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  1. psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
    May 20, 2020 - Newspaper/Magazine Article Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Citation Text: Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. Drug Topics. July 11, 2005 Copy Citation Save Save to your library Print Do…
  2. psnet.ahrq.gov/issue/ashp-standard-certification-center-excellence-medication-use-safety-and-pharmacy-practice
    December 14, 2022 - Organizational Policy/Guidelines ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. Citation Text: ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. Am J Health Syst Pharm. 2022…
  3. psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
    September 12, 2016 - Commentary Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. Citation Text: Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…
  4. psnet.ahrq.gov/issue/relationships-among-teams-culture-safety-and-cost-outcomes
    January 30, 2019 - Commentary Relationships among teams, culture, safety, and cost outcomes. Citation Text: Brewer BB. Relationships among teams, culture, safety, and cost outcomes. West J Nurs Res. 2006;28(6):641-53. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
  5. psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses
    July 10, 2019 - Newspaper/Magazine Article Doctors can change opioid prescribing habits, but progress comes in small doses. Citation Text: Doctors can change opioid prescribing habits, but progress comes in small doses. Appleby J; Lucas E. Copy Citation Save Save to your library …
  6. psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
    February 06, 2018 - Newspaper/Magazine Article Managing risk at the point-of-care: preventing errors. Citation Text: Managing risk at the point-of-care: preventing errors. Njoroge S; Nichols JH. Copy Citation Save Save to your library Print Download PDF Share Fa…
  7. psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
    September 27, 2023 - Special or Theme Issue Interdisciplinary Perspectives on Medical Error. Citation Text: Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33. Copy Citation Save Save to your library Print Download PDF Share F…
  8. psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
    January 01, 2018 - serostatus may engage in fewer risky behaviors than those unaware of their status.( 14,15 ) A challenge in evaluating
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60722/psn-pdf
    February 06, 2023 - diagnosis of SARS-CoV-2 infection reported that the average sensitivity across 48 published studies evaluating
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49519/psn-pdf
    September 01, 2006 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system
  11. psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - We are evaluating how to handle our data needs not satisfied by the Common Formats.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849592/psn-pdf
    May 31, 2023 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 https://psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create- customized-prevention Summary Patient falls in hospitals are common and debilitating adverse events that persis…
  13. psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
    September 01, 2004 - Milliliters vs. Milligrams Citation Text: Poole RL, Dixon T. Milliliters vs. Milligrams. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
  14. psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
    December 21, 2017 - High-Risk Medications, High-Risk Transfers Citation Text: Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote …
  15. psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
    December 21, 2018 - A Fumbled Handoff to Inpatient Rehab Citation Text: Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  16. psnet.ahrq.gov/web-mm/or
    August 22, 2013 - On O.R. Off? Citation Text: Leonard M. On O.R. Off?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…
  17. psnet.ahrq.gov/web-mm/raise-bar
    May 29, 2024 - Raise the Bar Citation Text: Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60330/psn-pdf
    May 05, 2020 - Telehealth and Patient Safety During the COVID-19 Response May 14, 2020 Sikka N, Willis JS, Fitall E, et al. Telehealth and Patient Safety During the COVID-19 Response. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response Introduction   Telehealth typ…
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
    September 01, 2016 - PowerPoint Presentation Spotlight A Pill Organizing Plight * Source and Credits This presentation is based on the September 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

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