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Assessing medication safety in settings not designated solely for pediatric patients. | PSNet

psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients

February 01, 2023 - Newspaper/Magazine Article Assessing medication safety in settings not designated solely for pediatric patients. Citation Text: Assessing medication safety in settings not designated solely for pediatric patients. ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5…

Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. | PSNet

psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk

June 18, 2014 - Newspaper/Magazine Article Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. Citation Text: Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19…

Improving patient safety in radiotherapy by learning from near misses, incidents and errors. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors

July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Citation Text: Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. Copy Citation Format:…

Checklists, safety, my culture and me. | PSNet

psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me

June 19, 2019 - Commentary Checklists, safety, my culture and me. Citation Text: Raghunathan K. Checklists, safety, my culture and me. BMJ Qual Saf. 2012;21(7):617-20. doi:10.1136/bmjqs-2011-000608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet

psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following

February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…

Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and

March 09, 2016 - Newspaper/Magazine Article Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. Citation Text: Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…

Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. | PSNet

psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation

May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …

Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet

psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly

May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …

Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet

psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid

March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. | PSNet

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November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Citation Text: Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Oakbrook Terrace, IL: The Joint Commission; November 2008. Copy Citation …

Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet

psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early

May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…

Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet

psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era

July 12, 2017 - Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text: Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…

Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet

psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety

December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

Errors of omission: missed nursing care. | PSNet

psnet.ahrq.gov/issue/errors-omission-missed-nursing-care

September 27, 2017 - Review Errors of omission: missed nursing care. Citation Text: Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

When medical error becomes personal, activism becomes painful. | PSNet

psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful

August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. | PSNet

psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases

June 03, 2020 - Review The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Citation Text: Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…

Burnout in Primary Care: Assessing and Addressing It in Your Practice. | PSNet

psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice

August 16, 2023 - Book/Report Burnout in Primary Care: Assessing and Addressing It in Your Practice. Citation Text: Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2023. AH…

Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. | PSNet

psnet.ahrq.gov/issue/cultures-caring-healthcare-scandals-inquiries-and-remaking-accountabilities

September 07, 2022 - Commentary Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. Citation Text: Goodwin D. Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. Soc Stud Sci. 2018;48(1):101-124. doi:10.1177/0306312717751051. C…

Health literacy and patient safety events. | PSNet

psnet.ahrq.gov/issue/health-literacy-and-patient-safety-events

January 11, 2017 - Newspaper/Magazine Article Health literacy and patient safety events. Citation Text: Gardner LA. Health literacy and patient safety events. PA-PSRS Patient Saf Advis. 2016;13(2):58-65. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Innovation in safety, and safety in innovation. | PSNet

psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation

October 27, 2021 - Commentary Innovation in safety, and safety in innovation. Citation Text: Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

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