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  1. psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
    September 23, 2020 - Commentary Revitalizing an established rapid response team. Citation Text: Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c. Copy Citation Format: DOI Google …
  2. psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
    January 19, 2022 - Organizational Policy/Guidelines Standardising wristbands improves patient safety. Citation Text: Standardising wristbands improves patient safety. National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2. Copy Citation Save Save to your libra…
  3. psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
    October 19, 2022 - Commentary Medication bar coding: to scan or not to scan? Citation Text: Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
  4. psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
    July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  5. psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
    June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…
  6. psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states
    April 13, 2022 - Commentary Patient safety functions of state medical boards in the United States. Citation Text: Patient safety functions of state medical boards in the United States. Roy CG. Yale J Biol Med. 2021;94(1):165-173.  Copy Citation Save Save to your library …
  7. psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
    October 12, 2011 - Commentary A nurse-driven system for improving patient quality outcomes. Citation Text: Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175. Copy Citation Format: Google Scholar PubMe…
  8. psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
    September 07, 2016 - Book/Report Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Citation Text: Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
  9. psnet.ahrq.gov/issue/optimizing-medication-safety-home
    August 24, 2015 - Study Optimizing medication safety in the home. Citation Text: LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
  10. psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
    November 02, 2022 - Newspaper/Magazine Article Survey results from pharmacists provide support to enhance the organizational response to codes. Citation Text: Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…
  11. psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
    December 01, 2004 - Commentary Preventing communication errors in telephone medicine. Citation Text: Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  12. psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
    September 30, 2020 - Newspaper/Magazine Article Pharmacy-led medication reconciliation is best practice. Citation Text: Pharmacy-led medication reconciliation is best practice. Tanski MC. Pharmacy Times Health Systems edition. September 2023;12(5):34-35. Copy Citation Save Save to y…
  13. psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
    February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…
  14. psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care
    September 27, 2017 - Study The impact of teamwork on missed nursing care. Citation Text: Kalisch BJ, Lee KH. The impact of teamwork on missed nursing care. Nurs Outlook. 2010;58(5):233-41. doi:10.1016/j.outlook.2010.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
  15. psnet.ahrq.gov/issue/missed-or-rationed-nursing-care
    February 12, 2020 - Special or Theme Issue Missed or Rationed Nursing Care. Citation Text: Missed or Rationed Nursing Care. J Nurs Manag. 2020;28(8): i-iv, 1767-2275. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  16. psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
    July 18, 2018 - Book/Report Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Citation Text: Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Boston, MA: CRICO Strategies; 2017. Copy Citation Save Save to your library…
  17. psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …
  18. psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - Medication Overdose Citation Text: Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866846/psn-pdf
    September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 24, 2024 Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/zero…
  20. psnet.ahrq.gov/web-mm/comanagement-whos-charge
    July 01, 2011 - Comanagement: Who's in Charge? Citation Text: Cheng HQ. Comanagement: Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

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