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Patient Options for Safe and Effective Disposal of Unused Opioids. | PSNet

psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids

March 06, 2019 - Book/Report Patient Options for Safe and Effective Disposal of Unused Opioids. Citation Text: Patient Options for Safe and Effective Disposal of Unused Opioids. Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19-650. Copy Citation …

Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. | PSNet

psnet.ahrq.gov/issue/critical-care-delivery-united-states-distribution-services-and-compliance-leapfrog

November 18, 2020 - Study Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Citation Text: Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Angus DC; Shorr AF; White A; Dr…

Changing practice to improve patient safety and quality of care in perinatal medicine. | PSNet

psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine

November 18, 2016 - Review Changing practice to improve patient safety and quality of care in perinatal medicine. Citation Text: Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826. Copy Cita…

Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. | PSNet

psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook

August 16, 2016 - Book/Report Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. Citation Text: Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…

TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. | PSNet

psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety

December 24, 2008 - Toolkit Classic TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Citation Text: TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…

Putting the 'patient' in patient safety: a qualitative study of consumer experiences. | PSNet

psnet.ahrq.gov/issue/putting-patient-patient-safety-qualitative-study-consumer-experiences

October 12, 2011 - Study Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Citation Text: Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.20…

Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. | PSNet

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October 06, 2016 - Government Resource Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Citation Text: Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…

Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet

psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly

May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …

Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. | PSNet

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March 09, 2016 - Newspaper/Magazine Article Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. Citation Text: Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…

More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. | PSNet

psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging

May 03, 2023 - Newspaper/Magazine Article More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. Citation Text: More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. ISMP Medication Safety Alert! Acute Care Editi…

The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. | PSNet

psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases

June 03, 2020 - Review The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Citation Text: Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…

When medical error becomes personal, activism becomes painful. | PSNet

psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful

August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. | PSNet

psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs

March 05, 2013 - Government Resource Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Citation Text: Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001. AHRQ …

Healthcare Simulation Dictionary, Third Edition. | PSNet

psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition

January 10, 2024 - Book/Report Healthcare Simulation Dictionary, Third Edition. Citation Text: Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…

How insight contributes to diagnostic excellence. | PSNet

psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence

June 08, 2022 - Commentary How insight contributes to diagnostic excellence. Citation Text: Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-315. doi:10.1515/dx-2022-0007. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. | PSNet

psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging

March 10, 2021 - Newspaper/Magazine Article Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. Citation Text: Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…

Cognitive biases associated with medical decisions: a systematic review. | PSNet

psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review

March 01, 2023 - Review Cognitive biases associated with medical decisions: a systematic review. Citation Text: Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138. Copy Citation Format: …

Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. | PSNet

psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration

May 25, 2016 - Book/Report Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. Citation Text: Electronically Generated Medication Administration and Electr…

Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet

psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement

February 28, 2024 - Commentary Remembering to learn: the overlooked role of remembrance in safety improvement. Citation Text: Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. Copy Citation Format:…

Identifying patients with sepsis on the hospital wards. | PSNet

psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards

October 19, 2022 - Review Identifying patients with sepsis on the hospital wards. Citation Text: Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest. 2016;151(4). doi:10.1016/j.chest.2016.06.020. Copy Citation Format: DOI Google Scholar BibTe…

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