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Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet

psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety

December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. | PSNet

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January 08, 2020 - Commentary Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. Citation Text: Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565. Copy Citation …

Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. | PSNet

psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders

August 17, 2022 - Book/Report Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Citation Text: Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…

Educational opportunities with postevent debriefing. | PSNet

psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing

May 28, 2015 - Commentary Educational opportunities with postevent debriefing. Citation Text: Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Improving patient safety in radiotherapy by learning from near misses, incidents and errors. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors

July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Citation Text: Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. Copy Citation Format:…

Independent double checks: worth the effort if used judiciously and properly. | PSNet

psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly

January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

Diagnostic excellence through the lens of patient-centeredness. | PSNet

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June 24, 2020 - Commentary Diagnostic excellence through the lens of patient-centeredness. Citation Text: Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513. Copy Citation Format: DOI Google Scholar BibTeX E…

Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet

psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard

February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…

Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. | PSNet

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May 06, 2015 - Book/Report Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. Citation Text: Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2…

Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. | PSNet

psnet.ahrq.gov/issue/measurement-and-training-teamstepps-dimensions-using-medical-team-performance-assessment-tool

March 09, 2009 - Commentary Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Citation Text: Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Pat…

Preventing errors when preparing and administering medications via enteral feeding tubes. | PSNet

psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes

November 30, 2016 - Newspaper/Magazine Article Preventing errors when preparing and administering medications via enteral feeding tubes. Citation Text: Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…

Perioperative medication errors: uncovering risk from behind the drapes. | PSNet

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March 27, 2018 - Newspaper/Magazine Article Perioperative medication errors: uncovering risk from behind the drapes. Citation Text: Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. Copy Citation …

AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. | PSNet

psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition

April 30, 2008 - Toolkit AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Citation Text: AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. Copy Citation …

Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. | PSNet

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August 15, 2012 - Meeting/Conference Proceedings Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. Citation Text: Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public…

Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. | PSNet

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September 16, 2015 - Book/Report Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Citation Text: Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…

Partnering with families and patient advocates: another line of defense in adverse event surveillance. | PSNet

psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance

September 11, 2019 - Newspaper/Magazine Article Partnering with families and patient advocates: another line of defense in adverse event surveillance. Citation Text: Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…

The effect of nurse staffing patterns on medical errors and nurse burnout. | PSNet

psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout

October 11, 2023 - Review The effect of nurse staffing patterns on medical errors and nurse burnout. Citation Text: Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022. Copy Citation Format: DOI G…

Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? | PSNet

psnet.ahrq.gov/issue/pulse-oximeters-and-their-inaccuracies-will-get-fda-scrutiny-today-what-took-so-long

February 14, 2024 - Newspaper/Magazine Article Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? Citation Text: Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? McFarling UL. STAT. November 1, 2022. Copy Citation …

FDA urged to move faster to fix pulse oximeters for darker-skinned patients. | PSNet

psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients

September 21, 2016 - Newspaper/Magazine Article FDA urged to move faster to fix pulse oximeters for darker-skinned patients. Citation Text: FDA urged to move faster to fix pulse oximeters for darker-skinned patients. McFarling UL. STAT. February 2, 2024. Copy Citation Save Save to y…

Appropriate prescribing of medications: an eight-step approach. | PSNet

psnet.ahrq.gov/issue/appropriate-prescribing-medications-eight-step-approach

January 10, 2024 - Commentary Appropriate prescribing of medications: an eight-step approach. Citation Text: Pollock M, Bazaldua O, Dobbie AE. Appropriate prescribing of medications: an eight-step approach. Am Fam Physician. 2007;75(2):231-236. Copy Citation Format: Google Scholar PubMed Bi…

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