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1221. 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…

1222. Patient Safety in Private Hospitals: the Known and the Unknown Risk. | PSNet
      psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
      June 18, 2013 - Book/Report Patient Safety in Private Hospitals: the Known and the Unknown Risk. Citation Text: Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014. Copy Citation Save …

1223. FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
      May 02, 2018 - Newspaper/Magazine Article FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. Citation Text: FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. ISMP Medication Safety Alert! Acute Care Edition…

1224. 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…

1225. 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 …

1226. Patient Safety: Investigating and Reporting Serious Clinical Incidents. | PSNet
      psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
      November 10, 2017 - Book/Report Patient Safety: Investigating and Reporting Serious Clinical Incidents. Citation Text: Patient Safety: Investigating and Reporting Serious Clinical Incidents. Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169. Copy Citation Save Save to yo…

1227. National Steering Committee for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/national-steering-committee-patient-safety
      December 24, 2008 - Multi-use Website National Steering Committee for Patient Safety. Citation Text: National Steering Committee for Patient Safety. Agency for Healthcare Research and Quality and the Institute for Healthcare Improvement. Copy Citation Save Save to your library …

1228. Joshua’s Story. | PSNet
      psnet.ahrq.gov/issue/joshuas-story
      February 26, 2014 - Audiovisual Joshua’s Story. Citation Text: Joshua’s Story. Anderson-Wallace M, Denning R. Leeds, UK: Patient Stories; October 18, 2014. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

1229. Promethazine HCl (marketed as Phenergan) Information. | PSNet
      psnet.ahrq.gov/issue/promethazine-hcl-marketed-phenergan-information
      May 04, 2015 - Government Resource Promethazine HCl (marketed as Phenergan) Information. Citation Text: Promethazine HCl (marketed as Phenergan) Information. FDA; Food and Drug Administration; CDER; Center for Drug Evaluation and Research Copy Citation Save Save to your libr…

1230. 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…

1231. 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 …

1232. 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 …

1233. 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…

1234. Beyond the organisational accident: the need for "error wisdom" on the frontline. | PSNet
      psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
      November 18, 2015 - Commentary Beyond the organisational accident: the need for "error wisdom" on the frontline. Citation Text: Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33. Copy Citation Format: Goo…

1235. Safety paradoxes and safety culture. | PSNet
      psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture
      February 06, 2008 - Commentary Safety paradoxes and safety culture. Citation Text: Reason J. Safety paradoxes and safety culture. Inj Control Safety Promot. 2003;7(1):3-14. doi:10.1076/1566-0974(200003)7:1;1-v;ft003. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

1236. Diagnostic errors in primary care: lessons learned. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
      September 12, 2011 - Study Diagnostic errors in primary care: lessons learned. Citation Text: Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174. Copy Citation Format: DOI Google Scho…

1237. 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…

1238. 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…

1239. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet
      psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
      January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

1240. 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 …