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  1. ISMP's List of Confused Drug Names. | PSNet

    psnet.ahrq.gov/issue/ismps-list-confused-drug-names
    August 21, 2015 - Fact Sheet/FAQs Classic ISMP's List of Confused Drug Names. Citation Text: ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023. Copy Citation Save Save to your library Print Downlo…

  2. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet

    psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - Book/Report Second Victim: Error, Guilt, Trauma, and Resilience. Citation Text: Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412. Copy Citation Save Save to your library Print Download PD…

  3. Person-Centered Guidelines for Preserving Family Presence in Challenging Times. | PSNet

    psnet.ahrq.gov/issue/person-centered-guidelines-preserving-family-presence-challenging-times
    October 14, 2015 - Book/Report Person-Centered Guidelines for Preserving Family Presence in Challenging Times. Citation Text: Person-Centered Guidelines for Preserving Family Presence in Challenging Times. Derby, CT: Planetree; 2020. Copy Citation Save Save to your library P…

  4. Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. | PSNet

    psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
    January 30, 2003 - Book/Report Classic Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. Citation Text: Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. Gibson R, Singh JP. Was…

  5. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume.…

  6. Hospitals installed more sinks to stop infections. The sinks can make the problem worse. | PSNet

    psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
    October 05, 2016 - Newspaper/Magazine Article Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Citation Text: Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Branswell H. STAT. October 25, 2016. Copy Citation …

  7. Unverified patient-reported error: a false alarm can have real consequences. | PSNet

    psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
    June 05, 2018 - Newspaper/Magazine Article Unverified patient-reported error: a false alarm can have real consequences. Citation Text: Unverified patient-reported error: a false alarm can have real consequences. ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3. Copy Citation …

  8. Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. | PSNet

    psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
    August 02, 2016 - Book/Report Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. Citation Text: Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. Patankar MS, Brown JP, Sabin EJ, Bigda-Peyton TG. Burlington, VT: Ashgate; 2012. ISBN: 97…

  9. Anesthesia outside of the OR: cause for patient safety concerns? | PSNet

    psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
    May 25, 2022 - Newspaper/Magazine Article Anesthesia outside of the OR: cause for patient safety concerns? Citation Text: Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. MedPage Today. January 13, 2023. Copy Citation Save Save to your library …

  10. The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. | PSNet

    psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
    February 23, 2018 - Book/Report The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Citation Text: The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…

  11. Managing risk during transition to new ISO tubing connector standards. | PSNet

    psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
    December 23, 2016 - Sentinel Event Alerts Managing risk during transition to new ISO tubing connector standards. Citation Text: Managing risk during transition to new ISO tubing connector standards. Sentinel Event Alert. August 20, 2014;(53):1-6. Copy Citation Save Save to your libra…

  12. Check your medical records for dangerous errors. | PSNet

    psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors
    November 03, 2021 - Newspaper/Magazine Article Check your medical records for dangerous errors. Citation Text: Check your medical records for dangerous errors. Graham J. Kaiser Health News. November 21, 2018. Copy Citation Save Save to your library Print Download PDF …

  13. Surgical count practice variability and the potential for retained surgical items. | PSNet

    psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
    October 20, 2010 - Commentary Surgical count practice variability and the potential for retained surgical items. Citation Text: Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014. Copy Citation Format…

  14. Smart pump custom concentrations without hard "low concentration" alerts. | PSNet

    psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
    June 10, 2018 - Newspaper/Magazine Article Smart pump custom concentrations without hard "low concentration" alerts. Citation Text: Smart pump custom concentrations without hard "low concentration" alerts. ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4. Copy Citation …

  15. Electronic data collection using MedWatchPlus portal and rational questionnaire. | PSNet

    psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
    July 03, 2013 - Government Resource Electronic data collection using MedWatchPlus portal and rational questionnaire. Citation Text: Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157. Copy Citation …

  16. Serious medication errors from intravenous administration of nimodipine oral capsules. | PSNet

    psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
    March 01, 2010 - Government Resource Serious medication errors from intravenous administration of nimodipine oral capsules. Citation Text: Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA. Copy Citation …

  17. Keeping patients on track with preventative care during pandemic. | PSNet

    psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
    April 11, 2018 - Newspaper/Magazine Article Keeping patients on track with preventative care during pandemic. Citation Text: Keeping patients on track with preventative care during pandemic. Quick Safety. March 2021;58:1-2. Copy Citation Save Save to your library Print …

  18. Medical mistakes are more likely in women and minorities. | PSNet

    psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
    November 01, 2017 - Newspaper/Magazine Article Medical mistakes are more likely in women and minorities. Citation Text: Medical mistakes are more likely in women and minorities. Szabo L. NBC News. January 15, 2024. Copy Citation Save Save to your library Print Download PD…

  19. Optimal Resources for Surgical Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
    September 29, 2017 - Book/Report Optimal Resources for Surgical Quality and Safety. Citation Text: Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. Copy Citation Save Save to your library …

  20. Starter Kit for Alarm Fatigue. | PSNet

    psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
    October 19, 2022 - Toolkit Starter Kit for Alarm Fatigue. Citation Text: Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…
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