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3381. Wrong site surgery: a critical incident analysis of a near miss. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
      June 15, 2024 - Commentary Wrong site surgery: a critical incident analysis of a near miss. Citation Text: Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-2):11-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

3382. Learning to ask tough questions of your surgeon. | PSNet
      psnet.ahrq.gov/issue/learning-ask-tough-questions-your-surgeon
      August 17, 2016 - Newspaper/Magazine Article Learning to ask tough questions of your surgeon. Citation Text: Learning to ask tough questions of your surgeon. Landro L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

3383. Toolkit for Improving Surgical Care and Recovery. | PSNet
      psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
      September 18, 2024 - Toolkit Toolkit for Improving Surgical Care and Recovery. Citation Text: Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

3384. Wristband Standardization Initiative. | PSNet
      psnet.ahrq.gov/issue/wristband-standardization-initiative
      January 08, 2020 - Toolkit Wristband Standardization Initiative. Citation Text: Wristband Standardization Initiative. Texas Hospital Association. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Co…

3385. When doctors make mistakes. | PSNet
      psnet.ahrq.gov/issue/when-doctors-make-mistakes-0
      September 07, 2016 - Newspaper/Magazine Article When doctors make mistakes. Citation Text: When doctors make mistakes. Burleigh N. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

3386. Submit Innovations Landing | PSNet
      psnet.ahrq.gov/submit-innovations-landing
      February 26, 2025 - Breadcrumb Home Improvement Resources Innovations Innovation Submissions Individuals or organizations are encouraged to submit new or reimagined patient safety innovations that have been implemented, evaluated, sustained, and demonstrate significant improvement to patient safet…

3387. Interprofessional Approaches to Patient Safety. | PSNet
      psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
      October 15, 2008 - Special or Theme Issue Interprofessional Approaches to Patient Safety. Citation Text: Interprofessional Approaches to Patient Safety. J Interprof Care. 2006;20(5):461-563. Copy Citation Save Save to your library Print Download PDF Share …

3388. Make safety a priority: create and maintain a culture of safety. | PSNet
      psnet.ahrq.gov/issue/make-safety-priority-create-and-maintain-culture-safety
      February 25, 2013 - Newspaper/Magazine Article Make safety a priority: create and maintain a culture of safety. Citation Text: Make safety a priority: create and maintain a culture of safety. Leonard M; Frankel A. Copy Citation Save Save to your library Print Download P…

3389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848108/psn-pdf
      April 26, 2023 - The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. April 26, 2023 Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/do…

3390. Culture of Safety | PSNet
      psnet.ahrq.gov/primer/culture-safety
      September 15, 2024 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

3391. Walking Patient, Missing Drain | PSNet
      psnet.ahrq.gov/web-mm/walking-patient-missing-drain
      April 01, 2006 - Walking Patient, Missing Drain Citation Text: Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

3392. Air on the Side of Caution | PSNet
      psnet.ahrq.gov/web-mm/air-side-caution
      April 21, 2015 - Air on the Side of Caution Citation Text: Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

3393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49452/psn-pdf
      July 01, 2004 - Allergy to Holter July 1, 2004 Williams M. Allergy to Holter. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/allergy-holter The Case A 52-year-old man was admitted for palpitations and chest pain. As part of the evaluation, on hospital day 4 the patient was sent to the cardiac clinic to start a continuous …

3394. Over Not So Easy | PSNet
      psnet.ahrq.gov/web-mm/over-not-so-easy
      April 01, 2005 - Over Not So Easy Citation Text: Cucina R. Over Not So Easy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50842/psn-pdf
      January 29, 2020 - Patient Identification Errors: A Systems Challenge January 29, 2020 Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge The Cases The following four events involving five patients all involved…

3396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49725/psn-pdf
      January 01, 2015 - Haste Makes Care Unsafe January 1, 2015 Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/haste-makes-care-unsafe The Case An 80-year-old man with a history of coronary artery disease and atrial fibrillation underwent a combined elective coronary artery bypass graft (CABG…

3397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33699/psn-pdf
      August 01, 2010 - Operationalizing Patient Safety at Academic Medical Centers August 1, 2010 Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers Perspective Academic medical…

3398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865454/psn-pdf
      March 27, 2024 - Ensuring Patient and Workforce Safety Culture in Healthcare March 27, 2024 Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare Introduction In 2020, the I…

3399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49712/psn-pdf
      June 01, 2014 - May I Have Another?—Medication Error June 1, 2014 Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/may-i-have-another-medication-error The Case A 40-year-old man was admitted to the hospital after having a seizure. Upon admission, the patient, a pharmacology-tra…

3400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49549/psn-pdf
      December 06, 2007 - Elopement December 1, 2007 Gerardi D. Elopement. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/elopement Case Objectives Define elopement and differentiate it from wandering and leaving against medical advice. Identify leading contributors to elopement events. Describe strategies for preventing elopement…