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To err is human, unless you are a healthcare provider. | PSNet

psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider

March 22, 2023 - Commentary To err is human, unless you are a healthcare provider. Citation Text: To err is human, unless you are a healthcare provider. Zajicek J. Belmont Health Law J. 2020;4:79-135. Copy Citation Save Save to your library Print Download PDF Sha…

Technology, cognition and error. | PSNet

psnet.ahrq.gov/issue/technology-cognition-and-error

September 04, 2024 - Commentary Technology, cognition and error. Citation Text: Coiera E. Technology, cognition and error. BMJ Qual Saf. 2015;24(7):417-22. doi:10.1136/bmjqs-2014-003484. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

Quality and safety indicators in anesthesia: a systematic review. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-indicators-anesthesia-systematic-review

June 08, 2010 - Review Quality and safety indicators in anesthesia: a systematic review. Citation Text: Haller G, Stoelwinder J, Myles PS, et al. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology. 2009;110(5):1158-75. doi:10.1097/ALN.0b013e3181a1093b. Copy Citation …

Physician perception of hospital safety and barriers to incident reporting. | PSNet

psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting

February 16, 2011 - Study Physician perception of hospital safety and barriers to incident reporting. Citation Text: Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. Copy Citation Format: Goog…

Coordination Between Emergency and Primary Care Physicians. | PSNet

psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians

August 13, 2014 - Book/Report Coordination Between Emergency and Primary Care Physicians. Citation Text: Coordination Between Emergency and Primary Care Physicians. Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3. Copy Citation …

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 …

Engineering the system of communication for safer surgery. | PSNet

psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery

January 18, 2013 - Commentary Engineering the system of communication for safer surgery. Citation Text: Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5. Copy Citation Format: …

AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. | PSNet

psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address-opioids-crisis

November 10, 2021 - Grant Announcement AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. Citation Text: AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. Augu…

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…

Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers

September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

Long-Term Trends of Psychotropic Drug Use in Nursing Homes. | PSNet

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May 25, 2022 - Book/Report Long-Term Trends of Psychotropic Drug Use in Nursing Homes. Citation Text: Long-Term Trends of Psychotropic Drug Use in Nursing Homes. Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20-00500. Copy Citation Save …

VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. | PSNet

psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities

October 26, 2022 - Book/Report VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. Citation Text: VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83. …

Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. | PSNet

psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause

January 24, 2018 - Newspaper/Magazine Article Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. Citation Text: Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…

Failure to weigh patients in hospital: a medication safety risk. | PSNet

psnet.ahrq.gov/issue/failure-weigh-patients-hospital-medication-safety-risk

April 22, 2015 - Study Failure to weigh patients in hospital: a medication safety risk. Citation Text: Hilmer SN, Rangiah C, Bajorek B, et al. Failure to weigh patients in hospital: a medication safety risk. Intern Med J. 2007;37(9):647-50. Copy Citation Format: Google Scholar PubMed BibT…

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…

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…

Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. | PSNet

psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers

June 02, 2021 - Press Release/Announcement Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Citation Text: Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Silver Spring, MD: Division of Industry and Consumer Education, US…

Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta-analysis of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/impact-medication-reviews-delivered-community-pharmacist-elderly-patients-polypharmacy-meta

May 19, 2021 - Review Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta-analysis of randomized controlled trials. Citation Text: Tasai S, Kumpat N, Dilokthornsakul P, et al. Impact of Medication Reviews Delivered by Community Pharmacist to Elderl…

What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. | PSNet

psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-epinephrine-auto-injectors-leads-error-prone-use

September 14, 2016 - Newspaper/Magazine Article What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. Citation Text: What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-p…

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…

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