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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34805/psn-pdf
    November 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42128/psn-pdf
    August 15, 2013 - Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper- based order entry. August 15, 2013 Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. J Pha…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35803/psn-pdf
    January 02, 2017 - Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. January 2, 2017 Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm J Qual Patient Saf. 2006;32(4):2…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36664/psn-pdf
    May 27, 2011 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. May 27, 2011 Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Saf Sci. 2006;45(4).…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47114/psn-pdf
    October 13, 2018 - Focused ethnography of diagnosis in academic medical centers. October 13, 2018 Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966. https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36367/psn-pdf
    April 11, 2011 - Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. April 11, 2011 Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Pediatrics. 2006;118(4):1493-150…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33560/psn-pdf
    June 15, 2024 - Disclosure of Errors June 15, 2024 Disclosure of Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/disclosure-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

  8. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-413
    October 31, 2023 - October 18, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  9. The Wrong Shot: Error Disclosure | PSNet

    psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
    May 01, 2011 - SPOTLIGHT CASE The Wrong Shot: Error Disclosure Citation Text: Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Sch…

  10. When Things Go Wrong: Responding to Adverse Events. | PSNet

    psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
    November 19, 2014 - Book/Report Classic When Things Go Wrong: Responding to Adverse Events. Citation Text: When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. Copy Citation Save …

  11. Another tragic parenteral nutrition compounding error. | PSNet

    psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
    June 10, 2018 - Newspaper/Magazine Article Another tragic parenteral nutrition compounding error. Citation Text: Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3. Copy Citation Save Save to your library…

  12. Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. | PSNet

    psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
    December 07, 2016 - Book/Report Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Citation Text: Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009. Copy Citation …

  13. Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. | PSNet

    psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
    October 21, 2020 - Government Resource Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Citation Text: Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory Copy Citation Save …

  14. 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 …

  15. Is employee discipline the solution for patient safety? | PSNet

    psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
    September 15, 2011 - Commentary Is employee discipline the solution for patient safety? Citation Text: Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  16. Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. | PSNet

    psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
    November 15, 2023 - Book/Report Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. Citation Text: Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887. Co…

  17. Take Charge of Your Hospital Stay to Avoid Medical Mistakes. | PSNet

    psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
    April 08, 2020 - Newspaper/Magazine Article Take Charge of Your Hospital Stay to Avoid Medical Mistakes. Citation Text: Take Charge of Your Hospital Stay to Avoid Medical Mistakes. Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010. Copy Citation Save Save to…

  18. Misidentification of alphanumeric symbols in both handwritten and computer-generated information. | PSNet

    psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
    May 07, 2018 - Newspaper/Magazine Article Misidentification of alphanumeric symbols in both handwritten and computer-generated information. Citation Text: Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …

  19. Rudeness at work. | PSNet

    psnet.ahrq.gov/issue/rudeness-work
    May 29, 2014 - Commentary Rudeness at work. Citation Text: Flin R. Rudeness at work. BMJ. 2010;340:c2480. doi:10.1136/bmj.c2480. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sa…

  20. Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. | PSNet

    psnet.ahrq.gov/issue/inpatient-computerized-provider-order-entry-findings-ahrq-health-it-portfolio
    May 24, 2015 - Book/Report Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. Citation Text: Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: …
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