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1001. 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…

1002. Understanding the root cause analysis process to increase safety event reporting. | PSNet
      psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
      August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

1003. 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…

1004. Medicine and the rise of the robots: a qualitative review of recent advances of artificial intelligence in health. | PSNet
      psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-intelligence-health
      July 14, 2010 - Review Emerging Classic Medicine and the rise of the robots: a qualitative review of recent advances of artificial intelligence in health. Citation Text: Medicine and the rise of the robots: a qualitative review of recent advances of artificial intelligence in h…

1005. 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…

1006. 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 …

1007. 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…

1008. 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…

1009. Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. | PSNet
      psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
      June 18, 2014 - Newspaper/Magazine Article Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. Citation Text: Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19…

1010. On the trail of quality and safety in health care. | PSNet
      psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
      December 17, 2009 - Commentary On the trail of quality and safety in health care. Citation Text: Grol R, Berwick DM, Wensing M. On the trail of quality and safety in health care. BMJ. 2008;336(7635):74-6. doi:10.1136/bmj.39413.486944.AD. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

1011. Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/manic-medication-safety-bar-codes-and-drug-information-databases-are-helping-reduce
      October 19, 2010 - Newspaper/Magazine Article Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors. Citation Text: Rogoski RR. Manic for medication safety. Health management technology. 2007;28(2):14, 16-8. Copy Citation Format: Googl…

1012. 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;…

1013. The enterprise take on patient safety. | PSNet
      psnet.ahrq.gov/issue/enterprise-take-patient-safety
      December 21, 2009 - Newspaper/Magazine Article The enterprise take on patient safety. Citation Text: Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

1014. The vanishing nonforensic autopsy. | PSNet
      psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
      February 09, 2011 - Commentary The vanishing nonforensic autopsy. Citation Text: Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

1015. 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…

1016. 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…

1017. The Perils of Contrast Media | PSNet
      psnet.ahrq.gov/web-mm/perils-contrast-media
      March 01, 2007 - SPOTLIGHT CASE The Perils of Contrast Media Citation Text: Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX En…

1018. Delineation of risk through the exploration of a culture of safety in community home health. | PSNet
      psnet.ahrq.gov/issue/delineation-risk-through-exploration-culture-safety-community-home-health
      December 04, 2016 - Study Delineation of risk through the exploration of a culture of safety in community home health. Citation Text: Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:…

1019. Caregiver perspectives on safety in home dementia care. | PSNet
      psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
      January 20, 2010 - Study Caregiver perspectives on safety in home dementia care. Citation Text: Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29(8):993-1014. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

1020. Managing the care of patients discharged from home health: a quiet threat to patient safety? | PSNet
      psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
      October 16, 2012 - Study Managing the care of patients discharged from home health: a quiet threat to patient safety? Citation Text: Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90. Copy Citation Format: …