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Showing results for "failures".

  1. Harm to Healing - Partnering with Patients Who Have Been Harmed. | PSNet

    psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
    May 08, 2019 - Book/Report Harm to Healing - Partnering with Patients Who Have Been Harmed. Citation Text: Harm to Healing - Partnering with Patients Who Have Been Harmed. Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012. Copy Citation …

  2. Research from webAIRS incident reporting system. | PSNet

    psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
    February 15, 2023 - Special or Theme Issue Research from webAIRS incident reporting system. Citation Text: Research from webAIRS incident reporting system. Anaesth Intensive Care. 2023;51(6):372-421. Copy Citation Save Save to your library Print Download PDF Share…

  3. Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/errors-medicine-and-law
    August 06, 2016 - Book/Report Classic Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Citation Text: Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499 Copy …

  4. Factors Affecting the Delivery of Safe Care in Midwifery Units. | PSNet

    psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
    November 11, 2020 - Book/Report Factors Affecting the Delivery of Safe Care in Midwifery Units. Citation Text: Factors Affecting the Delivery of Safe Care in Midwifery Units. Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. Copy Citation …

  5. Neurologic patient safety: an in-depth study of malpractice claims. | PSNet

    psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
    November 11, 2015 - Study Neurologic patient safety: an in-depth study of malpractice claims. Citation Text: Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6. Copy Citation Format: Google Scholar PubMed…

  6. Needlestick injuries among surgeons in training. | PSNet

    psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
    November 26, 2008 - Study Needlestick injuries among surgeons in training. Citation Text: Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  7. NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action. | PSNet

    psnet.ahrq.gov/issue/ny-medicaid-ups-ante-refusing-pay-14-never-events-nations-biggest-medicaid-program-could
    December 16, 2009 - Newspaper/Magazine Article NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action. Citation Text: NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid p…

  8. Challenges with requiring five characters during ADC drug searches via override. | PSNet

    psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
    October 20, 2021 - Newspaper/Magazine Article Challenges with requiring five characters during ADC drug searches via override. Citation Text: Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3. Cop…

  9. Human Factors and Ergonomics in Healthcare. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
    September 15, 2021 - Special or Theme Issue Human Factors and Ergonomics in Healthcare. Citation Text: Human Factors and Ergonomics in Healthcare. Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    Copy Citation Save Save to your libra…

  10. Crushing or splitting medications: unrecognized hazards. | PSNet

    psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
    October 26, 2010 - Commentary Crushing or splitting medications: unrecognized hazards. Citation Text: Gill D, Spain M, Edlund BJ. Crushing or Splitting Medications: Unrecognized Hazards. J Gerontol Nurs. 2012. doi:10.3928/00989134-20111213-01. Copy Citation Format: DOI Google Scholar BibTeX…

  11. Complications: A Surgeon's Notes on an Imperfect Science. | PSNet

    psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
    January 13, 2010 - Book/Report Classic Complications: A Surgeon's Notes on an Imperfect Science. Citation Text: Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196. Copy Citation Save …

  12. Lessons learned from the RaDonda Vaught ruling. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
    April 26, 2023 - Newspaper/Magazine Article Lessons learned from the RaDonda Vaught ruling. Citation Text: Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21 Copy Citation Save Save to your library Print Download PDF …

  13. How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. | PSNet

    psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases
    October 23, 2019 - Newspaper/Magazine Article How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. Citation Text: How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. Rein L. Washington Post. August 30, 2019. Copy Citation Save S…

  14. Algorithm that detects sepsis cut deaths by nearly 20 percent. | PSNet

    psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
    October 12, 2022 - Newspaper/Magazine Article Algorithm that detects sepsis cut deaths by nearly 20 percent. Citation Text: Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. Scientific American. August 1, 2022. Copy Citation Save Save to your library …

  15. Dying for Care. | PSNet

    psnet.ahrq.gov/issue/dying-care
    January 18, 2023 - Special or Theme Issue Dying for Care. Citation Text: Dying for Care. Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…

  16. The five rights: a destination without a map. | PSNet

    psnet.ahrq.gov/issue/five-rights-destination-without-map
    September 14, 2016 - Newspaper/Magazine Article The five rights: a destination without a map. Citation Text: The five rights: a destination without a map. ISMP Medication Safety Alert! Acute care edition. January 25, 2007. Copy Citation Save Save to your library Print Downlo…

  17. Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006. | PSNet

    psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
    March 06, 2005 - Book/Report Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006. Citation Text: Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.…

  18. Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. | PSNet

    psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascular-events
    May 12, 2021 - Book/Report Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. Citation Text: Achieving Excellence in the Diagnosis of Acute Cardiovascular Events: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and …

  19. Secret data on hospital inspections may soon become public. | PSNet

    psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
    January 30, 2019 - Newspaper/Magazine Article Secret data on hospital inspections may soon become public. Citation Text: Secret data on hospital inspections may soon become public. Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. Copy Citation Save Sav…

  20. A crisis of undiagnosed cancers is emerging in the pandemic’s second year. | PSNet

    psnet.ahrq.gov/issue/crisis-undiagnosed-cancers-emerging-pandemics-second-year
    November 30, 2022 - Newspaper/Magazine Article A crisis of undiagnosed cancers is emerging in the pandemic’s second year. Citation Text: A crisis of undiagnosed cancers is emerging in the pandemic’s second year. Eldeib D. ProPublica. May 4, 2021. Copy Citation Save Save to you…
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