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  1. ALERT: reports of severe harm after intravenous administration of breast milk to infants. | PSNet

    psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
    May 02, 2018 - Newspaper/Magazine Article ALERT: reports of severe harm after intravenous administration of breast milk to infants. Citation Text: ALERT: reports of severe harm after intravenous administration of breast milk to infants. ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.   …

  2. Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/drug-shortages
    April 08, 2020 - Multi-use Website Drug Shortages. Citation Text: Drug Shortages. US Food and Drug Administration. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 18, 2…

  3. Are we finally getting serious about medical errors? | PSNet

    psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
    May 11, 2016 - Newspaper/Magazine Article Are we finally getting serious about medical errors? Citation Text: Are we finally getting serious about medical errors? Burns J. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  4. Oral medications inadvertently given via the intravenous route. | PSNet

    psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
    December 19, 2016 - Government Resource Oral medications inadvertently given via the intravenous route. Citation Text: Oral medications inadvertently given via the intravenous route. Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91. Copy Citation Save …

  5. Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  | PSNet

    psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error
    April 03, 2019 - Special or Theme Issue Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  Citation Text: Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error Reduct…

  6. How Doctors Think. | PSNet

    psnet.ahrq.gov/issue/how-doctors-think
    January 14, 2011 - Book/Report Classic How Doctors Think. Citation Text: How Doctors Think. Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  7. Advancing safety with closed-loop communication of test results. | PSNet

    psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
    November 13, 2019 - Newspaper/Magazine Article Advancing safety with closed-loop communication of test results. Citation Text: Advancing safety with closed-loop communication of test results. Quick Safety. December 17, 2019;(52):1-3. Copy Citation Save Save to your library …

  8. Why accountability sharing in health care organizational cultures means patients are probably safer. | PSNet

    psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
    May 27, 2020 - Commentary Why accountability sharing in health care organizational cultures means patients are probably safer. Citation Text: Why accountability sharing in health care organizational cultures means patients are probably safer. Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783. …

  9. Patient Safety | PSNet

    psnet.ahrq.gov/issue/patient-safety-21
    October 14, 2020 - Multi-use Website Patient Safety Citation Text: Patient Safety Organisation for Economic Co-operation and Development. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  10. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet

    psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
    November 25, 2015 - Book/Report The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Citation Text: The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. Copy Cita…

  11. Enhancing Patient Safety and Reducing Errors in Health Care. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-and-reducing-errors-health-care
    July 10, 2019 - Meeting/Conference Proceedings Enhancing Patient Safety and Reducing Errors in Health Care. Citation Text: Enhancing Patient Safety and Reducing Errors in Health Care. Scheffler A; Zipperer LA, eds. Chicago, IL: National Patient Safety Foundation; 1999. ISBN: 9781579470555. Copy Citati…

  12. Breaking the silence of the switch—increasing transparency about trainee participation in surgery. | PSNet

    psnet.ahrq.gov/issue/breaking-silence-switch-increasing-transparency-about-trainee-participation-surgery
    February 02, 2022 - Commentary Breaking the silence of the switch—increasing transparency about trainee participation in surgery. Citation Text: McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJ…

  13. New dosing recommendations to prevent potential Valcyte (valganciclovir) overdose in pediatric transplant patients. | PSNet

    psnet.ahrq.gov/issue/new-dosing-recommendations-prevent-potential-valcyte-valganciclovir-overdose-pediatric
    March 01, 2010 - Government Resource New dosing recommendations to prevent potential Valcyte (valganciclovir) overdose in pediatric transplant patients. Citation Text: New dosing recommendations to prevent potential Valcyte (valganciclovir) overdose in pediatric transplant patients. United States Foo…

  14. IBM's Watson is learning its way to saving lives. | PSNet

    psnet.ahrq.gov/issue/ibms-watson-learning-its-way-saving-lives
    October 18, 2017 - Newspaper/Magazine Article IBM's Watson is learning its way to saving lives. Citation Text: IBM's Watson is learning its way to saving lives. Gertner J. Fast Company. October 15, 2012. Copy Citation Save Save to your library Print Download PDF …

  15. Active learning: when is more better? The case of resident physicians' medical errors. | PSNet

    psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors
    February 22, 2006 - Study Active learning: when is more better? The case of resident physicians' medical errors. Citation Text: Active learning: when is more better? The case of resident physicians' medical errors. Katz-Navon T; Naveh E; Stern Z. Copy Citation Save Save to your l…

  16. Faced with a drug shortfall, doctors scramble to treat children with cancer. | PSNet

    psnet.ahrq.gov/issue/faced-drug-shortfall-doctors-scramble-treat-children-cancer
    October 30, 2019 - Newspaper/Magazine Article Faced with a drug shortfall, doctors scramble to treat children with cancer. Citation Text: Faced with a drug shortfall, doctors scramble to treat children with cancer. Rabin RC. New York Times. October 14, 2019. Copy Citation Save Sav…

  17. Do cell phones belong in the operating room? | PSNet

    psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room
    September 01, 2016 - Newspaper/Magazine Article Do cell phones belong in the operating room? Citation Text: Do cell phones belong in the operating room? Luthra S. Kaiser Health News. July 14, 2015. Copy Citation Save Save to your library Print Download PDF Share …

  18. Physician accused of reusing devices has license suspended. | PSNet

    psnet.ahrq.gov/issue/physician-accused-reusing-devices-has-license-suspended
    December 08, 2010 - Newspaper/Magazine Article Physician accused of reusing devices has license suspended. Citation Text: Physician accused of reusing devices has license suspended. Harasim P. Las Vegas Review-Journal. March 15, 2011:1A. Copy Citation Save Save to your library …

  19. Canadian Anesthesia Incident Reporting System. | PSNet

    psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
    December 04, 2019 - Multi-use Website Canadian Anesthesia Incident Reporting System. Citation Text: Canadian Anesthesia Incident Reporting System. Canadian Anaesthesiologists Society. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  20. After Harm: Medical Error and the Ethics of Forgiveness. | PSNet

    psnet.ahrq.gov/issue/after-harm-medical-error-and-ethics-forgiveness
    July 24, 2019 - Book/Report After Harm: Medical Error and the Ethics of Forgiveness. Citation Text: After Harm: Medical Error and the Ethics of Forgiveness. Berlinger N. Baltimore, MD: The Johns Hopkins University Press; 2005. ISBN 9780801881671. Copy Citation Save Save to your…
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