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461. 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…

462. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet
     psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
     September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …

463. 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…

464. 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: …

465. 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;…

466. 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…

467. 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…

468. 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…

469. 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…

470. 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…

471. 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…

472. 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…

473. Nonfatal, unintentional medication exposures among young children—United States, 2001–2003. | PSNet
     psnet.ahrq.gov/issue/nonfatal-unintentional-medication-exposures-among-young-children-united-states-2001-2003
     February 27, 2019 - Government Resource Nonfatal, unintentional medication exposures among young children—United States, 2001–2003. Citation Text: Prevention C for DC and. Nonfatal, unintentional medication exposures among young children--United States, 2001-2003. MMWR Morb Mortal Wkly Rep. 2006;55(1):1-5…

474. 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…

475. 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 …

476. 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 …

477. 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…

478. 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…

479. Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. | PSNet
     psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
     May 24, 2015 - Multi-use Website Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Citation Text: Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. Novembe…

480. 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 - There is some data; for example, optometrists looking at diabetic eyes don't all agree on what grade … diabetic retinopathy it is.