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Accidental IV infusion of heparinized irrigation in the OR. | PSNet

psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or

September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …

Building patient safety skills: common pitfalls when conducting a root cause analysis. | PSNet

psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis

May 07, 2018 - Newspaper/Magazine Article Building patient safety skills: common pitfalls when conducting a root cause analysis. Citation Text: Building patient safety skills: common pitfalls when conducting a root cause analysis. ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.…

Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. | PSNet

psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community

September 26, 2016 - Newspaper/Magazine Article Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. Citation Text: Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …

Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? | PSNet

psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing

June 10, 2018 - Newspaper/Magazine Article Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? Citation Text: Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…

A shortage of everything except errors: harm associated with drug shortages. | PSNet

psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages

February 13, 2019 - Newspaper/Magazine Article A shortage of everything except errors: harm associated with drug shortages. Citation Text: A shortage of everything except errors: harm associated with drug shortages. ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3. Copy Citation …

Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet

psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room

July 08, 2015 - Newspaper/Magazine Article Technology and error-prevention strategies: why are we still overlooking the IV room? Citation Text: Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…

Human Factors and Ergonomics in Healthcare. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare

September 15, 2021 - Special or Theme Issue Human Factors and Ergonomics in Healthcare. Citation Text: Human Factors and Ergonomics in Healthcare. Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71. Copy Citation Save Save to your libra…

Risk Management in Obstetrics and Gynaecology. | PSNet

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June 15, 2011 - Special or Theme Issue Risk Management in Obstetrics and Gynaecology. Citation Text: Risk Management in Obstetrics and Gynaecology. Edozien LC, ed. Best Pract Res Clin Obstet Gynaecol. 2013;27:A1-A14,479-640. Copy Citation Save Save to your li…

Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet

psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety

February 13, 2019 - Newspaper/Magazine Article Raising the index of suspicion: red flags that represent credible threats to patient safety. Citation Text: Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…

Guidelines for timely medication administration: response to the CMS "30-minute rule." | PSNet

psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule

June 10, 2018 - Newspaper/Magazine Article Guidelines for timely medication administration: response to the CMS "30-minute rule." Citation Text: Guidelines for timely medication administration: response to the CMS "30-minute rule." ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-…

Ordering of continuous renal replacement therapy in a computerized provider order entry system. | PSNet

psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system

April 01, 2024 - Commentary Ordering of continuous renal replacement therapy in a computerized provider order entry system. Citation Text: Ordering of continuous renal replacement therapy in a computerized provider order entry system. Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR. Copy Citation …

The computer will see you now. | PSNet

psnet.ahrq.gov/issue/computer-will-see-you-now

March 22, 2017 - Newspaper/Magazine Article The computer will see you now. Citation Text: The computer will see you now. Whitaker P. New Statesman. August 2, 2019;148:38-43. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. | PSNet

psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief

April 20, 2022 - Book/Report Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. Citation Text: Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. …

Fragmented: A Doctor's Quest to Piece Together American Health Care. | PSNet

psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care

October 05, 2022 - Book/Report Fragmented: A Doctor's Quest to Piece Together American Health Care. Citation Text: Fragmented: A Doctor's Quest to Piece Together American Health Care. Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196. Copy Citation Save…

Mistakes were made (by me). | PSNet

psnet.ahrq.gov/issue/mistakes-were-made-me

January 23, 2019 - Commentary Mistakes were made (by me). Citation Text: Manesh R. Mistakes Were Made (by Me). JAMA Intern Med. 2017;177(10). doi:10.1001/jamainternmed.2017.3781. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Complications: A Surgeon's Notes on an Imperfect Science. | PSNet

psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science

January 13, 2010 - Book/Report Classic Complications: A Surgeon's Notes on an Imperfect Science. Citation Text: Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196. Copy Citation Save …

Lessons learned from the RaDonda Vaught ruling. | PSNet

psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling

April 26, 2023 - Newspaper/Magazine Article Lessons learned from the RaDonda Vaught ruling. Citation Text: Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21 Copy Citation Save Save to your library Print Download PDF …

Patient safety in cataract surgery. | PSNet

psnet.ahrq.gov/issue/patient-safety-cataract-surgery

September 23, 2020 - Review Patient safety in cataract surgery. Citation Text: Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

Patient Safety: Committing to Learn and Acting to Improve. | PSNet

psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve

June 09, 2009 - Special or Theme Issue Patient Safety: Committing to Learn and Acting to Improve. Citation Text: Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284. Copy Citation Save Save to yo…

Unwell Women: Misdiagnosis and Myth in a Man-Made World. | PSNet

psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world

March 20, 2019 - Book/Report Unwell Women: Misdiagnosis and Myth in a Man-Made World. Citation Text: Unwell Women: Misdiagnosis and Myth in a Man-Made World. Cleghorn E. New York, NY: Dutton; 2021. ISBN: 9780593182956. Copy Citation Save Save to your library Print …

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