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1001. Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. | PSNet
      psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
      November 18, 2011 - Book/Report Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Citation Text: Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute…

1002. Opening the Door to Change. NHS Safety Culture and the Need for Transformation. | PSNet
      psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
      February 08, 2017 - Book/Report Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Citation Text: Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018. Copy Citation Save…

1003. Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. | PSNet
      psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
      August 24, 2016 - Newspaper/Magazine Article Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. Citation Text: Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert! Acute Care Edition. August 11,…

1004. Error-prone conditions that lead to student nurse-related errors. | PSNet
      psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
      October 31, 2012 - Newspaper/Magazine Article Error-prone conditions that lead to student nurse-related errors. Citation Text: Error-prone conditions that lead to student nurse-related errors. ISMP Medication Safety Alert! Acute care edition. October 18, 2007. Copy Citation Save Sav…

1005. An Introduction to the Improved FDA Prescription Drug Labeling. | PSNet
      psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
      September 29, 2010 - Meeting/Conference Proceedings An Introduction to the Improved FDA Prescription Drug Labeling. Citation Text: An Introduction to the Improved FDA Prescription Drug Labeling. Silver Spring MD; US Food and Drug Administration: 2006. Copy Citation Save Save to yo…

1006. The association between hospital characteristics and rates of preventable complications and adverse events. | PSNet
      psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-complications-and-adverse
      April 17, 2009 - Study The association between hospital characteristics and rates of preventable complications and adverse events. Citation Text: The association between hospital characteristics and rates of preventable complications and adverse events. Thornlow DK; Stukenborg GJ. Copy Citation …

1007. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - comorbidities requiring diligent and thorough examination, similar to the common practice of examining a diabetic

1008. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - Consider the pyrrhic victory of achieving optimal glycemic control during the hospitalization of a diabetic

1009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49522/psn-pdf
      November 01, 2006 - Consider the pyrrhic victory of achieving optimal glycemic control during the hospitalization of a diabetic

1010. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet
      psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
      October 21, 2016 - Government Resource Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…

1011. Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. | PSNet
      psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
      May 13, 2015 - Commentary Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Citation Text: Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. Copy Citation Save …

1012. Adverse Events in Hospitals: Methods for Identifying Events. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-methods-identifying-events
      February 18, 2009 - Book/Report Adverse Events in Hospitals: Methods for Identifying Events. Citation Text: Adverse Events in Hospitals: Methods for Identifying Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; March 2010. Report No. OEI-06…

1013. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. | PSNet
      psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
      July 13, 2010 - Study Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. Citation Text: Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…

1014. From tragedy to advocacy. | PSNet
      psnet.ahrq.gov/issue/tragedy-advocacy
      October 05, 2016 - Newspaper/Magazine Article From tragedy to advocacy. Citation Text: DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

1015. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. | PSNet
      psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
      September 12, 2018 - Book/Report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Citation Text: A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Nat…

1016. Critical diagnoses (critical values) in anatomic pathology. | PSNet
      psnet.ahrq.gov/issue/critical-diagnoses-critical-values-anatomic-pathology
      September 29, 2010 - Commentary Critical diagnoses (critical values) in anatomic pathology. Citation Text: Pathology A of D of A and S, Silverman JF, Fletcher CDM, et al. Critical diagnoses (critical values) in anatomic pathology. Hum Pathol. 2006;37(8):982-4. Copy Citation Format: Google Sch…

1017. ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. | PSNet
      psnet.ahrq.gov/issue/acog-committee-opinion-no-447-patient-safety-obstetrics-and-gynecology
      July 19, 2017 - Commentary ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. Citation Text: Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90…

1018. Examples of Medical Device Misconnections. | PSNet
      psnet.ahrq.gov/issue/examples-medical-device-misconnections
      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…

1019. Workplace violence against anesthesiologists: we are not immune to this patient safety threat. | PSNet
      psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-safety-threat
      March 06, 2005 - Study Workplace violence against anesthesiologists: we are not immune to this patient safety threat. Citation Text: Workplace violence against anesthesiologists: we are not immune to this patient safety threat. Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;…

1020. Establishing a culture for patient safety - the role of education. | PSNet
      psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
      August 23, 2017 - Commentary Establishing a culture for patient safety - the role of education. Citation Text: Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …