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  1. Medication errors involving healthcare students. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
    December 19, 2016 - Newspaper/Magazine Article Medication errors involving healthcare students. Citation Text: Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23. Copy Citation Save Save to your library …

  2. Technical Series on Safer Primary Care. | PSNet

    psnet.ahrq.gov/issue/technical-series-safer-primary-care
    November 19, 2014 - Book/Report Technical Series on Safer Primary Care. Citation Text: Technical Series on Safer Primary Care. Geneva, Switzerland: World Health Organization; 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook T…

  3. JCAHO tightens leash on medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/jcaho-tightens-leash-medication-reconciliation
    April 12, 2006 - Newspaper/Magazine Article JCAHO tightens leash on medication reconciliation. Citation Text: JCAHO tightens leash on medication reconciliation. Perry LE. Drug Topics. March 20, 2006. Copy Citation Save Save to your library Print Download PDF S…

  4. The partnership with patients: a call to action for leaders. | PSNet

    psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
    November 10, 2015 - Commentary The partnership with patients: a call to action for leaders. Citation Text: Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121. doi:10.1097/PTS.0b013e31822d6f2a. Copy Citation Format: DOI Google Scholar PubMe…

  5. Handoffs and fumbles. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-fumbles
    June 12, 2007 - Book/Report Handoffs and fumbles. Citation Text: Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004. Copy Citation …

  6. Implementing Closing the Loop. Safe Practices for Diagnostic Results | PSNet

    psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
    March 10, 2021 - Book/Report Implementing Closing the Loop. Safe Practices for Diagnostic Results Citation Text: Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. Copy Citation Save …

  7. Physician assistants and the disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
    May 11, 2016 - Commentary Physician assistants and the disclosure of medical error. Citation Text: Brock DM, Quella A, Lipira L, et al. Physician assistants and the disclosure of medical error. Acad Med. 2014;89(6):858-62. doi:10.1097/ACM.0000000000000261. Copy Citation Format: DOI Google…

  8. Assessing patient safety culture: a review and synthesis of the measurement tools. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
    July 10, 2008 - Review Assessing patient safety culture: a review and synthesis of the measurement tools. Citation Text: Singla AK, Kitch BT, Weissman JS, et al. Assessing Patient Safety Culture. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000235388.39149.5a. Copy Citation Format: DOI …

  9. Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. | PSNet

    psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
    September 26, 2016 - Newspaper/Magazine Article Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. Citation Text: Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …

  10. Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet

    psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
    July 08, 2015 - Newspaper/Magazine Article Technology and error-prevention strategies: why are we still overlooking the IV room? Citation Text: Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…

  11. A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! | PSNet

    psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
    December 27, 2018 - Newspaper/Magazine Article A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! Citation Text: A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 Cop…

  12. Medical monitoring for pharmaceutical injuries: tort law for the public's health? | PSNet

    psnet.ahrq.gov/issue/medical-monitoring-pharmaceutical-injuries-tort-law-publics-health
    May 20, 2015 - Commentary Medical monitoring for pharmaceutical injuries: tort law for the public's health? Citation Text: Studdert DM, Mello MM, Brennan TA. Medical monitoring for pharmaceutical injuries: tort law for the public's health? JAMA. 2003;289(7):889-94. Copy Citation Format: …

  13. Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. | PSNet

    psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
    January 27, 2021 - Book/Report Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Citation Text: Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Saks M, Landsman S. New York, NY: Oxford University Press; 2021.  ISBN: 9780190667986. …

  14. Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. | PSNet

    psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
    August 03, 2016 - Commentary Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. Citation Text: Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…

  15. The competent surgeon: individual accountability in the era of "systems" failure. | PSNet

    psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
    May 30, 2014 - Commentary The competent surgeon: individual accountability in the era of "systems" failure. Citation Text: Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93. Copy Citation …

  16. Ambulance crew in Chicago got lost trying to find hospital. | PSNet

    psnet.ahrq.gov/issue/ambulance-crew-chicago-got-lost-trying-find-hospital
    May 28, 2014 - Newspaper/Magazine Article Ambulance crew in Chicago got lost trying to find hospital. Citation Text: Ambulance crew in Chicago got lost trying to find hospital. News Services. Washington Post. October 25, 2007 Copy Citation Save Save to your libra…

  17. ‘You’re going to release him when he was hurting himself?’ | PSNet

    psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
    May 11, 2022 - Newspaper/Magazine Article ‘You’re going to release him when he was hurting himself?’ Citation Text: ‘You’re going to release him when he was hurting himself?’ Dahlberg B. Kaiser Health News. September 29, 2020. Copy Citation Save Save to your library Prin…

  18. Lessons learned from the RaDonda Vaught ruling. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
    April 26, 2023 - Newspaper/Magazine Article Lessons learned from the RaDonda Vaught ruling. Citation Text: Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21 Copy Citation Save Save to your library Print Download PDF …

  19. Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. | PSNet

    psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
    May 07, 2018 - Newspaper/Magazine Article Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. Citation Text: Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…

  20. Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. | PSNet

    psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
    September 29, 2021 - Book/Report Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. Citation Text: Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…
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