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  1. Learning from Investigations. | PSNet

    psnet.ahrq.gov/issue/learning-investigations
    July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

  2. Health IT Safety Center Roadmap. | PSNet

    psnet.ahrq.gov/issue/health-it-safety-center-roadmap
    June 29, 2016 - Government Resource Health IT Safety Center Roadmap. Citation Text: Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. Copy Citation Save Save to your library P…

  3. Why nurses make medication errors: a simulation study. | PSNet

    psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
    March 02, 2011 - Study Why nurses make medication errors: a simulation study. Citation Text: Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  4. The normalization of deviance: what are the perioperative risks? | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
    July 15, 2020 - Commentary The normalization of deviance: what are the perioperative risks? Citation Text: McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009. Copy Citation Format: DOI Google Scholar Pu…

  5. Needlestick injuries among surgeons in training. | PSNet

    psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
    November 26, 2008 - Study Needlestick injuries among surgeons in training. Citation Text: Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  6. The paradoxes of defensive medicine. | PSNet

    psnet.ahrq.gov/issue/paradoxes-defensive-medicine
    June 08, 2022 - Commentary The paradoxes of defensive medicine. Citation Text: The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  7. Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. | PSNet

    psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
    February 23, 2018 - Book/Report Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Citation Text: Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763. Copy Citation Save …

  8. Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. | PSNet

    psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
    June 10, 2018 - Newspaper/Magazine Article Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. Citation Text: Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…

  9. Medicine Safety: Take Care. | PSNet

    psnet.ahrq.gov/issue/medicine-safety-take-care
    February 21, 2018 - Book/Report Medicine Safety: Take Care. Citation Text: Medicine Safety: Take Care. Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019. Copy Citation Save Save to your library Print Download PDF …

  10. Medication Errors. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/medication-errors-2nd-ed
    March 29, 2007 - Book/Report Classic Medication Errors. 2nd ed. Citation Text: Medication Errors. 2nd ed. Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. Copy Citation Save Save to your library Print Download PDF …

  11. Lessons learned from the RaDonda Vaught ruling. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
    April 26, 2023 - Newspaper/Magazine Article Lessons learned from the RaDonda Vaught ruling. Citation Text: Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21 Copy Citation Save Save to your library Print Download PDF …

  12. Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. | PSNet

    psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
    September 29, 2021 - Book/Report Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. Citation Text: Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…

  13. Interruptions and multitasking in nursing care. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
    September 28, 2010 - Study Interruptions and multitasking in nursing care. Citation Text: Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  14. AORN guidance statement: creating a patient safety culture. | PSNet

    psnet.ahrq.gov/issue/aorn-guidance-statement-creating-patient-safety-culture
    March 14, 2018 - Organizational Policy/Guidelines AORN guidance statement: creating a patient safety culture. Citation Text: Nurses A of periOR. AORN guidance statement: creating a patient safety culture. AORN journal. 2006;83(4):936-42. Copy Citation Format: Google Scholar PubMed BibTeX …

  15. All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. | PSNet

    psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-and-why-it-matters
    March 06, 2024 - Book/Report All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. Citation Text: All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. New York, NY: Harper Wave; 2024. ISBN: 978006…

  16. Breaking the silence on medical mistakes. | PSNet

    psnet.ahrq.gov/issue/breaking-silence-medical-mistakes
    April 15, 2015 - Audiovisual Breaking the silence on medical mistakes. Citation Text: Breaking the silence on medical mistakes. Scott M. The Pulse. New York Public Radio; April 26, 2024. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  17. Patient Safety: Committing to Learn and Acting to Improve. | PSNet

    psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
    June 09, 2009 - Special or Theme Issue Patient Safety: Committing to Learn and Acting to Improve. Citation Text: Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.    Copy Citation Save Save to yo…

  18. MRI suites: safety outside the bore. | PSNet

    psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
    April 28, 2021 - Commentary MRI suites: safety outside the bore. Citation Text: MRI suites: safety outside the bore. Gilk T. Patient Safety and Quality Healthcare. September/October 2006:1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…

  19. Disclosure of Adverse Events to Patients. | PSNet

    psnet.ahrq.gov/issue/disclosure-adverse-events-patients
    November 29, 2023 - Organizational Policy/Guidelines Disclosure of Adverse Events to Patients. Citation Text: Disclosure of Adverse Events to Patients. Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. VHA Directive 1004.08. Copy Citation Sa…

  20. Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
    November 21, 2016 - Book/Report Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Citation Text: Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015. Copy Citation Save …
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