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Showing results for "cases".

9601. Reducing Adverse Drug Events. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events
      August 09, 2017 - Book/Report Classic Reducing Adverse Drug Events. Citation Text: Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. Copy Citation Save Save to your library …

9602. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. | PSNet
      psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
      November 03, 2015 - Commentary Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. Citation Text: Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…

9603. Multilayered approach to patient safety culture. | PSNet
      psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
      March 14, 2016 - Commentary Multilayered approach to patient safety culture. Citation Text: Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793. Copy Citation Format: DOI Google Scholar Pu…

9604. Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. | PSNet
      psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
      March 10, 2021 - Newspaper/Magazine Article Classic Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. Citation Text: Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…

9605. A practical tool to learn from defects in patient care. | PSNet
      psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
      September 28, 2010 - Commentary A practical tool to learn from defects in patient care. Citation Text: Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108. Copy Citation Format: Google Scholar …

9606. The iatrogenic-harm cost equation and new technology. | PSNet
      psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
      January 24, 2024 - Commentary The iatrogenic-harm cost equation and new technology. Citation Text: Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

9607. VA hospitals flooded with complaints about care. | PSNet
      psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
      August 09, 2017 - Newspaper/Magazine Article VA hospitals flooded with complaints about care. Citation Text: VA hospitals flooded with complaints about care. Estes A. Boston Globe. September 16, 2017. Copy Citation Save Save to your library Print Download PDF Shar…

9608. Irked by drug-interaction alerts? Customize them, experts advise. | PSNet
      psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
      May 20, 2020 - Newspaper/Magazine Article Irked by drug-interaction alerts? Customize them, experts advise. Citation Text: Irked by drug-interaction alerts? Customize them, experts advise. Dowhower Karpa K. Drug Topics. April 17, 2006. Copy Citation Save Save to your library …

9609. Sleepy nurses: are we willing to accept the challenge today? | PSNet
      psnet.ahrq.gov/issue/sleepy-nurses-are-we-willing-accept-challenge-today
      March 31, 2021 - Review Sleepy nurses: are we willing to accept the challenge today? Citation Text: Surani S, Murphy J, Shah A. Sleepy nurses: are we willing to accept the challenge today? Nurs Adm Q. 2007;31(2):146-151. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

9610. A cycle of redemption in a medical error disclosure and apology program. | PSNet
      psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
      July 17, 2024 - Commentary A cycle of redemption in a medical error disclosure and apology program. Citation Text: Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869. Copy Citation Format: Google Scholar PubMed BibTeX En…

9611. Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. | PSNet
      psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
      May 25, 2016 - Commentary Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Citation Text: Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…

9612. Using good catches to promote a just culture and perioperative patient safety. | PSNet
      psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety
      July 18, 2018 - Commentary Using good catches to promote a just culture and perioperative patient safety. Citation Text: Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. Copy Citation Format: DOI…

9613. Learning and mindfulness: improving perioperative patient safety. | PSNet
      psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
      January 12, 2022 - Commentary Learning and mindfulness: improving perioperative patient safety. Citation Text: Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006. Copy Citation Format: DOI Googl…

9614. Guiding Principles to Achieve Continuity in Medication Management. | PSNet
      psnet.ahrq.gov/issue/guiding-principles-achieve-continuity-medication-management
      October 14, 2020 - Book/Report Guiding Principles to Achieve Continuity in Medication Management. Citation Text: Guiding Principles to Achieve Continuity in Medication Management. Department of Health and Aged Care. Canberra ACT: Commonwealth of Australia; 2022. ISBN 978-1-76007-471-5. Copy Citation…

9615. For non-English speakers, drug label instructions can be lost in translation. | PSNet
      psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
      September 12, 2016 - Newspaper/Magazine Article For non-English speakers, drug label instructions can be lost in translation. Citation Text: Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7. Copy Citation Format: Google Scholar P…

9616. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet
      psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
      June 24, 2020 - Newspaper/Magazine Article Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. Citation Text: Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. Copy …

9617. Benefits of a rapid response system at a community hospital. | PSNet
      psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital
      July 02, 2019 - Commentary Benefits of a rapid response system at a community hospital. Citation Text: Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7. Copy Citation Fo…

9618. Medication error prevention in the school setting: a closer look. | PSNet
      psnet.ahrq.gov/issue/medication-error-prevention-school-setting-closer-look
      March 01, 2023 - Commentary Medication error prevention in the school setting: a closer look. Citation Text: Richmond SL. Medication error prevention in the school setting: a closer look. NASN Sch Nurse. 2011;26(5):304-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

9619. Maximize Patient Safety with Advanced Root Cause Analysis. | PSNet
      psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
      November 18, 2011 - Book/Report Maximize Patient Safety with Advanced Root Cause Analysis. Citation Text: Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485 Copy Citation Save Save to your…

9620. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. | PSNet
      psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
      June 03, 2015 - Commentary Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Citation Text: McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8. Copy Citation Form…