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  1. Safe Practices for Better Healthcare: 2006 Update. | PSNet

    psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update
    September 06, 2011 - Book/Report Safe Practices for Better Healthcare: 2006 Update. Citation Text: Safe Practices for Better Healthcare: 2006 Update. Washington DC: National Quality Forum; 2007. Copy Citation Save Save to your library Print Download PDF Share …

  2. Learning from Investigations. | PSNet

    psnet.ahrq.gov/issue/learning-investigations
    July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

  3. Check your medical records for dangerous errors. | PSNet

    psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors
    November 03, 2021 - Newspaper/Magazine Article Check your medical records for dangerous errors. Citation Text: Check your medical records for dangerous errors. Graham J. Kaiser Health News. November 21, 2018. Copy Citation Save Save to your library Print Download PDF …

  4. Error-prone conditions that lead to student nurse-related errors. | PSNet

    psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
    October 31, 2012 - Newspaper/Magazine Article Error-prone conditions that lead to student nurse-related errors. Citation Text: Error-prone conditions that lead to student nurse-related errors. ISMP Medication Safety Alert! Acute care edition. October 18, 2007. Copy Citation Save Sav…

  5. Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. | PSNet

    psnet.ahrq.gov/issue/safety-first-top-your-boards-agenda-100-day-challenge-survey-report
    December 04, 2016 - Book/Report Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. Citation Text: Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009. Copy Citation …

  6. Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. | PSNet

    psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
    November 16, 2015 - Newspaper/Magazine Article Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. Citation Text: Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…

  7. The risks of the prescribing cascade. | PSNet

    psnet.ahrq.gov/issue/risks-prescribing-cascade
    December 16, 2020 - Newspaper/Magazine Article The risks of the prescribing cascade. Citation Text: Brody JE. The risks of the prescribing cascade. New York Times. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

  8. Strategic Plan for Preventing and Mitigating Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
    October 09, 2013 - Book/Report Strategic Plan for Preventing and Mitigating Drug Shortages. Citation Text: Strategic Plan for Preventing and Mitigating Drug Shortages. Silver Spring, MD: Food and Drug Administration; October 2013. Copy Citation Save Save to your library Print …

  9. 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…

  10. Neurologic patient safety: an in-depth study of malpractice claims. | PSNet

    psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
    November 11, 2015 - Study Neurologic patient safety: an in-depth study of malpractice claims. Citation Text: Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6. Copy Citation Format: Google Scholar PubMed…

  11. Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. | PSNet

    psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
    March 14, 2023 - Newspaper/Magazine Article Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. Citation Text: Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspe…

  12. 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…

  13. Research from webAIRS incident reporting system. | PSNet

    psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
    February 15, 2023 - Special or Theme Issue Research from webAIRS incident reporting system. Citation Text: Research from webAIRS incident reporting system. Anaesth Intensive Care. 2023;51(6):372-421. Copy Citation Save Save to your library Print Download PDF Share…

  14. The competent surgeon: individual accountability in the era of "systems" failure. | PSNet

    psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
    May 30, 2014 - Commentary The competent surgeon: individual accountability in the era of "systems" failure. Citation Text: Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93. Copy Citation …

  15. Pediatric medication errors and reduction strategies in the perioperative period. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period
    October 19, 2022 - Review Pediatric medication errors and reduction strategies in the perioperative period. Citation Text: Pediatric medication errors and reduction strategies in the perioperative period. Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324. Copy Citation Sa…

  16. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet

    psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
    October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations.  Citation Text: A Thematic Analysis of HSIB's First 22 Investigations.  Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. Copy Citation Save Save to your library …

  17. When mistakes happen. | PSNet

    psnet.ahrq.gov/issue/when-mistakes-happen
    May 13, 2020 - Newspaper/Magazine Article When mistakes happen. Citation Text: When mistakes happen. Beck DL. ASH Clinical News. December 1, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…

  18. 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 …

  19. Reducing latent errors, drift errors, and stakeholder dissonance. | PSNet

    psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
    December 14, 2010 - Commentary Reducing latent errors, drift errors, and stakeholder dissonance. Citation Text: Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955. Copy Citation Save Save to your library …

  20. War games and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
    April 10, 2024 - Commentary War games and diagnostic errors. Citation Text: Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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