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  1. The normalization of deviance: what are the perioperative risks? | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
    July 15, 2020 - Commentary The normalization of deviance: what are the perioperative risks? Citation Text: McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009. Copy Citation Format: DOI Google Scholar Pu…

  2. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. | PSNet

    psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
    July 31, 2019 - Book/Report High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Citation Text: High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940…

  3. 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…

  4. Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet

    psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
    June 10, 2018 - Newspaper/Magazine Article Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? Citation Text: Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…

  5. A shortage of everything except errors: harm associated with drug shortages. | PSNet

    psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
    February 13, 2019 - Newspaper/Magazine Article A shortage of everything except errors: harm associated with drug shortages. Citation Text: A shortage of everything except errors: harm associated with drug shortages. ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3. Copy Citation …

  6. Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet

    psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
    February 13, 2019 - Newspaper/Magazine Article Raising the index of suspicion: red flags that represent credible threats to patient safety. Citation Text: Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…

  7. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
    April 18, 2018 - Study Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Citation Text: Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…

  8. Medicare cuts payment to 774 hospitals over patient complications. | PSNet

    psnet.ahrq.gov/issue/medicare-cuts-payment-774-hospitals-over-patient-complications
    February 16, 2022 - Newspaper/Magazine Article Medicare cuts payment to 774 hospitals over patient complications. Citation Text: Medicare cuts payment to 774 hospitals over patient complications. Rau J. Kaiser Health News. February 19, 2021. Copy Citation Save Save to your lib…

  9. No Place Like Home: Advancing the Safety of Care in the Home. | PSNet

    psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
    January 09, 2019 - Book/Report No Place Like Home: Advancing the Safety of Care in the Home. Citation Text: No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018. Copy Citation Save Save to your library Print D…

  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. Tolerating uncertainty—the next medical revolution? | PSNet

    psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
    April 24, 2018 - Commentary Tolerating uncertainty—the next medical revolution? Citation Text: Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med. 2016;375(18):1713-1715. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  12. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
    May 02, 2018 - Newspaper/Magazine Article FDA Advise-ERR: medication errors associated with Cerebyx. Citation Text: FDA Advise-ERR: medication errors associated with Cerebyx. ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2. Copy Citation Save Save to your…

  13. The REPAIR Project. | PSNet

    psnet.ahrq.gov/issue/repair-project
    March 27, 2005 - Multi-use Website The REPAIR Project. Citation Text: The REPAIR Project. University of California San Francisco, San Francisco, CA. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  14. "Managing up" can improve teamwork in the OR. | PSNet

    psnet.ahrq.gov/issue/managing-can-improve-teamwork-or
    September 23, 2020 - Commentary "Managing up" can improve teamwork in the OR. Citation Text: Smith SL. "Managing up" can improve teamwork in the OR. AORN J. 2010;91(5):576-82. doi:10.1016/j.aorn.2009.08.014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  15. Field Guide to Collaborative Care: Implementing the Future of Health Care. | PSNet

    psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care
    March 09, 2018 - Book/Report Field Guide to Collaborative Care: Implementing the Future of Health Care. Citation Text: Field Guide to Collaborative Care: Implementing the Future of Health Care. Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290. Copy Citation …

  16. AORN guidance statement: creating a patient safety culture. | PSNet

    psnet.ahrq.gov/issue/aorn-guidance-statement-creating-patient-safety-culture
    March 14, 2018 - Organizational Policy/Guidelines AORN guidance statement: creating a patient safety culture. Citation Text: Nurses A of periOR. AORN guidance statement: creating a patient safety culture. AORN journal. 2006;83(4):936-42. Copy Citation Format: Google Scholar PubMed BibTeX …

  17. 2008 Annual National Patient Safety Foundation Congress: conference proceedings. | PSNet

    psnet.ahrq.gov/issue/2008-annual-national-patient-safety-foundation-congress-conference-proceedings
    July 31, 2012 - Meeting/Conference Proceedings 2008 Annual National Patient Safety Foundation Congress: conference proceedings. Citation Text: Stepnick L, Edgman-Levitan S, Bonacum D, et al. 2008 Annual National Patient Safety Foundation Congress. doi:10.1097/pts.0b013e318184db42. Copy Citation …

  18. SOPS Nursing Home Survey: What You Need to Know. | PSNet

    psnet.ahrq.gov/issue/sops-nursing-home-survey-what-you-need-know
    May 29, 2013 - Meeting/Conference Proceedings SOPS Nursing Home Survey: What You Need to Know. Citation Text: SOPS Nursing Home Survey: What You Need to Know. Agency for Healthcare Research and Quality. May 3, 2022. Copy Citation Save Save to your library Print Downloa…

  19. Guardians of grafts: reducing medication errors in transplant recipients. | PSNet

    psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
    July 17, 2024 - Newspaper/Magazine Article Guardians of grafts: reducing medication errors in transplant recipients. Citation Text: Guardians of grafts: reducing medication errors in transplant recipients. ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. Copy Citation …

  20. Mid Staffordshire NHS Foundation Trust Quality Report. | PSNet

    psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report
    October 24, 2024 - Book/Report Mid Staffordshire NHS Foundation Trust Quality Report. Citation Text: Mid Staffordshire NHS Foundation Trust Quality Report. Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. Copy Citation Save Save to your library Print Do…
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