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Death due to pharmacy compounding error reinforces need for safety focus. | PSNet

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May 31, 2017 - Newspaper/Magazine Article Death due to pharmacy compounding error reinforces need for safety focus. Citation Text: Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. Copy Citation …

Cognitive Systems Engineering in Health Care. | PSNet

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October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. Citation Text: Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. Copy Citation Save Save to your library Prin…

Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet

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November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

Pump up the volume: how to prioritize events and analyze error data. | PSNet

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March 14, 2023 - Newspaper/Magazine Article Pump up the volume: how to prioritize events and analyze error data. Citation Text: Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. Copy Citation …

Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet

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March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…

Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error | PSNet

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February 10, 2021 - Newspaper/Magazine Article Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error Citation Text: Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. …

Breaking the mould in patient safety. | PSNet

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June 20, 2011 - Commentary Breaking the mould in patient safety. Citation Text: Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585. doi:10.1136/bmj.b2585. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

Examples of Medical Device Misconnections. | PSNet

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March 04, 2015 - Multi-use Website Examples of Medical Device Misconnections. Citation Text: Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. | PSNet

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July 29, 2015 - Government Resource Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Citation Text: Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Sturrock J. Edinburgh, Scotland: …

Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. | PSNet

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March 29, 2023 - Newspaper/Magazine Article Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Citation Text: Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…

Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. | PSNet

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September 19, 2018 - Book/Report Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Citation Text: Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…

Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet

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February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …

Learning and sharing safety lessons to improve patient care. | PSNet

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August 07, 2019 - Commentary Learning and sharing safety lessons to improve patient care. Citation Text: Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). doi:10.7748/ns.20.18.49.s52. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings. | PSNet

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November 29, 2017 - Meeting/Conference Proceedings Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings. Citation Text: Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings. Stepnick L, Edgman-Levitan S, Kaplan GS et al. J Patient Saf. 2006;2(2):…

Implementing and validating a comprehensive unit-based safety program. | PSNet

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July 14, 2010 - Study Implementing and validating a comprehensive unit-based safety program. Citation Text: Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40. Copy Citation Save Sav…

Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. | PSNet

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June 02, 2021 - Press Release/Announcement Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Citation Text: Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Silver Spring, MD: Division of Industry and Consumer Education, US…

DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. | PSNet

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December 09, 2020 - Book/Report DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Washington, DC: United States Government Accoun…

Health care management during Covid-19: insights from complexity science. | PSNet

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July 22, 2020 - Commentary Health care management during Covid-19: insights from complexity science. Citation Text: Health care management during Covid-19: insights from complexity science. Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020. Copy Citation Save Save to you…

At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. | PSNet

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April 13, 2022 - Meeting/Conference Proceedings At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. Citation Text: At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. J Med Toxicol.…

Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. | PSNet

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October 08, 2014 - Meeting/Conference Proceedings Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Citation Text: Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health a…

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