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  1. Medication errors affecting pediatric patients: unique challenges for this special population. | PSNet

    psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
    January 20, 2016 - Newspaper/Magazine Article Medication errors affecting pediatric patients: unique challenges for this special population. Citation Text: Medication errors affecting pediatric patients: unique challenges for this special population. Grissinger M. PA-PSRS Patient Saf Advis. September 2015;…

  2. First, Do No Harm Part 1: A Case Study of Systems Failure. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
    September 07, 2022 - Audiovisual Presentation First, Do No Harm Part 1: A Case Study of Systems Failure. Citation Text: First, Do No Harm Part 1: A Case Study of Systems Failure. Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. Copy Citation Save Save…

  3. Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-office-institute-safety-office-based-surgery
    August 13, 2014 - Newspaper/Magazine Article Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Citation Text: Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Urman RD, Shapiro FE. APSF Newsletter. 2011;3-4,9.   …

  4. Can AI help doctors come up with better diagnoses? | PSNet

    psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses
    October 07, 2015 - Newspaper/Magazine Article Can AI help doctors come up with better diagnoses? Citation Text: Can AI help doctors come up with better diagnoses? Landro L. Wall Street Journal. September 24, 2023. Copy Citation Save Save to your library Print Download PD…

  5. Teamwork and communication in surgical teams: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
    March 25, 2020 - Study Teamwork and communication in surgical teams: implications for patient safety. Citation Text: Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E. Copy Citation Save Save to your library Print…

  6. 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 …

  7. 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 …

  8. 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…

  9. 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 …

  10. 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 …

  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. Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
    November 21, 2016 - Book/Report Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Citation Text: Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015. Copy Citation Save …

  13. Radiation Oncology Incident Learning System. | PSNet

    psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
    April 22, 2020 - Multi-use Website Radiation Oncology Incident Learning System. Citation Text: Radiation Oncology Incident Learning System. American Society for Radiation Oncology and American Association of Physicists in Medicine. Copy Citation Save Save to your library Pri…

  14. She was headed to a locked psych ward. Then an ER doctor made a startling discovery. | PSNet

    psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
    March 03, 2021 - Newspaper/Magazine Article She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Citation Text: She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Boodman SG. Washington Post. February 12, 2022. Copy Citation …

  15. PCBH Course Part 1 | The Academy

    integrationacademy.ahrq.gov/news-and-events/calendar/event/23842
    November 03, 2025 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  16. Iatrogenesis in Pediatrics. | PSNet

    psnet.ahrq.gov/issue/iatrogenesis-pediatrics
    April 24, 2024 - Special or Theme Issue Iatrogenesis in Pediatrics. Citation Text: Iatrogenesis in Pediatrics. Michalska-Smith M, ed. AMA J Ethics. 2017;19(8):737-842 Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  17. Wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery
    March 13, 2013 - Commentary Wrong site surgery. Citation Text: Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  18. Exploring Alternatives To Malpractice Litigation. | PSNet

    psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
    September 01, 2018 - Special or Theme Issue Exploring Alternatives To Malpractice Litigation. Citation Text: Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  19. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet

    psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - Book/Report Second Victim: Error, Guilt, Trauma, and Resilience. Citation Text: Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412. Copy Citation Save Save to your library Print Download PD…

  20. IHI Framework for Improving Joy in Work. | PSNet

    psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
    September 06, 2017 - Book/Report Classic IHI Framework for Improving Joy in Work. Citation Text: IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. Copy Citation Save Save to…
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