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  1. Our long journey towards a safety-minded just culture. Part II: where we're going. | PSNet

    psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
    June 05, 2018 - Newspaper/Magazine Article Our long journey towards a safety-minded just culture. Part II: where we're going. Citation Text: Our long journey towards a safety-minded just culture. Part II: where we're going. ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2. C…

  2. Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. | PSNet

    psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
    December 23, 2016 - Sentinel Event Alerts Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. Citation Text: Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. Sentinel Event Alert. January…

  3. Trends in Nursing Home Deficiencies and Complaints. | PSNet

    psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
    February 18, 2009 - Book/Report Trends in Nursing Home Deficiencies and Complaints. Citation Text: Trends in Nursing Home Deficiencies and Complaints. Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2008. Report No. OEI-02-08-00140. Copy Citation…

  4. 4 skin conditions doctors often misdiagnose. | PSNet

    psnet.ahrq.gov/issue/4-skin-conditions-doctors-often-misdiagnose
    September 30, 2020 - Newspaper/Magazine Article 4 skin conditions doctors often misdiagnose. Citation Text: 4 skin conditions doctors often misdiagnose. Oglethorpe A. Women's Health. November 4, 2020. Copy Citation Save Save to your library Print Download PDF …

  5. FactFinders. | PSNet

    psnet.ahrq.gov/issue/factfinders
    February 17, 2021 - Commentary FactFinders. Citation Text: FactFinders. SIS Patient Safety Committee. Spine Intervention Society. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  6. Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. | PSNet

    psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied
    September 30, 2020 - Press Release/Announcement Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. Citation Text: Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. National Alert Net…

  7. ISMP survey shows provider text messaging often runs afoul of patient safety. | PSNet

    psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
    May 07, 2018 - Newspaper/Magazine Article ISMP survey shows provider text messaging often runs afoul of patient safety. Citation Text: ISMP survey shows provider text messaging often runs afoul of patient safety. ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5. Copy Citatio…

  8. Patient Safety in Private Hospitals: the Known and the Unknown Risk. | PSNet

    psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
    June 18, 2013 - Book/Report Patient Safety in Private Hospitals: the Known and the Unknown Risk. Citation Text: Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014. Copy Citation Save …

  9. How one health system overcame resistance to a surgical checklist. | PSNet

    psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
    May 23, 2018 - Newspaper/Magazine Article How one health system overcame resistance to a surgical checklist. Citation Text: How one health system overcame resistance to a surgical checklist. Hilton K, Anderson A. Harv Bus Rev. May 20, 2019. Copy Citation Save Save to your librar…

  10. Nursing homes fined for COVID infection control lapses. | PSNet

    psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
    November 24, 2021 - Newspaper/Magazine Article Nursing homes fined for COVID infection control lapses. Citation Text: Nursing homes fined for COVID infection control lapses. Jaffe S. Medpage Today. November 25, 2020. Copy Citation Save Save to your library Print Down…

  11. Don't abandon the "second victims" of medical errors. | PSNet

    psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
    September 26, 2017 - Commentary Don't abandon the "second victims" of medical errors. Citation Text: Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  12. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet

    psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
    November 01, 2023 - Newspaper/Magazine Article Patient death tied to lack of proper escalation process for barcode scanning failures. Citation Text: Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3. Cop…

  13. Medication errors involving healthcare students. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
    December 19, 2016 - Newspaper/Magazine Article Medication errors involving healthcare students. Citation Text: Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23. Copy Citation Save Save to your library …

  14. As a nurse faces prison for a deadly error, her colleagues worry: could I be next? | PSNet

    psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
    May 11, 2022 - Newspaper/Magazine Article As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Citation Text: As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Kelman B. Kaiser Health News. March 22, 2022 Copy Citation S…

  15. Survey by Ohio regulator shows stress, fatigue among pharmacists at chain stores. | PSNet

    psnet.ahrq.gov/issue/survey-ohio-regulator-shows-stress-fatigue-among-pharmacists-chain-stores
    November 09, 2022 - Newspaper/Magazine Article Survey by Ohio regulator shows stress, fatigue among pharmacists at chain stores. Citation Text: Survey by Ohio regulator shows stress, fatigue among pharmacists at chain stores. Kaplan A. NBC News. April 21, 2021. Copy Citation Save …

  16. Walgreens will stop judging its pharmacy staffers by how fast they work. | PSNet

    psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work
    May 05, 2021 - Newspaper/Magazine Article Walgreens will stop judging its pharmacy staffers by how fast they work. Citation Text: Walgreens will stop judging its pharmacy staffers by how fast they work. Kaplan A. NBC News. October 27, 2022.  Copy Citation Save Save to you…

  17. Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. | PSNet

    psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
    September 06, 2023 - Newspaper/Magazine Article Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. Citation Text: Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. West S. Kaiser Health News. August 5, 2022. Co…

  18. ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. | PSNet

    psnet.ahrq.gov/issue/arv-medication-errors-experience-community-based-hiv-specialty-clinic-and-review-literature
    March 29, 2010 - Study ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Citation Text: ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Cocohoba J; Dong BJ. Copy Citation S…

  19. Feds move to rein in prior authorization, a system that harms and frustrates patients. | PSNet

    psnet.ahrq.gov/issue/feds-move-rein-prior-authorization-system-harms-and-frustrates-patients
    June 01, 2022 - Newspaper/Magazine Article Feds move to rein in prior authorization, a system that harms and frustrates patients. Citation Text: Feds move to rein in prior authorization, a system that harms and frustrates patients. Sausser L. Kaiser Health News. March 13, 2023. Copy Citation …

  20. The slow, troubling death of the autopsy. | PSNet

    psnet.ahrq.gov/issue/slow-troubling-death-autopsy
    August 19, 2020 - Newspaper/Magazine Article The slow, troubling death of the autopsy. Citation Text: The slow, troubling death of the autopsy. Ashworth S. Elemental. September 22, 2020. Copy Citation Save Save to your library Print Download PDF Share F…
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