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  1. Textbook of Patient Safety and Clinical Risk Management. | PSNet

    psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
    September 11, 2019 - Book/Report Textbook of Patient Safety and Clinical Risk Management. Citation Text: Textbook of Patient Safety and Clinical Risk Management. Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.    Copy Citat…

  2. What Every Health Care Organization Should Know about Sentinel Events. | PSNet

    psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
    November 27, 2018 - Book/Report What Every Health Care Organization Should Know about Sentinel Events. Citation Text: What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117. Copy C…

  3. Failure to Latch | PSNet

    psnet.ahrq.gov/web-mm/failure-latch
    November 27, 2012 - Failure to Latch Citation Text: Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  4. Treatment Challenges After Discharge | PSNet

    psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    January 03, 2017 - SPOTLIGHT CASE Treatment Challenges After Discharge Citation Text: Coffey C. Treatment Challenges After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bib…

  5. Diagnostic performance by medical students working individually or in teams. | PSNet

    psnet.ahrq.gov/issue/diagnostic-performance-medical-students-working-individually-or-teams
    January 26, 2022 - Study Diagnostic performance by medical students working individually or in teams. Citation Text: Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770. Copy Citation …

  6. Quick Tips—When Planning for Surgery. | PSNet

    psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
    December 24, 2008 - Government Resource Quick Tips—When Planning for Surgery. Citation Text: Quick Tips—When Planning for Surgery. Agency for Health Research Research and Quality; AHRQ Copy Citation Save Save to your library Print Download PDF Share Facebook …

  7. Better: A Surgeon's Notes on Performance. | PSNet

    psnet.ahrq.gov/issue/better-surgeons-notes-performance
    February 06, 2018 - Book/Report Better: A Surgeon's Notes on Performance. Citation Text: Better: A Surgeon's Notes on Performance. Gawande A. New York, NY: Metropolitan; 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  8. Healthcare Failure Mode and Effect Analysis. | PSNet

    psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
    May 24, 2017 - Toolkit Healthcare Failure Mode and Effect Analysis. Citation Text: Healthcare Failure Mode and Effect Analysis. National Center for Patient Safety. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  9. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet

    psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
    December 01, 2012 - The emergency department POCUS was a reasonable first test, and its findings correctly reassured the

  10. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - Anything that allows you to learn from your own mistakes or those of others will increase the chances of correctly

  11. Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. | PSNet

    psnet.ahrq.gov/issue/errors-electronic-health-record-based-data-query-statin-prescriptions-patients-coronary
    March 12, 2025 - Study Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. Citation Text: Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin…

  12. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. | PSNet

    psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
    June 05, 2024 - Study Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. Citation Text: Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk …

  13. Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. | PSNet

    psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
    March 10, 2021 - Commentary Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. Citation Text: Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. …

  14. Safer Healthcare: Strategies for the Real World. | PSNet

    psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
    March 23, 2022 - Book/Report Classic Safer Healthcare: Strategies for the Real World. Citation Text: Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 Copy Citation Save Save to your library Pr…

  15. Smart pumps: implications for nurse leaders. | PSNet

    psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
    February 02, 2022 - Commentary Smart pumps: implications for nurse leaders. Citation Text: Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  16. 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet

    psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
    January 26, 2023 - Press Release/Announcement 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: 2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada. Copy…

  17. Cultivate discussions in a psychologically safe workplace: part 1 and part II. | PSNet

    psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
    August 11, 2021 - Special or Theme Issue Cultivate discussions in a psychologically safe workplace: part 1 and part II. Citation Text: Cultivate discussions in a psychologically safe workplace: part 1 and part II. ISMP Medication Safety Alert! Acute Care. July 11, 2024;29;(14):1-3; July 25, 2024;29(15):1-…

  18. Amid lack of accountability for bias in maternity care, a California family seeks justice. | PSNet

    psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
    September 06, 2023 - Newspaper/Magazine Article Amid lack of accountability for bias in maternity care, a California family seeks justice. Citation Text: Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023 Copy Citation …

  19. Modes of failure in venous thromboembolism prophylaxis. | PSNet

    psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
    October 19, 2022 - Study Modes of failure in venous thromboembolism prophylaxis. Citation Text: Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. Copy Citation Format: DOI Google Scholar…

  20. The use of anatomical side markers in general radiology: a systematic review of the current literature. | PSNet

    psnet.ahrq.gov/issue/use-anatomical-side-markers-general-radiology-systematic-review-current-literature
    October 21, 2020 - Review The use of anatomical side markers in general radiology: a systematic review of the current literature. Citation Text: Chung L, Kumar S, Oldfield J, et al. The use of anatomical side markers in general radiology: a systematic review of the current literature. J Patient Saf. 2022;1…
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