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  1. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. | PSNet

    psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
    July 05, 2017 - Review Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Citation Text: Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;…

  2. Statistical Process Control | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/statistical-process-control
    January 01, 2023 - Statistical Process Control Acronym SPC Also Known As Control Chart Run Chart Examples Taveras M. Increasing charge capture using scheduling techniques for a hospital-based ancillary service. 17th Annual Society for Health Systems Management Engineering Forum; 2005; Dallas, TX;…

  3. EAU policy on live surgery events. | PSNet

    psnet.ahrq.gov/issue/eau-policy-live-surgery-events
    December 29, 2014 - Review EAU policy on live surgery events. Citation Text: Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  4. Leadership committed to safety. | PSNet

    psnet.ahrq.gov/issue/leadership-committed-safety
    December 23, 2016 - Sentinel Event Alerts Leadership committed to safety. Citation Text: Leadership committed to safety. Sentinel Event Alert. August 27, 2009;(43):1-3. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  5. A call to excellence. | PSNet

    psnet.ahrq.gov/issue/call-excellence
    May 20, 2009 - Commentary A call to excellence. Citation Text: Clancy CM, Scully T. A call to excellence. Health Aff (Millwood). 2003;22(2):113-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  6. Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health IT - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences/annual-summary/2010
    January 01, 2010 - Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health IT - 2010 Project Name Developing a Guide to Identifying and Remediating Unintended Consequences of Implementing Health Information Technology Principal Investigator Koppel, Ross Orga…

  7. Surveillance: a strategy for improving patient safety in acute and critical care units. | PSNet

    psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
    September 27, 2016 - Commentary Surveillance: a strategy for improving patient safety in acute and critical care units. Citation Text: Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.403…

  8. Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. | PSNet

    psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed
    September 05, 2012 - Book/Report Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Citation Text: Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Kohn LT. Washington, DC: United States Government Acc…

  9. Complicated: medical missteps are not inevitable. | PSNet

    psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
    August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  10. The harms of promoting 'Zero Harm'. | PSNet

    psnet.ahrq.gov/issue/harms-promoting-zero-harm
    February 12, 2020 - Commentary Emerging Classic The harms of promoting 'Zero Harm'. Citation Text: Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-009703. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  11. Start the year off right by addressing these top 10 medication safety concerns from 2021. | PSNet

    psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
    April 20, 2022 - Newspaper/Magazine Article Start the year off right by addressing these top 10 medication safety concerns from 2021. Citation Text: Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…

  12. Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

    psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
    September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

  13. Understanding human over-reliance on technology. | PSNet

    psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
    February 24, 2016 - Newspaper/Magazine Article Understanding human over-reliance on technology. Citation Text: Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4. Copy Citation Save Save to your library Pr…

  14. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet

    psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…

  15. Is an indication-based prescribing system in our future? | PSNet

    psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
    February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …

  16. Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. | PSNet

    psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
    May 24, 2015 - Multi-use Website Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Citation Text: Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. Novembe…

  17. Actions Based on Survey Results | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Actions Based on Survey Results Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study In…

  18. Follow-up tips for a safe, efficient practice. | PSNet

    psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
    July 23, 2010 - Newspaper/Magazine Article Follow-up tips for a safe, efficient practice. Citation Text: Weiss GG. Follow-up tips for a safe, efficient practice. Medical economics. 2006;83(10):47-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  19. Medication administration errors: understanding the issues. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
    December 15, 2011 - Review Medication administration errors: understanding the issues. Citation Text: McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  20. Promoting psychosocial well-being of health care staff during crisis. | PSNet

    psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis
    October 21, 2020 - Newspaper/Magazine Article Promoting psychosocial well-being of health care staff during crisis. Citation Text: Promoting psychosocial well-being of health care staff during crisis. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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