNet

    psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
    December 04, 2015 - May 28, 2015 View More Related Resources WebM&M Cases … January 12, 2011 WebM&M Cases A Troubling Amine September … 1, 2006 WebM&M Cases It's All in the Syringe … August 1, 2006 WebM&M Cases Citrate Mix-Up

  3. Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

    psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
    January 01, 2019 - Download Citation Related Resources From the Same Author(s) WebM&M Cases … November 10, 2021 WebM&M Cases A Seasonal Care Transition … Failure July 1, 2011 WebM&M Cases July Syndrome … January 28, 2011 View More Related Resources WebM&M Cases

  4. No shortcuts to safer opioid prescribing. | PSNet

    psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
    March 30, 2016 - May 27, 2020 WebM&M Cases Diagnosing HIV-It Doesn't Take … a Brain Surgeon May 1, 2008 WebM&M Cases A … January 29, 2018 WebM&M Cases The Empty Bag December … February 17, 2015 WebM&M Cases Poor Prognosis September

  5. Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. | PSNet

    psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
    December 22, 2018 - Perspective: Topics in Medication Safety March 31, 2022 WebM&M Cases … and Consequences in the Operating Room October 27, 2021 WebM&M Cases … PCA) Opioid-Induced Respiratory Depression May 27, 2020 WebM&M Cases … January 2, 2011 WebM&M Cases Crossed Coverage February

  6. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet

    psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
    June 15, 2012 - September 26, 2016 View More Related Resources WebM&M Cases … Intraoperative Awareness during Rhinoplasty July 31, 2024 WebM&M Cases … Cardiac Arrests and Emergency Hysterectomy March 27, 2024 WebM&M Cases … September 22, 2021 WebM&M Cases Sudden Collapse During

  7. Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
    June 03, 2013 - December 3, 2018 WebM&M Cases Situational (Un)Awareness … September 1, 2011 WebM&M Cases Is the Admission … August 1, 2009 WebM&M Cases DRESSed for Failure … April 7, 2010 WebM&M Cases Privacy Gone Awry May

  8. Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
    March 28, 2018 - Improving Diagnostic Safety and Quality April 26, 2023 WebM&M Cases … December 22, 2018 WebM&M Cases Engaging Seriously Ill … November 23, 2016 WebM&M Cases Deciphering the Code … February 1, 2006 WebM&M Cases Poor Prognosis

  9. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet

    psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
    February 01, 2017 - In fact, in some cases I may have very few of the answers for how to get there. … together across diverse skills and areas of expertise over longer periods of time to manage complex cases

  10. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet

    psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
    February 01, 2017 - In fact, in some cases I may have very few of the answers for how to get there. … together across diverse skills and areas of expertise over longer periods of time to manage complex cases

  11. Safety and Medical Education | PSNet

    psnet.ahrq.gov/perspective/safety-and-medical-education
    December 01, 2013 - Perspective 2014 Related Resources From the Same Author(s) WebM&M Cases … Education (GME) in Improving Patient Safety February 1, 2010 WebM&M Cases

  12. In Conversation with…Donald M. Berwick, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
    November 01, 2005 - of clinical deterioration or concern expressed by the health care professional, patient, or, in some cases … implement a plan immediately, which requires a member with the ability to write orders right away; in most cases

  13. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
    February 26, 2025 - In Conversation With… Sidney Dekker, MA, MSc, PhD September 1, 2013  Citation Text: In Conversation With… Sidney Dekker, MA, MSc, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Co…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33750/psn-pdf
    May 01, 2013 - In Conversation With… Ashish K. Jha, MD, MPH May 1, 2013 In Conversation With… Ashish K. Jha, MD, MPH. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph Editor's note: Ashish K. Jha, MD, MPH, is professor of health policy and management at the Harvard School of Public Hea…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33863/psn-pdf
    August 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018 In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthes…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011 In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md Editor's note: Kaveh G. Shojania, MD, is the Canada Research Chair in Patient Safety and Quality Improvement and t…

  17. Communication During Transitions of Care | PSNet

    psnet.ahrq.gov/perspective/communication-during-transitions-care
    July 10, 2024 - of Patient Safety Teamwork Training February 28, 2024 WebM&M Cases

  18. In Conversation With...Donald A. Norman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
    November 01, 2006 - July 21, 2010 WebM&M Cases Impatient Inpatient Dosing

  19. Health Information Technology and Patient Safety: A Dynamic Discussion. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-dynamic-discussion
    November 07, 2012 - Book/Report Health Information Technology and Patient Safety: A Dynamic Discussion. Citation Text: Health Information Technology and Patient Safety: A Dynamic Discussion. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; May 2011. Copy Citation …

  20. Betsy Lehman Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety
    January 29, 2018 - Multi-use Website Betsy Lehman Center for Patient Safety. Citation Text: Betsy Lehman Center for Patient Safety. 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov Copy Citation Save Save to your library Print Download PDF …
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