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  1. In Conversation with…John Banja, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
    February 01, 2006 - In Conversation with…John Banja, PhD February 1, 2006  Also Read an Essay Citation Text: In Conversation with…John Banja, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Ci…

  2. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
    March 30, 2020 - In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD March 30, 2020  Also Read the Essay Citation Text: In Conversation With.. Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD. PSNet [internet]. 2020.In Conversation With... Ann Gaffey, RN, MS…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72614/psn-pdf
    March 01, 2021 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Originally published on December 22, 2020 Last updated on December 23, 2020 https://psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads- improved-outcomes Summary Multidisciplinary tea…

  4. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet

    psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - Annual Perspective Ensuring Patient and Workforce Safety Culture in Healthcare John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg | March 27, 2024  View more articles from the same authors. Citation Text: Murray J, Sorra J, Gale B, et al. Ensuring Patient…

  5. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …

  6. Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
    June 09, 2021 - Book/Report Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Citation Text: Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. Copy Citation …

  7. Pro/con debate: color-coded medication labels. | PSNet

    psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …

  8. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

  9. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …

  10. Improving Diagnostic Quality and Safety Final Report. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
    September 06, 2011 - Book/Report Classic Improving Diagnostic Quality and Safety Final Report. Citation Text: Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017. Copy Citation Save Save to your lib…

  11. Multiple latent failures align to allow a serious drug interaction to harm a patient. | PSNet

    psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
    June 10, 2018 - Newspaper/Magazine Article Multiple latent failures align to allow a serious drug interaction to harm a patient. Citation Text: Multiple latent failures align to allow a serious drug interaction to harm a patient. ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. Co…

  12. Think health care workers are tested often for the Coronavirus? Think again. | PSNet

    psnet.ahrq.gov/issue/think-health-care-workers-are-tested-often-coronavirus-think-again
    July 29, 2020 - Audiovisual Think health care workers are tested often for the Coronavirus? Think again. Citation Text: Think health care workers are tested often for the Coronavirus? Think again. Wamsley L. National Public Radio and WBUR. December 7, 2020. Copy Citation Save …

  13. More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. | PSNet

    psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
    May 03, 2023 - Newspaper/Magazine Article More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. Citation Text: More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. ISMP Medication Safety Alert! Acute Care Editi…

  14. Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. | PSNet

    psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
    March 30, 2016 - Newspaper/Magazine Article Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Citation Text: Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23. Copy Citation Save Save to…

  15. Workarounds are routinely used by nurses—but are they ethical? | PSNet

    psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
    October 27, 2016 - Commentary Workarounds are routinely used by nurses—but are they ethical? Citation Text: Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7. Copy Citation Format: DOI Google Schol…

  16. Start the new year off right by preventing these top 10 medication errors and hazards. | PSNet

    psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
    February 09, 2022 - Newspaper/Magazine Article Start the new year off right by preventing these top 10 medication errors and hazards. Citation Text: Start the new year off right by preventing these top 10 medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2)…

  17. Health IT Safe Practices for Closing the Loop. | PSNet

    psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
    March 10, 2021 - Toolkit Health IT Safe Practices for Closing the Loop. Citation Text: Health IT Safe Practices for Closing the Loop. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. Copy Citation Save Save to your library Print Download…

  18. Circle Up Training. | PSNet

    psnet.ahrq.gov/issue/circle-training
    February 22, 2023 - Multi-use Website Circle Up Training. Citation Text: Circle Up Training. Center for Medical Simulation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May …

  19. Wide heart monitor use tied to missed alarms. | PSNet

    psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
    July 19, 2023 - Newspaper/Magazine Article Wide heart monitor use tied to missed alarms. Citation Text: Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…

  20. Medication Overload: America's Other Drug Problem. | PSNet

    psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
    April 01, 2020 - Book/Report Medication Overload: America's Other Drug Problem. Citation Text: Medication Overload: America's Other Drug Problem. Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. Copy Citation Save Save to your library Print Download PDF …
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