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Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. | PSNet

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April 22, 2016 - Book/Report Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. Citation Text: Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310. Copy Citation Format: …

TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. | PSNet

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December 24, 2008 - Toolkit Classic TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Citation Text: TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…

Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. | PSNet

psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices

September 07, 2016 - Book/Report Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Citation Text: Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…

Optimizing medication safety in the home. | PSNet

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August 24, 2015 - Study Optimizing medication safety in the home. Citation Text: LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. | PSNet

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August 16, 2016 - Book/Report How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Citation Text: How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…

Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet

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January 16, 2019 - Book/Report Emerging Classic Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Citation Text: Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Acade…

Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet

psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety

September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…

Pediatric Readiness in the Emergency Department. | PSNet

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March 14, 2018 - Organizational Policy/Guidelines Pediatric Readiness in the Emergency Department. Citation Text: Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459. Copy Citation Format: …

Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet

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June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…

Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. | PSNet

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November 04, 2015 - Book/Report Classic Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Citation Text: Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…

Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet

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March 03, 2021 - Newspaper/Magazine Article Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. Citation Text: Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…

Adverse Events. | PSNet

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September 20, 2011 - Multi-use Website Adverse Events. Citation Text: Adverse Events. United States Office of the Inspector General: 2010-2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. | PSNet

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December 10, 2024 - Book/Report Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Citation Text: Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025. …

Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. | PSNet

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October 05, 2016 - Book/Report Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Citation Text: Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. Copy C…

Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition

June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…

Negotiating medical virtues: toward the development of a physician mistake disclosure model. | PSNet

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June 14, 2017 - Commentary Negotiating medical virtues: toward the development of a physician mistake disclosure model. Citation Text: Hannawa AF. Negotiating medical virtues: toward the development of a physician mistake disclosure model. Health Comm. 2009;24(5):391-399. doi:10.1080/10410230903023279…

Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. | PSNet

psnet.ahrq.gov/issue/potential-role-pharmacogenomics-reducing-adverse-drug-reactions-systematic-review

August 04, 2021 - Review Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. Citation Text: Phillips KA, Veenstra DL, Oren E, et al. Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA. 2001;286(18):2270-9. Copy Citat…

Drug shortages continue to compromise patient care. | PSNet

psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care

February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

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…

Creating safe spaces in organizations to talk about safety. | PSNet

psnet.ahrq.gov/issue/creating-safe-spaces-organizations-talk-about-safety

March 18, 2019 - Study Creating safe spaces in organizations to talk about safety. Citation Text: Morath J, Leary M. Creating safe spaces in organizations to talk about safety. Nurs Econ. 2004;22(6):344-51, 354. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

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