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  1. FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
    July 01, 2020 - Newspaper/Magazine Article FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. Citation Text: FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. ISMP Medication Safety Alert! Acute care edition.&…

  2. The impact of health system membership on patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/impact-health-system-membership-patient-safety-initiatives
    October 12, 2011 - Study The impact of health system membership on patient safety initiatives. Citation Text: Ford EW, Short JC. The impact of health system membership on patient safety initiatives. Health Care Manage Rev. 2012;33(1):13-20. doi:10.1097/01.hmr.0000304496.89684.7f. Copy Citation Forma…

  3. Can your nurses stop a surgeon? | PSNet

    psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
    September 02, 2020 - Newspaper/Magazine Article Can your nurses stop a surgeon? Citation Text: Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  4. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms. | PSNet

    psnet.ahrq.gov/issue/harmed-patients-gaining-voice-challenging-dominant-perspectives-construction-medical-harm-and
    March 18, 2020 - Study Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms. Citation Text: Ocloo JE. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reform…

  5. Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. | PSNet

    psnet.ahrq.gov/issue/important-information-safe-use-tussionex-pennkinetic-extended-release-suspension
    February 15, 2024 - Government Resource Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. Citation Text: Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension. FDA Consumer Health Information. Silver Spring, MD: US Food and…

  6. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

  7. Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. | PSNet

    psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
    December 02, 2020 - Organizational Policy/Guidelines Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Citation Text: Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…

  8. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
    August 20, 2018 - Study Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. Citation Text: Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …

  9. Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. | PSNet

    psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
    March 18, 2011 - Study Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. Citation Text: Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:…

  10. Pediatric medication safety in the emergency department. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department-0
    November 19, 2018 - Organizational Policy/Guidelines Pediatric medication safety in the emergency department. Citation Text: Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. Copy Citation…

  11. What prevents incident disclosure, and what can be done to promote it? | PSNet

    psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
    February 20, 2012 - Study What prevents incident disclosure, and what can be done to promote it? Citation Text: Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417. Copy Citation Format: G…

  12. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. | PSNet

    psnet.ahrq.gov/issue/professional-values-and-reported-behaviours-doctors-usa-and-uk-quantitative-survey
    February 17, 2011 - Study Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. Citation Text: Roland M, Rao SR, Sibbald B, et al. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Qual Saf. 2011;20(6):515-21. doi:10…

  13. Improving acceptance of computerized prescribing alerts in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribing-alerts-ambulatory-care
    July 10, 2008 - Study Improving acceptance of computerized prescribing alerts in ambulatory care. Citation Text: Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory care. J Am Med Inform Assoc. 2006;13(1):5-11. Copy Citation Format: Go…

  14. Reporting of hazards and near-misses in the ambulatory care setting. | PSNet

    psnet.ahrq.gov/issue/reporting-hazards-and-near-misses-ambulatory-care-setting
    October 19, 2011 - Study Reporting of hazards and near-misses in the ambulatory care setting. Citation Text: Schnall R, Bakken S. Reporting of hazards and near-misses in the ambulatory care setting. J Nurs Care Qual. 2011;26(4):328-334. doi:10.1097/NCQ.0b013e3182109204. Copy Citation Format: …

  15. The path to diagnostic excellence includes feedback to calibrate how clinicians think. | PSNet

    psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
    May 04, 2022 - Commentary Emerging Classic The path to diagnostic excellence includes feedback to calibrate how clinicians think. Citation Text: Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738…

  16. A piece of my mind. Despite my best intentions. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
    September 13, 2016 - Commentary A piece of my mind. Despite my best intentions. Citation Text: Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet

    psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
    September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

  18. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. | PSNet

    psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
    October 28, 2009 - Study Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Citation Text: Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…

  19. Speaking up and sharing information improves trainee neonatal resuscitations. | PSNet

    psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
    April 08, 2011 - Study Speaking up and sharing information improves trainee neonatal resuscitations. Citation Text: Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. Copy C…

  20. Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…
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