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Showing results for "experiences".

  1. Lessons learned from a death outside a hospital's doorstep. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
    October 30, 2019 - Newspaper/Magazine Article Lessons learned from a death outside a hospital's doorstep. Citation Text: Lessons learned from a death outside a hospital's doorstep. Palmer J. Patient Saf Qual Healthc. May/June 2019. Copy Citation Save Save to your library Print…

  2. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet

    psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
    October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations.  Citation Text: A Thematic Analysis of HSIB's First 22 Investigations.  Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. Copy Citation Save Save to your library …

  3. Organizing for Reliability: A Guide for Research and Practice. | PSNet

    psnet.ahrq.gov/issue/organizing-reliability-guide-research-and-practice
    April 01, 2020 - Book/Report Organizing for Reliability: A Guide for Research and Practice. Citation Text: Organizing for Reliability: A Guide for Research and Practice. Ramanujam R, Roberts KH, eds. Stanford, CA: Stanford University Press; 2018. ISBN: 9780804793612. Copy Citation Save …

  4. The high cost of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/high-cost-retained-surgical-items
    February 22, 2023 - Newspaper/Magazine Article The high cost of retained surgical items. Citation Text: The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023. Copy Citation Save Save to your library Print Download PDF Share …

  5. How one health system overcame resistance to a surgical checklist. | PSNet

    psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
    May 23, 2018 - Newspaper/Magazine Article How one health system overcame resistance to a surgical checklist. Citation Text: How one health system overcame resistance to a surgical checklist. Hilton K, Anderson A. Harv Bus Rev. May 20, 2019. Copy Citation Save Save to your librar…

  6. Reducing latent errors, drift errors, and stakeholder dissonance. | PSNet

    psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
    December 14, 2010 - Commentary Reducing latent errors, drift errors, and stakeholder dissonance. Citation Text: Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955. Copy Citation Save Save to your library …

  7. Why engineers are working to build better pulse oximeters. | PSNet

    psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters
    May 06, 2020 - Newspaper/Magazine Article Why engineers are working to build better pulse oximeters. Citation Text: Why engineers are working to build better pulse oximeters. Willyard C. MIT Technology Review. February 9, 2024. Copy Citation Save Save to your library Pri…

  8. Former pharmacist indicted for manslaughter after med error. | PSNet

    psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
    October 17, 2018 - Newspaper/Magazine Article Former pharmacist indicted for manslaughter after med error. Citation Text: Former pharmacist indicted for manslaughter after med error. Paul R. Drug Topics. September 17, 2007. Copy Citation Save Save to your library Print …

  9. Situational Awareness and Patient Safety: A Learning Package. | PSNet

    psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
    September 13, 2017 - Book/Report Situational Awareness and Patient Safety: A Learning Package. Citation Text: Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…

  10. JCAHO tightens leash on medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/jcaho-tightens-leash-medication-reconciliation
    April 12, 2006 - Newspaper/Magazine Article JCAHO tightens leash on medication reconciliation. Citation Text: JCAHO tightens leash on medication reconciliation. Perry LE. Drug Topics. March 20, 2006. Copy Citation Save Save to your library Print Download PDF S…

  11. Never Events for Hospital Care in Canada: Safer Care for Patients. | PSNet

    psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
    August 12, 2020 - Book/Report Never Events for Hospital Care in Canada: Safer Care for Patients. Citation Text: Never Events for Hospital Care in Canada: Safer Care for Patients. Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. Copy Cita…

  12. USP drug safety review: medication errors involving NMBAs.    | PSNet

    psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
    July 27, 2005 - Newspaper/Magazine Article USP drug safety review: medication errors involving NMBAs.    Citation Text: USP drug safety review: medication errors involving NMBAs.    Santell JP. Drug Topics. May 22, 2006. Copy Citation Save Save to your library Print …

  13. ISMP Medication Safety Self Assessment for High-Alert Medications. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
    June 07, 2017 - Measurement Tool/Indicator ISMP Medication Safety Self Assessment for High-Alert Medications. Citation Text: ISMP Medication Safety Self Assessment for High-Alert Medications. Horsham, PA: Institute for Safe Medication Practices; 2017. Copy Citation Save Save to y…

  14. Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care | PSNet

    psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
    June 01, 2023 - Book/Report Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Citation Text: Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020. Copy Citation …

  15. Hospitals installed more sinks to stop infections. The sinks can make the problem worse. | PSNet

    psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
    October 05, 2016 - Newspaper/Magazine Article Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Citation Text: Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Branswell H. STAT. October 25, 2016. Copy Citation …

  16. ECRI out with 10 deadly healthcare technology hazards for 2017. | PSNet

    psnet.ahrq.gov/issue/ecri-out-10-deadly-healthcare-technology-hazards-2017
    February 21, 2024 - Newspaper/Magazine Article ECRI out with 10 deadly healthcare technology hazards for 2017. Citation Text: ECRI out with 10 deadly healthcare technology hazards for 2017. Monegain B. Healthcare IT News. November 7, 2016. Copy Citation Save Save to your library …

  17. How administrative burdens can harm health. | PSNet

    psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
    February 10, 2021 - Book/Report How administrative burdens can harm health. Citation Text: How administrative burdens can harm health. Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020. Copy Citation Save Save to your library Print Download PDF …

  18. Unverified patient-reported error: a false alarm can have real consequences. | PSNet

    psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
    June 05, 2018 - Newspaper/Magazine Article Unverified patient-reported error: a false alarm can have real consequences. Citation Text: Unverified patient-reported error: a false alarm can have real consequences. ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3. Copy Citation …

  19. The evolution of the apology. | PSNet

    psnet.ahrq.gov/issue/evolution-apology
    September 29, 2010 - Commentary The evolution of the apology. Citation Text: Newfield JS. The Evolution of the Apology. Home Health Care Manag Pract. 2007;19(2). doi:10.1177/1084822306294456. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  20. The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. | PSNet

    psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
    June 14, 2023 - Study The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. Citation Text: Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing st…
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