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  1. Developing a medication patient safety program — infrastructure and strategy. | PSNet

    psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
    May 11, 2014 - Commentary Developing a medication patient safety program — infrastructure and strategy. Citation Text: Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149. Copy Citation Format: …

  2. Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
    May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy errors. Citation Text: Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. Copy Citation F…

  3. Following the patient journey to improve medicines management and reduce errors. | PSNet

    psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
    October 27, 2010 - Newspaper/Magazine Article Following the patient journey to improve medicines management and reduce errors. Citation Text: Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. Copy Citation Format: Go…

  4. Unreported errors in the intensive care unit: a case study of the way we work. | PSNet

    psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
    December 12, 2012 - Commentary Unreported errors in the intensive care unit: a case study of the way we work. Citation Text: Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35. Copy Citation Format: Google Sc…

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

    psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
    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…

  6. Crew resource management: applications in healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
    November 10, 2021 - Commentary Crew resource management: applications in healthcare organizations. Citation Text: Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm. 2006;36(9):402-406. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  7. Operating room briefings. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings
    January 02, 2017 - Commentary Operating room briefings. Citation Text: Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  8. Engaging Patients for Patient Safety: Advocacy Brief. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
    January 29, 2019 - Book/Report Engaging Patients for Patient Safety: Advocacy Brief. Citation Text: Engaging Patients for Patient Safety: Advocacy Brief. WHO Patient Safety Flagship. Geneva; World Health Organization; December 2023. ISBN: 9789240081987. Copy Citation Save Sav…

  9. Mortality as a measure of quality: implications for palliative and end-of-life care. | PSNet

    psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
    June 30, 2011 - Commentary Mortality as a measure of quality: implications for palliative and end-of-life care. Citation Text: Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804. Copy Citation Format: Google…

  10. The long road to ensuring patient safety in NHS hospitals. | PSNet

    psnet.ahrq.gov/issue/long-road-ensuring-patient-safety-nhs-hospitals
    November 04, 2015 - Commentary The long road to ensuring patient safety in NHS hospitals. Citation Text: Dyer C. The long road to ensuring patient safety in NHS hospitals. BMJ. 2013;346:f3029. doi:10.1136/bmj.f3029. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  11. Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. | PSNet

    psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improving-clinician-well-being
    July 19, 2017 - Book/Report Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. Citation Text: Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: N…

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

    psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
    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…

  13. Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. | PSNet

    psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
    March 06, 2024 - Newspaper/Magazine Article Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Citation Text: Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…

  14. WHO Global Report on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/who-global-report-patient-safety
    May 01, 2024 - Book/Report WHO Global Report on Patient Safety. Citation Text: WHO Global Report on Patient Safety. Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. Copy Citation Save Save to your library Print Download PDF Share Fa…

  15. Wise before the event. | PSNet

    psnet.ahrq.gov/issue/wise-event
    October 09, 2024 - Commentary Wise before the event. Citation Text: Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  16. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
    August 22, 2014 - In Conversation With… Urmimala Sarkar, MD, MPH August 1, 2014  Also Read an Essay Citation Text: In Conversation With… Urmimala Sarkar, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60722/psn-pdf
    February 06, 2023 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error January 11, 2022 Desai AN, Romano PS. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error Originally published July 30, 2020. Updated January …

  18. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet

    psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
    March 09, 2022 - SPOTLIGHT CASE Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis Citation Text: Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. …

  19. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
    January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice Hardeep Singh, MD, MPH | January 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Singh H. Diagnostic Errors: A New Chapter in Patient Safe…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - details around the communication in the case described are unknown, below is a suggested list of communications … Improving transitions of care: hand-off communications.
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