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Attending work hour restrictions: is it time? | PSNet

psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time

November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. | PSNet

psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations

May 29, 2013 - Review Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. Citation Text: Manser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure…

A serious threat to patient safety: the unintended misuse of FentaNYL patches. | PSNet

psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches

September 24, 2010 - Commentary A serious threat to patient safety: the unintended misuse of FentaNYL patches. Citation Text: Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007. Copy Citation Form…

A medical error leads to tragedy: how do we inform the patient? | PSNet

psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient

April 08, 2018 - Commentary A medical error leads to tragedy: how do we inform the patient? Citation Text: Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet

psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge

June 09, 2011 - Commentary Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. Citation Text: Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…

Rethinking peer review: what aviation can teach radiology about performance improvement. | PSNet

psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement

July 01, 2017 - Commentary Rethinking peer review: what aviation can teach radiology about performance improvement. Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. …

Using standardised patients in an objective structured clinical examination as a patient safety tool. | PSNet

psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool

April 21, 2010 - Commentary Using standardised patients in an objective structured clinical examination as a patient safety tool. Citation Text: Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …

Patient Safety in the Traditional and Evolving Nontraditional Office Setting | PSNet

psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting

September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…

An interview with Peter Pronovost | PSNet

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July 01, 2017 - Award Recipient An interview with Peter Pronovost Citation Text: Pronovost P. An interview with Peter Pronovost. Jt Comm J Qual Saf. 2004;30(12):659-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. | PSNet

psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole

April 17, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. Citation Text: Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…

Electronic fetal heart rate monitoring: applying principles of patient safety. | PSNet

psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety

October 10, 2018 - Commentary Electronic fetal heart rate monitoring: applying principles of patient safety. Citation Text: Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016. Copy C…

Start the year off right by preventing these top 10 medication errors and hazards from 2020. | PSNet

psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020

February 09, 2022 - Newspaper/Magazine Article Start the year off right by preventing these top 10 medication errors and hazards from 2020. Citation Text: Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…

Patient safety answers require outreach, in-reach, and partnerships. | PSNet

psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships

August 23, 2023 - Commentary Patient safety answers require outreach, in-reach, and partnerships. Citation Text: Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436. Copy Citation Format: DOI Google …

High reliability: excellent care every time. | PSNet

psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time

July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. | PSNet

psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition

April 30, 2008 - Toolkit AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Citation Text: AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. Copy Citation …

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 …

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…

Improving Quality and Safety in Healthcare. | PSNet

psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare

November 30, 2016 - Special or Theme Issue Improving Quality and Safety in Healthcare. Citation Text: Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. Copy Citation Save Save to your library Print …

Patient Safety and Quality Improvement Act of 2005. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005

March 29, 2023 - Legislation/Case Law Classic Patient Safety and Quality Improvement Act of 2005. Citation Text: Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41. Copy Citation Save Save to your library Print Download…

National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. | PSNet

psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report

January 11, 2013 - Book/Report National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Citation Text: National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012. Copy Citation …

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