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8341. The frustrating case of incident-reporting systems. | PSNet
      psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
      June 22, 2022 - Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

8342. Three Australian whistleblowing sagas: lessons for internal and external regulation. | PSNet
      psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
      August 17, 2005 - Study Three Australian whistleblowing sagas: lessons for internal and external regulation. Citation Text: Faunce TA, Bolsin SNC. Three Australian whistleblowing sagas: lessons for internal and external regulation. Med J Aust. 2004;181(1):44-7. Copy Citation Format: Google …

8343. Improving Diagnostic Quality and Safety Final Report. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
      September 06, 2011 - Book/Report Classic Improving Diagnostic Quality and Safety Final Report. Citation Text: Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017. Copy Citation Save Save to your lib…

8344. Awareness and use of a cognitive aid for anesthesiology. | PSNet
      psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
      January 05, 2017 - Study Awareness and use of a cognitive aid for anesthesiology. Citation Text: Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11. Copy Citation Format: Google Scholar PubMed BibTeX En…

8345. Safety lessons from the NIH Clinical Center. | PSNet
      psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
      April 10, 2024 - Commentary Safety lessons from the NIH Clinical Center. Citation Text: Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

8346. Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. | PSNet
      psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
      October 19, 2022 - Press Release/Announcement Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Citation Text: Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022. C…

8347. Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
      March 19, 2014 - Book/Report Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Citation Text: Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Washington, DC: United States Government Accountability Off…

8348. Safety and Quality in Perioperative Anesthesia Care. | PSNet
      psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
      June 15, 2011 - Special or Theme Issue Safety and Quality in Perioperative Anesthesia Care. Citation Text: Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154. Copy Citation Save Save to your library …

8349. Speaking up about patient safety requires an observant questioner and a high index of suspicion. | PSNet
      psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
      June 10, 2018 - Newspaper/Magazine Article Speaking up about patient safety requires an observant questioner and a high index of suspicion. Citation Text: Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…

8350. Health IT Safe Practices for Closing the Loop. | PSNet
      psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
      March 10, 2021 - Toolkit Health IT Safe Practices for Closing the Loop. Citation Text: Health IT Safe Practices for Closing the Loop. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. Copy Citation Save Save to your library Print Download…

8351. Just Culture and its critical link to patient safety—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
      June 10, 2018 - Newspaper/Magazine Article Just Culture and its critical link to patient safety—part 1 and part 2. Citation Text: Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3. Copy …

8352. Circle Up Training. | PSNet
      psnet.ahrq.gov/issue/circle-training
      February 22, 2023 - Multi-use Website Circle Up Training. Citation Text: Circle Up Training. Center for Medical Simulation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May …

8353. FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). | PSNet
      psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-zerbaxa
      April 08, 2020 - Government Resource FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). Citation Text: FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). Food and Drug Admin…

8354. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. | PSNet
      psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
      July 13, 2010 - Study Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. Citation Text: Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…

8355. Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices
      March 15, 2022 - Newspaper/Magazine Article Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5. Copy …

8356. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
      psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
      March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…

8357. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet
      psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
      June 24, 2020 - Newspaper/Magazine Article Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. Citation Text: Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. Copy …

8358. Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
      February 12, 2020 - Newspaper/Magazine Article Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. Citation Text: Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. July 3…

8359. The role of the chief executive officer in maximizing patient safety. | PSNet
      psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
      January 03, 2017 - Newspaper/Magazine Article The role of the chief executive officer in maximizing patient safety. Citation Text: Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. Copy Citation Format: Google Scho…

8360. Confronting racism in pediatric care. | PSNet
      psnet.ahrq.gov/issue/confronting-racism-pediatric-care
      February 22, 2023 - Commentary Confronting racism in pediatric care. Citation Text: Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685. doi:10.1377/hlthaff.2022.01157. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…