-
psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - ground: how do we create a safe haven around reporting, but secondly, after knowing the risks, how do we hold … And it's these choices that we're going to hold people accountable for.
-
psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
November 10, 2010 - Newspaper/Magazine Article
Revealing their medical errors: why three doctors went public.
Citation Text:
Revealing their medical errors: why three doctors went public. O'Reilly KB.
Copy Citation
Save
Save to your library
Print
Download PDF
Sh…
-
psnet.ahrq.gov/node/49391/psn-pdf
February 01, 2003 - The Case
A 70-year-old man without documented past psychiatric history was placed on an involuntary hold … He was
placed on an extended involuntary hold on day 3.
-
psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - Retained Surgical Items: Definition and Epidemiology.
January 4, 2024
Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
Background
Prudent medical practice and federal and state laws r…
-
psnet.ahrq.gov/issue/dr-google-meets-its-match-dr-chatgpt
May 24, 2023 - Newspaper/Magazine Article
‘Dr. Google’ meets its match: Dr. ChatGPT.
Citation Text:
‘Dr. Google’ meets its match: Dr. ChatGPT. Leonard A. KFF Health News. September 12, 2023.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
…
-
psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
November 01, 2023 - Newspaper/Magazine Article
Patient death tied to lack of proper escalation process for barcode scanning failures.
Citation Text:
Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3.
Cop…
-
psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - Newspaper/Magazine Article
Unreadable barcodes and multiple barcodes on packages can lead to errors.
Citation Text:
Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
Copy Citation
…
-
psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - The resident called pathology and, luckily, the laboratory had placed the specimen on hold instead of … Moreover, many laboratories hold their trash for 24–72 hours in case specimens are accidentally discarded
-
psnet.ahrq.gov/issue/building-case-medication-reconciliation
June 10, 2018 - Newspaper/Magazine Article
Building a case for medication reconciliation.
Citation Text:
Building a case for medication reconciliation. ISMP Medication Safety Alert! Acute care edition. April 21, 2005.
Copy Citation
Save
Save to your library
Print
Downlo…
-
psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare-settings
September 03, 2008 - Commentary
JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings.
Citation Text:
JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. ECRI. Risk Management Reporter. June 2005.
Copy Citation
S…
-
psnet.ahrq.gov/issue/hard-look-hard-stops-and-workarounds-acute-care-setting
June 26, 2013 - Newspaper/Magazine Article
A hard look at hard stops and workarounds in the acute care setting.
Citation Text:
A hard look at hard stops and workarounds in the acute care setting. ISMP Medication Safety Alert! Acute care edition. June 29, 2023;28(13);1-4.
Copy Citation
…
-
psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - Review
Disclosure of errors in surgical procedures.
Citation Text:
Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Faceboo…
-
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…
-
psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations
July 10, 2024 - Commentary
Managing health IT risks: reflections and recommendations.
Citation Text:
Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX…
-
psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system
March 05, 2010 - Newspaper/Magazine Article
Transparency and public reporting are essential for a safe health care system.
Citation Text:
Transparency and public reporting are essential for a safe health care system. Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.
…
-
psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - ground: how do we create a safe haven around reporting, but secondly, after knowing the risks, how do we hold … And it's these choices that we're going to hold people accountable for.
-
psnet.ahrq.gov/node/837785/psn-pdf
August 05, 2022 - available on the global market.1
Patients have widespread access to many types of healthcare apps, which hold
-
psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - Although these innovative
techniques hold immense promise, as the commentators note, acceptance of artificial
-
psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
November 17, 2021 - Newspaper/Magazine Article
Intravenous (IV) push medications – bridging the gap between education and clinical practice.
Citation Text:
Intravenous (IV) push medications – bridging the gap between education and clinical practice. ISMP Medication Safety Alert! Acute Care. November 2, …
-
psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume: how to prioritize events and analyze error data.
Citation Text:
Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4.
Copy Citation
…