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  1. Organizing for Reliability: A Guide for Research and Practice. | PSNet

    psnet.ahrq.gov/issue/organizing-reliability-guide-research-and-practice
    April 01, 2020 - Book/Report Organizing for Reliability: A Guide for Research and Practice. Citation Text: Organizing for Reliability: A Guide for Research and Practice. Ramanujam R, Roberts KH, eds. Stanford, CA: Stanford University Press; 2018. ISBN: 9780804793612. Copy Citation Save …

  2. Why nurses make medication errors: a simulation study. | PSNet

    psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
    March 02, 2011 - Study Why nurses make medication errors: a simulation study. Citation Text: Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  3. A piece of my mind. Trials and tribulations. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-trials-and-tribulations
    October 19, 2022 - Commentary A piece of my mind. Trials and tribulations. Citation Text: Brown JL. Trials and Tribulations. JAMA. 2017;318(7). doi:10.1001/jama.2017.7106. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  4. Health literacy and its influence on patient safety. | PSNet

    psnet.ahrq.gov/issue/health-literacy-and-its-influence-patient-safety
    June 19, 2024 - Commentary Health literacy and its influence on patient safety. Citation Text: Ross J. Health Literacy and Its Influence on Patient Safety. Journal of PeriAnesthesia Nursing. 2007;22(3). doi:10.1016/j.jopan.2007.03.005. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  5. 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…

  6. 20 years later: to err is a leadership failure. | PSNet

    psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
    November 30, 2016 - Special or Theme Issue 20 years later: to err is a leadership failure. Citation Text: 20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34. Copy Citation Save Save to your library P…

  7. Learning from errors with the new COVID-19 vaccines. | PSNet

    psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
    October 21, 2021 - Newspaper/Magazine Article Learning from errors with the new COVID-19 vaccines. Citation Text: Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   Copy Citation Save Save to…

  8. Administering just the diluent or one of two vaccine components leaves patients unprotected. | PSNet

    psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
    May 07, 2018 - Newspaper/Magazine Article Administering just the diluent or one of two vaccine components leaves patients unprotected. Citation Text: Administering just the diluent or one of two vaccine components leaves patients unprotected. ISMP Medication Safety Alert! Acute care edition. May 22, 20…

  9. Technological methods used to prevent errors aren't infallible. | PSNet

    psnet.ahrq.gov/issue/technological-methods-used-prevent-errors-arent-infallible
    January 05, 2017 - Newspaper/Magazine Article Technological methods used to prevent errors aren't infallible. Citation Text: Santell JP. Technological methods used to prevent errors aren't infallible. Mater Manag Health Care. 2006;15(12):26-30. Copy Citation Format: Google Scholar PubMed Bi…

  10. Eric Cropp weighs in on the error that sent him to prison. | PSNet

    psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
    May 07, 2018 - Newspaper/Magazine Article Eric Cropp weighs in on the error that sent him to prison. Citation Text: Eric Cropp weighs in on the error that sent him to prison. ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3. Copy Citation Save Save to yo…

  11. Doctors turned my sister away; less than two years later she died of cervical cancer. | PSNet

    psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
    September 09, 2020 - Newspaper/Magazine Article Doctors turned my sister away; less than two years later she died of cervical cancer. Citation Text: Doctors turned my sister away; less than two years later she died of cervical cancer. Harvey-Jenner C. Cosmopolitan. August 27, 2020.  Copy Citation …

  12. 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…

  13. Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. | PSNet

    psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
    May 11, 2022 - Meeting/Conference Proceedings Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. Citation Text: Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The …

  14. People of color with long COVID face uphill battle to be heard. | PSNet

    psnet.ahrq.gov/issue/people-color-long-covid-face-uphill-battle-be-heard
    August 24, 2022 - Newspaper/Magazine Article People of color with long COVID face uphill battle to be heard. Citation Text: People of color with long COVID face uphill battle to be heard. Farah T. Scientific American. September 22, 2022. Copy Citation Save Save to your library …

  15. To eliminate bias, some seek out doctors of their own race or ethnicity. | PSNet

    psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
    December 11, 2019 - Newspaper/Magazine Article To eliminate bias, some seek out doctors of their own race or ethnicity. Citation Text: To eliminate bias, some seek out doctors of their own race or ethnicity. Glicksman E. Washington Post. December 11, 2021. Copy Citation Save Save t…

  16. Unwell Women: Misdiagnosis and Myth in a Man-Made World. | PSNet

    psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world
    March 20, 2019 - Book/Report Unwell Women: Misdiagnosis and Myth in a Man-Made World. Citation Text: Unwell Women: Misdiagnosis and Myth in a Man-Made World. Cleghorn E. New York, NY: Dutton; 2021. ISBN: 9780593182956. Copy Citation Save Save to your library Print …

  17. Situational Awareness and Patient Safety: A Learning Package. | PSNet

    psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
    September 13, 2017 - Book/Report Situational Awareness and Patient Safety: A Learning Package. Citation Text: Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…

  18. Interruptions and multitasking in nursing care. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
    September 28, 2010 - Study Interruptions and multitasking in nursing care. Citation Text: Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  19. Cancer diagnoses delayed among prisoners in Washington state. | PSNet

    psnet.ahrq.gov/issue/cancer-diagnoses-delayed-among-prisoners-washington-state
    March 24, 2021 - Newspaper/Magazine Article Cancer diagnoses delayed among prisoners in Washington state. Citation Text: Cancer diagnoses delayed among prisoners in Washington state. Medscape Medical News. May 12, 2021. Copy Citation Save Save to your library Print Dow…

  20. Patient and Family Engagement in Primary Care: Case Studies. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
    November 01, 2016 - Book/Report Patient and Family Engagement in Primary Care: Case Studies. Citation Text: Patient and Family Engagement in Primary Care: Case Studies. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF. Copy Citation …
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