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  1. One intensive care nursery's experience with enhancing patient safety. | PSNet

    psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
    June 21, 2006 - Commentary One intensive care nursery's experience with enhancing patient safety. Citation Text: Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9. Copy Citation Format: Google Scholar …

  2. Prevalence and nature of errors and near errors reported by hospital staff nurses. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-nature-errors-and-near-errors-reported-hospital-staff-nurses
    April 24, 2018 - Study Prevalence and nature of errors and near errors reported by hospital staff nurses. Citation Text: Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Applied Nursing Research. 2005;17(4). doi:10.1016/j.apnr.2004.09…

  3. Maximize benefits of IV workflow management systems by addressing workarounds and errors. | PSNet

    psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
    May 31, 2017 - Newspaper/Magazine Article Maximize benefits of IV workflow management systems by addressing workarounds and errors. Citation Text: Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…

  4. Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. | PSNet

    psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
    June 23, 2021 - Book/Report Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Citation Text: Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806 Copy Citati…

  5. Simulation for ward processes of surgical care. | PSNet

    psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
    June 17, 2015 - Commentary Simulation for ward processes of surgical care. Citation Text: Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013. Copy Citation Format: DOI Google Scholar PubMed BibT…

  6. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. | PSNet

    psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
    July 20, 2009 - Review Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. Citation Text: Becich MJ, Gilbertson JR, Gupta D, et al. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality i…

  7. Risk of mistaken DNR orders. | PSNet

    psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
    October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  8. Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet

    psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
    June 09, 2011 - Commentary Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. Citation Text: Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…

  9. Recurrent wrong-route drug error – a professional shame. | PSNet

    psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
    July 22, 2020 - Commentary Recurrent wrong-route drug error – a professional shame. Citation Text: Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  10. Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
    June 27, 2018 - Book/Report Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Citation Text: Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. Copy Cit…

  11. Patient Safety in the Traditional and Evolving Nontraditional Office Setting | PSNet

    psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
    September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…

  12. Health care governance for quality and safety: the new agenda. | PSNet

    psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda
    August 09, 2023 - Review Health care governance for quality and safety: the new agenda. Citation Text: Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual. 2007;22(3):203-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  13. The development of a patient safety program across the continuum of care. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
    September 21, 2009 - Commentary The development of a patient safety program across the continuum of care. Citation Text: Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307. Copy Citation Format: Google Scholar Pub…

  14. Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. | PSNet

    psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
    December 08, 2024 - Meeting/Conference Proceedings Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Citation Text: Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…

  15. Embedding quality improvement and patient safety - the UCLA value analysis experience. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-ucla-value-analysis-experience
    October 02, 2019 - Commentary Embedding quality improvement and patient safety - the UCLA value analysis experience. Citation Text: Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. Copy C…

  16. Start the year off right by preventing these top 10 medication errors and hazards from 2020. | PSNet

    psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
    February 09, 2022 - Newspaper/Magazine Article Start the year off right by preventing these top 10 medication errors and hazards from 2020. Citation Text: Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…

  17. Nurses and patients: natural partners to advance patient safety | PSNet

    psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
    July 11, 2018 - Commentary Nurses and patients: natural partners to advance patient safety Citation Text: Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual. 2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377. Copy Citation Format: DOI Go…

  18. What about doctors? The impact of medical errors. | PSNet

    psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors-0
    December 15, 2014 - Commentary What about doctors? The impact of medical errors. Citation Text: Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. The Surgeon. 2014;12(6). doi:10.1016/j.surge.2014.06.004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

  19. Getting to havarti: moving toward patient safety in obstetrics. | PSNet

    psnet.ahrq.gov/issue/getting-havarti-moving-toward-patient-safety-obstetrics
    October 19, 2022 - Commentary Getting to havarti: moving toward patient safety in obstetrics. Citation Text: Veltman LL. Getting to havarti: moving toward patient safety in obstetrics. Obstet Gynecol. 2007;110(5):1146-1150. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  20. Patient safety front and center. | PSNet

    psnet.ahrq.gov/issue/patient-safety-front-and-center
    November 20, 2024 - Newspaper/Magazine Article Patient safety front and center. Citation Text: Terry K. Patient safety front and center. National forces converge, strategies emerge to push the movement forward. Hospitals & health networks. 2011;85(7):38-40, 42. Copy Citation Format: Google Sch…
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