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  1. Safety requires a state of mindfulness. | PSNet

    psnet.ahrq.gov/issue/safety-requires-state-mindfulness
    May 02, 2018 - Newspaper/Magazine Article Safety requires a state of mindfulness. Citation Text: Safety requires a state of mindfulness. ISMP Medication Safety Alert! Acute care edition. July 31, 2014. Copy Citation Save Save to your library Print Download PDF …

  2. AHRQ 2011 Annual Conference.  | PSNet

    psnet.ahrq.gov/issue/ahrq-2011-annual-conference
    October 23, 2019 - Meeting/Conference Proceedings AHRQ 2011 Annual Conference.  Citation Text: AHRQ 2011 Annual Conference.  Agency for Healthcare Research and Quality. Bethesda, MD, September 18-19, 2011. Copy Citation Save Save to your library Print Download PDF …

  3. Massachusetts Alliance for Communication and Resolution Following Medical Injury. | PSNet

    psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury
    May 03, 2023 - Multi-use Website Massachusetts Alliance for Communication and Resolution Following Medical Injury. Citation Text: Massachusetts Alliance for Communication and Resolution Following Medical Injury. Betsy Lehman Center for Patient Safety. Copy Citation Save Save…

  4. All can be lost: the risk of putting our knowledge in the hands of machines. | PSNet

    psnet.ahrq.gov/issue/all-can-be-lost-risk-putting-our-knowledge-hands-machines
    February 25, 2019 - Newspaper/Magazine Article All can be lost: the risk of putting our knowledge in the hands of machines. Citation Text: All can be lost: the risk of putting our knowledge in the hands of machines. Carr N. The Atlantic. November 2013. Copy Citation Save Save to y…

  5. Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists. | PSNet

    psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital-president
    August 13, 2008 - Newspaper/Magazine Article Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists. Citation Text: Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists. Wen P. Copy Citation Save …

  6. What's the trouble? How doctors think. | PSNet

    psnet.ahrq.gov/issue/whats-trouble-how-doctors-think
    August 24, 2016 - Newspaper/Magazine Article What's the trouble? How doctors think. Citation Text: What's the trouble? How doctors think. Groopman J. New Yorker. January 29, 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  7. In redesigned room, hospital patients may feel better already. | PSNet

    psnet.ahrq.gov/issue/redesigned-room-hospital-patients-may-feel-better-already
    August 19, 2020 - Newspaper/Magazine Article In redesigned room, hospital patients may feel better already. Citation Text: In redesigned room, hospital patients may feel better already. Kimmelman M. New York Times. August 21, 2014. Copy Citation Save Save to your library Pr…

  8. New system for patients to report medical mistakes. | PSNet

    psnet.ahrq.gov/issue/new-system-patients-report-medical-mistakes
    May 16, 2008 - Newspaper/Magazine Article New system for patients to report medical mistakes. Citation Text: New system for patients to report medical mistakes. Pear R. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  9. How business intelligence can improve patient safety. | PSNet

    psnet.ahrq.gov/issue/how-business-intelligence-can-improve-patient-safety
    June 27, 2018 - Newspaper/Magazine Article How business intelligence can improve patient safety. Citation Text: How business intelligence can improve patient safety. Wanless S, McManaway J. Metaphor Analytics. August 30, 2005. Copy Citation Save Save to your library Pr…

  10. Do doctors understand test results? | PSNet

    psnet.ahrq.gov/issue/do-doctors-understand-test-results
    February 12, 2020 - Newspaper/Magazine Article Do doctors understand test results? Citation Text: Do doctors understand test results? Kremer W. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL…

  11. Identifying and Preventing Medication Errors. | PSNet

    psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors
    September 29, 2017 - Multi-use Website Identifying and Preventing Medication Errors. Citation Text: Identifying and Preventing Medication Errors. Institute of Medicine; IOM Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  12. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet

    psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
    October 24, 2021 - In this role, she leads initiatives related to community pharmacy practitioners and their impact throughout

  13. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable | PSNet

    psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
    December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable Citation Text: Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

  14. Diuretics and Electrolyte Abnormalities | PSNet

    psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
    February 15, 2017 - Diuretics and Electrolyte Abnormalities Citation Text: Dreischulte T. Diuretics and Electrolyte Abnormalities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  15. Rethinking Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867849/psn-pdf
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety In To Err I…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33884/psn-pdf
    July 01, 2019 - Emerging Safety Issues in Artificial Intelligence July 1, 2019 Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence Perspective Background Since the beginning of digital health records, there has bee…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49823/psn-pdf
    March 01, 2018 - Shortcuts to Acetaminophen-induced Liver Failure March 1, 2018 Bacak S, Thornburg L. Shortcuts to Acetaminophen-induced Liver Failure. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure The Case An 18-year-old woman, 27 weeks pregnant, presented to the emergency dep…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851158/psn-pdf
    June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization The Case A patient was …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49423/psn-pdf
    November 01, 2003 - The Missing Suction Tip November 1, 2003 Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/missing-suction-tip Case Objectives Identify the risk factors for retained foreign bodies. Understand methods used to prevent and identify retained foreign bodies. Apprecia…
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