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Showing results for "incidents".

  1. Could CDC guidelines be driving some opioid patients to suicide? | PSNet

    psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide
    March 23, 2022 - Newspaper/Magazine Article Could CDC guidelines be driving some opioid patients to suicide? Citation Text: Could CDC guidelines be driving some opioid patients to suicide? Dickson EJ. Rolling Stone. March 9, 2019. Copy Citation Save Save to your library Prin…

  2. 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…

  3. Access to Clinical Information at the Bedside. | PSNet

    psnet.ahrq.gov/issue/access-clinical-information-bedside
    March 16, 2022 - Book/Report Access to Clinical Information at the Bedside. Citation Text: Access to Clinical Information at the Bedside. Farnborough, UK: Healthcare Safety Investigation Branch; February 2023. Copy Citation Save Save to your library Print Download PDF …

  4. 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…

  5. 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 …

  6. Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. | PSNet

    psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
    September 29, 2021 - Book/Report Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. Citation Text: Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…

  7. 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…

  8. Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. | PSNet

    psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
    June 12, 2019 - Book/Report Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. Citation Text: Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…

  9. Breaking the silence on medical mistakes. | PSNet

    psnet.ahrq.gov/issue/breaking-silence-medical-mistakes
    April 15, 2015 - Audiovisual Breaking the silence on medical mistakes. Citation Text: Breaking the silence on medical mistakes. Scott M. The Pulse. New York Public Radio; April 26, 2024. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  10. Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. | PSNet

    psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying-gaps-and-future
    September 30, 2020 - Book/Report Emerging Classic Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions. Citation Text: Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Di…

  11. Reducing preventable harm in hospitals. | PSNet

    psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
    March 16, 2016 - Newspaper/Magazine Article Reducing preventable harm in hospitals. Citation Text: Reducing preventable harm in hospitals. Bornstein D. New York Times. January 26, and February 2, 2016. Copy Citation Save Save to your library Print Download PDF Sh…

  12. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. | PSNet

    psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
    June 24, 2020 - Commentary Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. Citation Text: Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70. Copy Citation Format:…

  13. Just culture: who gets to draw the line? | PSNet

    psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
    June 24, 2020 - Commentary Just culture: who gets to draw the line? Citation Text: Dekker SWA. Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). doi:10.1007/s10111-008-0110-7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  14. Enteral feeding misconnections: an update. | PSNet

    psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
    January 06, 2017 - Review Enteral feeding misconnections: an update. Citation Text: Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  15. The MacArthur Fellows Program: Peter Pronovost. | PSNet

    psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
    June 11, 2013 - Press Release/Announcement The MacArthur Fellows Program: Peter Pronovost. Citation Text: The MacArthur Fellows Program: Peter Pronovost. The John D. and Catherine T. MacArthur Foundation. Copy Citation Save Save to your library Print Download PDF …

  16. Profiles in patient safety: authority gradients in medical error. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
    August 28, 2019 - Review Profiles in patient safety: authority gradients in medical error. Citation Text: Cosby K, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med. 2004;11(12):1341-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  17. Patient Safety in Ambulatory Settings: Technical Brief. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief
    September 29, 2017 - Book/Report Patient Safety in Ambulatory Settings: Technical Brief. Citation Text: Patient Safety in Ambulatory Settings: Technical Brief. Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19, 2016. Copy Citation Save …

  18. Science and patient safety. | PSNet

    psnet.ahrq.gov/issue/science-and-patient-safety
    July 19, 2019 - Commentary Science and patient safety. Citation Text: Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  19. Peer Support Toolkit. | PSNet

    psnet.ahrq.gov/issue/peer-support-toolkit
    May 03, 2023 - Tools/Toolkit Peer Support Toolkit. Citation Text: Peer Support Toolkit. Betsy Lehman Center for Patient Safety. September 2021. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Co…

  20. Disrespectful behavior in healthcare...have we made any progress in the last decade? | PSNet

    psnet.ahrq.gov/issue/disrespectful-behavior-healthcarehave-we-made-any-progress-last-decade
    March 15, 2022 - Newspaper/Magazine Article Disrespectful behavior in healthcare...have we made any progress in the last decade? Citation Text: Disrespectful behavior in healthcare...have we made any progress in the last decade? ISMP Medication Safety Alert! Acute Care Edition. June 27, 2013. Copy Cita…
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