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  1. Quality Improvement and Patient Safety Competencies Across the Learning Continuum. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-across-learning-continuum
    November 06, 2019 - Book/Report Quality Improvement and Patient Safety Competencies Across the Learning Continuum. Citation Text: Quality Improvement and Patient Safety Competencies Across the Learning Continuum. AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical…

  2. Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. | PSNet

    psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition
    September 11, 2019 - Book/Report Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. Citation Text: Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. Agrawal A, Bhatt J, eds. Cham, Switzerland, Springer Nature; 2023. ISBN: 9783031359330. Copy Ci…

  3. Before mea culpa, Children’s was confident its air systems weren’t source of infection | PSNet

    psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
    July 19, 2010 - Newspaper/Magazine Article Before mea culpa, Children’s was confident its air systems weren’t source of infection Citation Text: Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019. Copy Citation …

  4. 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…

  5. 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…

  6. Your attention please... designing effective warnings. | PSNet

    psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
    March 14, 2023 - Newspaper/Magazine Article Your attention please... designing effective warnings. Citation Text: Your attention please... designing effective warnings. ISMP Medication Safety Alert! Acute care edition. February 28, 2019. Copy Citation Save Save to your library …

  7. 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…

  8. 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…

  9. 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…

  10. 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 …

  11. 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 …

  12. Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet

    psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
    July 08, 2015 - Newspaper/Magazine Article Technology and error-prevention strategies: why are we still overlooking the IV room? Citation Text: Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…

  13. Learning from errors with the new COVID-19 vaccines. | PSNet

    psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
    October 21, 2021 - Newspaper/Magazine Article Learning from errors with the new COVID-19 vaccines. Citation Text: Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   Copy Citation Save Save to…

  14. 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…

  15. Accidental IV infusion of heparinized irrigation in the OR. | PSNet

    psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …

  16. 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 …

  17. 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 …

  18. 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 …

  19. 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…

  20. 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…
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