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Towards a model of surgeons' leadership in the operating room. | PSNet

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July 01, 2020 - Review Towards a model of surgeons' leadership in the operating room. Citation Text: Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295. Copy Citation Format: DOI G…

Guide to Patient and Family Engagement: Environmental Scan Report. | PSNet

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August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…

Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. | PSNet

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November 01, 2016 - Book/Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. Citation Text: Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…

Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. | PSNet

psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed

September 05, 2012 - Book/Report Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Citation Text: Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Kohn LT. Washington, DC: United States Government Acc…

Complicated: medical missteps are not inevitable. | PSNet

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August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. | PSNet

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May 18, 2011 - Book/Report Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Citation Text: Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…

Is myocardial infarction overdiagnosed? | PSNet

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June 28, 2017 - Commentary Is myocardial infarction overdiagnosed? Citation Text: McCarthy CP, Wasfy JH, Januzzi JL. Is myocardial infarction overdiagnosed? JAMA. 2024;331(19):1623. doi:10.1001/jama.2024.5235. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

When the misdiagnosis is child abuse. | PSNet

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June 09, 2021 - Newspaper/Magazine Article When the misdiagnosis is child abuse. Citation Text: Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. | PSNet

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June 10, 2018 - Newspaper/Magazine Article Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. Citation Text: Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. ISMP Medication Safety Alert! Acute care edition. November 19, 2020;2…

Dangerous wrong-route errors with tranexamic acid. | PSNet

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February 18, 2014 - Press Release/Announcement Dangerous wrong-route errors with tranexamic acid. Citation Text: Dangerous wrong-route errors with tranexamic acid. National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medicat…

Are national efforts to reduce drug name confusion paying off? | PSNet

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December 27, 2018 - Newspaper/Magazine Article Are national efforts to reduce drug name confusion paying off? Citation Text: Are national efforts to reduce drug name confusion paying off? ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6. Copy Citation Save S…

Start the year off right by addressing these top 10 medication safety concerns from 2021. | PSNet

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April 20, 2022 - Newspaper/Magazine Article Start the year off right by addressing these top 10 medication safety concerns from 2021. Citation Text: Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…

Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare. | PSNet

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January 06, 2017 - Commentary Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare. Citation Text: Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality and safety in medicare. Am J Med Qual. 2006;21(4):276-9. …

A call to excellence. | PSNet

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May 20, 2009 - Commentary A call to excellence. Citation Text: Clancy CM, Scully T. A call to excellence. Health Aff (Millwood). 2003;22(2):113-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet

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January 26, 2023 - Press Release/Announcement 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: 2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada. Copy…

Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. | PSNet

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May 03, 2023 - Government Resource Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Citation Text: Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduct…

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. | PSNet

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February 25, 2013 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Oakbrook Terrace, IL: The Joint Commission; October 2013. …

DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. | PSNet

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December 09, 2020 - Book/Report DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Washington, DC: United States Government Accoun…

Nursing management of medication errors. | PSNet

psnet.ahrq.gov/issue/nursing-management-medication-errors

November 02, 2022 - Study Nursing management of medication errors. Citation Text: Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

Designing decision support for insulin ordering in a computerized provider order entry system. | PSNet

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March 09, 2011 - Study Designing decision support for insulin ordering in a computerized provider order entry system. Citation Text: Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4…

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