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Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet

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March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…

Medication errors: the year in review. | PSNet

psnet.ahrq.gov/issue/medication-errors-year-review

May 02, 2018 - Newspaper/Magazine Article Medication errors: the year in review. Citation Text: Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019. Copy Citation Save Save to your library Print Down…

Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. | PSNet

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April 21, 2011 - Commentary Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Citation Text: Brown SD, Lehman CD, Truog RD, et al. Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology. 2012;262(2):381-386. doi:10…

Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet

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April 27, 2022 - Newspaper/Magazine Article Nurses: Guilty verdict for dosing mistake could cost lives. Citation Text: Nurses: Guilty verdict for dosing mistake could cost lives. Loller T. Associated Press. March 30, 2022. Copy Citation Save Save to your library …

Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet

psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia

December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…

Patient safety: listen to whistleblowers. | PSNet

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May 22, 2019 - Commentary Patient safety: listen to whistleblowers. Citation Text: Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet

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February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …

Tackling implicit bias in health care. | PSNet

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December 01, 2021 - Commentary Tackling implicit bias in health care. Citation Text: Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

Home medical device safety tops ECRI'S list of healthcare technology. | PSNet

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February 08, 2023 - Newspaper/Magazine Article Home medical device safety tops ECRI'S list of healthcare technology. Citation Text: Home medical device safety tops ECRI'S list of healthcare technology. Wicklund E. HealthLeaders. January 19, 2023. Copy Citation Save Save to your lib…

Physical environments that promote safe medication use. | PSNet

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December 19, 2018 - Commentary Physical environments that promote safe medication use. Citation Text: Grissinger M. Physical environments that promote safe medication use. PT. 2012;37(7):377-378. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

Online consultations in cyberpharmacies: completeness and patient safety. | PSNet

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January 12, 2022 - Study Online consultations in cyberpharmacies: completeness and patient safety. Citation Text: Orizio G, Schulz PJ, Domenighini S, et al. Online Consultations in Cyberpharmacies: Completeness and Patient Safety. Telemedicine and e-Health. 2009;15(10). doi:10.1089/tmj.2009.0069. Copy …

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet

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October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

Emergency lights and sirens on ambulances may do more harm than good. | PSNet

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February 15, 2023 - Newspaper/Magazine Article Emergency lights and sirens on ambulances may do more harm than good. Citation Text: Emergency lights and sirens on ambulances may do more harm than good. Renault M. Stat. July 7, 2023. Copy Citation Save Save to your library Pri…

Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet

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December 12, 2018 - Newspaper/Magazine Article Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. Citation Text: Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024. Copy…

Thinking fast and slow in medicine. | PSNet

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June 21, 2017 - Commentary Thinking fast and slow in medicine. Citation Text: Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

AI in medicine needs to be carefully deployed to counter bias – and not entrench it. | PSNet

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January 31, 2024 - Newspaper/Magazine Article AI in medicine needs to be carefully deployed to counter bias – and not entrench it. Citation Text: AI in medicine needs to be carefully deployed to counter bias – and not entrench it. Levi R, Gorenstein D. Health Shots. National Public Radio. June 6, 2023…

CMS's hospital-acquired condition lists link hospital payment, patient safety. | PSNet

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May 20, 2009 - Commentary CMS's hospital-acquired condition lists link hospital payment, patient safety. Citation Text: Clancy CM. CMS's hospital-acquired condition lists link hospital payment, patient safety. Am J Med Qual. 2009;24(2):166-8. doi:10.1177/1062860608331241. Copy Citation Format: …

Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet

psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic

July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…

Preventing pressure ulcers: the goal is zero. | PSNet

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September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. Citation Text: Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

Physician communication when prescribing new medications. | PSNet

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December 16, 2009 - Study Physician communication when prescribing new medications. Citation Text: Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862. Copy Citation Format: Google Scholar PubMed BibTeX E…

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