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Showing results for "incidents".

  1. Medical research and the Institutional Review Board: the librarian's role in human subject testing. | PSNet

    psnet.ahrq.gov/issue/medical-research-and-institutional-review-board-librarians-role-human-subject-testing
    June 01, 2022 - Commentary Medical research and the Institutional Review Board: the librarian's role in human subject testing. Citation Text: Medical research and the Institutional Review Board: the librarian's role in human subject testing. Robinson JG; Gehle JL. Reference Services Review. 2005;33(…

  2. Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. | PSNet

    psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes-120-prepared
    June 10, 2018 - Newspaper/Magazine Article Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. Citation Text: Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. …

  3. 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. | PSNet

    psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
    October 26, 2022 - Newspaper/Magazine Article 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. Citation Text: 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. Mills M. The Guardian. September 3, 2022. …

  4. Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. | PSNet

    psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
    May 11, 2014 - Study Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Citation Text: Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Menachemi N; Saunders C; Chukmaitov A; Ma…

  5. Patient safety: break the silence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-break-silence
    October 19, 2022 - Commentary Patient safety: break the silence. Citation Text: Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  6. Certified Professional in Patient Safety Review Course. | PSNet

    psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course
    December 05, 2024 - International Meeting/Conference Certified Professional in Patient Safety Review Course. Citation Text: Certified Professional in Patient Safety Review Course. Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern). Copy Citation Save Sa…

  7. When the bone flap hits the floor. | PSNet

    psnet.ahrq.gov/issue/when-bone-flap-hits-floor
    March 12, 2025 - Study When the bone flap hits the floor. Citation Text: Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  8. New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet

    psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
    December 15, 2021 - Book/Report New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Citation Text: New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…

  9. Beware of basal opioid infusions with PCA therapy. | PSNet

    psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
    June 05, 2018 - Newspaper/Magazine Article Beware of basal opioid infusions with PCA therapy. Citation Text: Beware of basal opioid infusions with PCA therapy. ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3. Copy Citation Save Save to your library P…

  10. Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. | PSNet

    psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
    May 07, 2018 - Newspaper/Magazine Article Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. Citation Text: Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…

  11. Doctors were alarmed: would I have my children have surgery here? | PSNet

    psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
    February 19, 2020 - Newspaper/Magazine Article Doctors were alarmed: would I have my children have surgery here? Citation Text: Doctors were alarmed: would I have my children have surgery here? Gabler E. New York Times. May 31, 2019. Copy Citation Save Save to your library Pr…

  12. Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. | PSNet

    psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
    June 01, 2022 - Newspaper/Magazine Article Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. Citation Text: Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. Clark C. MedPage Today. June 2, 2022 Copy Citation Save …

  13. Beyond patient safety Flatland. | PSNet

    psnet.ahrq.gov/issue/beyond-patient-safety-flatland
    September 04, 2024 - Commentary Beyond patient safety Flatland. Citation Text: Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  14. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
    November 18, 2016 - Commentary Medication errors and drug-dispensing systems in a hospital pharmacy. Citation Text: Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2006;60(4). doi:10.1590/s1807-59322005000400011. Copy Citation For…

  15. Implementing a rapid response team: a practical guide. | PSNet

    psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
    July 14, 2010 - Commentary Implementing a rapid response team: a practical guide. Citation Text: Implementing a rapid response team: a practical guide. Garretson S; Dip HE; Rauzi MB. Copy Citation Save Save to your library Print Download PDF Share Facebo…

  16. JCAHO's National Patient Safety Goals 2006. | PSNet

    psnet.ahrq.gov/issue/jcahos-national-patient-safety-goals-2006
    December 17, 2008 - Commentary JCAHO's National Patient Safety Goals 2006. Citation Text: Catalano K. JCAHO'S National Patient Safety Goals 2006. J Perianesth Nurs. 2006;21(1):6-11. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Hospitals installed more sinks to stop infections. The sinks can make the problem worse. | PSNet

    psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
    October 05, 2016 - Newspaper/Magazine Article Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Citation Text: Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Branswell H. STAT. October 25, 2016. Copy Citation …

  18. Interdisciplinary Perspectives on Medical Error. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
    September 27, 2023 - Special or Theme Issue Interdisciplinary Perspectives on Medical Error. Citation Text: Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33. Copy Citation Save Save to your library Print Download PDF Share F…

  19. Assessing patient safety culture: a review and synthesis of the measurement tools. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
    July 10, 2008 - Review Assessing patient safety culture: a review and synthesis of the measurement tools. Citation Text: Singla AK, Kitch BT, Weissman JS, et al. Assessing Patient Safety Culture. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000235388.39149.5a. Copy Citation Format: DOI …

  20. Radiology failure mode and effect analysis: what is it? | PSNet

    psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it
    May 03, 2017 - Commentary Radiology failure mode and effect analysis: what is it? Citation Text: Abujudeh H, Kaewlai R. Radiology failure mode and effect analysis: what is it? Radiology. 2009;252(2):544-50. doi:10.1148/radiol.2522081954. Copy Citation Format: DOI Google Scholar PubMed Bi…
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