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Showing results for "failures".

  1. psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
    October 24, 2018 - Newspaper/Magazine Article A surgeon so bad it was criminal. Citation Text: A surgeon so bad it was criminal. Beil L. ProPublica. October 2, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…
  2. psnet.ahrq.gov/issue/patient-safety-and-adverse-maternal-health-outcomes-missing-social-inequalities-lens
    August 01, 2018 - Commentary Patient safety and adverse maternal health outcomes: the missing social inequalities 'lens.' Citation Text: Patient safety and adverse maternal health outcomes: the missing social inequalities 'lens.' Murray SF, Bacchus L. BJOG. 2005 Oct;112(10):1339-1343. Copy Ci…
  3. psnet.ahrq.gov/issue/covid-risk-hospitals
    November 17, 2021 - Special or Theme Issue COVID Risk In Hospitals. Citation Text: COVID Risk In Hospitals. Weber L, Jewett C. Kaiser Health News. 2021-2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…
  4. psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety
    September 27, 2016 - Newspaper/Magazine Article Distractions and their impact on patient safety. Citation Text: Distractions and their impact on patient safety. Feil M. PA-PSRS Patient Saf Advis. March 2013;10:1-10. Copy Citation Save Save to your library Print Download…
  5. psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
    May 11, 2014 - Commentary Implementing a bar-code medication administration system. Citation Text: Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016-1022. doi:10.1310/hpj4312-1016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…
  6. psnet.ahrq.gov/issue/vincristine-and-other-vinca-alkaloids-should-only-be-given-intravenously-minibag
    July 18, 2018 - Press Release/Announcement Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag. Citation Text: Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag. World Health Organization. Alert 115. July 18, 2007. C…
  7. psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
    June 28, 2011 - Commentary How to master the new art of training: teamwork on the fly. Citation Text: How to master the new art of training: teamwork on the fly. Edmondson AC. Harv Bus Rev. April 2012;90:72-80. Copy Citation Save Save to your library Print Download PDF …
  8. psnet.ahrq.gov/issue/rx-errors-speed-high-volume-can-trigger-mistakes
    September 24, 2017 - Newspaper/Magazine Article Rx for errors: speed, high volume can trigger mistakes. Citation Text: Rx for errors: speed, high volume can trigger mistakes. McCoy K; Brady E. Copy Citation Save Save to your library Print Download PDF Share …
  9. psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and-family-centered-care
    September 21, 2011 - Book/Report Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Citation Text: Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL:…
  10. psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
    November 19, 2015 - Audiovisual When Things Go Wrong: Voices of Patients and Families. Citation Text: When Things Go Wrong: Voices of Patients and Families. CRICO/RMF; Harvard Risk Management Foundation Copy Citation Save Save to your library Print Download PDF Shar…
  11. psnet.ahrq.gov/issue/leapfrog-annual-meeting-and-awards-dinner
    August 05, 2024 - International Meeting/Conference Leapfrog Annual Meeting and Awards Dinner. Citation Text: Leapfrog Annual Meeting and Awards Dinner. Leapfrog Group. Gaylord Hotel, National Harbor, MD; December 17, 2024. Copy Citation Save Save to your library Print …
  12. psnet.ahrq.gov/issue/patient-safety-article-collection
    December 19, 2012 - Multi-use Website Patient Safety Article Collection. Citation Text: Patient Safety Article Collection. American Patient Rights Association. 2012-2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  13. psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through-quality-safety-and
    June 24, 2015 - Book/Report Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III). Citation Text: Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (T…
  14. psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-safety
    January 29, 2020 - Newspaper/Magazine Article Shining a glaring light on surgery: technology that records every move aims to improve safety. Citation Text: Shining a glaring light on surgery: technology that records every move aims to improve safety. Freyer FJ. Boston Globe. January 13, 2024. Copy Cita…
  15. psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
    November 16, 2022 - Newspaper/Magazine Article Alarm fatigue hazards: the sirens are calling. Citation Text: Alarm fatigue hazards: the sirens are calling. Welch J. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…
  16. psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
    September 30, 2015 - Newspaper/Magazine Article 'Alarm fatigue’ a factor in 2nd death. Citation Text: 'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. September 21, 2011.   Copy Citation Save Save to your library Print Download PDF Share …
  17. psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
    March 27, 2005 - Book/Report Classic Operating at the sharp end: the complexity of human error. Citation Text: Operating at the sharp end: the complexity of human error. Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Assoc…
  18. psnet.ahrq.gov/issue/curing-our-diagnostic-disorder
    December 04, 2019 - Newspaper/Magazine Article Curing our diagnostic disorder. Citation Text: Curing our diagnostic disorder. Laposata M. The Pathologist. September 2017;(34):18-27. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  19. psnet.ahrq.gov/issue/foundations-safety-science
    August 07, 2019 - Special or Theme Issue The Foundations of Safety Science. Citation Text: The Foundations of Safety Science. LeCoze JC, Pettersen K, Reiman T, eds. Safety Sci. 2014;67:1-70. Copy Citation Save Save to your library Print Download PDF Share Fa…
  20. psnet.ahrq.gov/issue/regulating-patient-safety-patient-protection-and-affordable-care-act
    June 17, 2020 - Commentary Regulating patient safety: The Patient Protection and Affordable Care Act. Citation Text: Regulating patient safety: The Patient Protection and Affordable Care Act. Furrow BR. Univ PA Law Rev. 2011;159:1727-1775. Copy Citation Save Save to your li…