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  1. Managing the risks of concurrent surgeries. | PSNet

    psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
    September 24, 2017 - Commentary Managing the risks of concurrent surgeries. Citation Text: Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  2. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
    December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

  3. Safety improvements urged for MRI facilities. | PSNet

    psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
    February 02, 2011 - Newspaper/Magazine Article Safety improvements urged for MRI facilities. Citation Text: Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  4. ASHP guidelines on the safe use of automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
    July 05, 2017 - Organizational Policy/Guidelines ASHP guidelines on the safe use of automated dispensing devices. Citation Text: Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. …

  5. Watson: Beyond Jeopardy! | PSNet

    psnet.ahrq.gov/issue/watson-beyond-jeopardy
    April 06, 2022 - Commentary Watson: Beyond Jeopardy! Citation Text: Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  6. Do not let "Depo-" medications be a depot for mistakes. | PSNet

    psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
    March 15, 2022 - Newspaper/Magazine Article Do not let "Depo-" medications be a depot for mistakes. Citation Text: Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4. Copy Citation Save Save to your libra…

  7. Preventing home medication errors. | PSNet

    psnet.ahrq.gov/issue/preventing-home-medication-errors
    September 15, 2021 - Audiovisual Presentation Preventing home medication errors. Citation Text: Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

  8. Could it happen here? Learning from other organizations' safety errors. | PSNet

    psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
    February 17, 2017 - Newspaper/Magazine Article Could it happen here? Learning from other organizations' safety errors. Citation Text: Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. Copy Citation Format: Google Sc…

  9. A piece of my mind. Mentorship malpractice. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
    September 16, 2020 - Commentary A piece of my mind. Mentorship malpractice. Citation Text: Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  10. Toward the modelling of safety violations in healthcare systems. | PSNet

    psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
    May 01, 2024 - Commentary Toward the modelling of safety violations in healthcare systems. Citation Text: Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604. Copy Citation Format: DOI Google Scholar…

  11. Talking with Patients and Families about Medical Error: A Guide for Education and Practice. | PSNet

    psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
    July 24, 2019 - Book/Report Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Citation Text: Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…

  12. Learning from error: identifying contributory causes of medication errors in an Australian hospital. | PSNet

    psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
    October 19, 2022 - Study Learning from error: identifying contributory causes of medication errors in an Australian hospital. Citation Text: Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…

  13. Value of the pharmacist in the medication reconciliation process. | PSNet

    psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
    March 27, 2024 - Commentary Value of the pharmacist in the medication reconciliation process. Citation Text: Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  14. 5 pandemic mistakes we keep repeating. We can learn from our failures. | PSNet

    psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
    March 10, 2021 - Newspaper/Magazine Article 5 pandemic mistakes we keep repeating. We can learn from our failures. Citation Text: 5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021 Copy Citation Save Save to you…

  15. Health Information Technology in the United States: The Information Base for Progress. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress
    April 04, 2018 - Book/Report Health Information Technology in the United States: The Information Base for Progress. Citation Text: Health Information Technology in the United States: The Information Base for Progress. Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson F…

  16. Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
    May 13, 2009 - Book/Report Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Citation Text: Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…

  17. Alarm algorithms in critical care monitoring. | PSNet

    psnet.ahrq.gov/issue/alarm-algorithms-critical-care-monitoring
    February 03, 2010 - Review Alarm algorithms in critical care monitoring. Citation Text: Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525-37. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  18. Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. | PSNet

    psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
    June 10, 2018 - Newspaper/Magazine Article Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. Citation Text: Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. ISMP Medication Safety Alert! Acute care edition. November 19, 2020;2…

  19. Reducing surgical errors: implementing a three-hinge approach to success. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
    December 08, 2021 - Commentary Reducing surgical errors: implementing a three-hinge approach to success. Citation Text: Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013. Copy Citation Format: DOI Goo…

  20. A 10-Rights framework for patient care quality and safety. | PSNet

    psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
    July 23, 2010 - Commentary A 10-Rights framework for patient care quality and safety. Citation Text: Wakefield DS, Ward MM, Wakefield BJ. A 10-Rights framework for patient care quality and safety. Am J Med Qual. 2007;22(2):103-11. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…
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