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  1. Good Night's Sleep Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
    September 01, 2015 - Good Night's Sleep Gone Wrong Citation Text: Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865455/psn-pdf
    March 27, 2024 - Communication During Transitions of Care March 27, 2024 Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/communication-during-transitions-care Introduction Inaccurate or untimely communication and ineffective teamwork in healthca…

  3. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
    November 01, 2011 - Spotlight Case July 2008 Spotlight Case Near Miss with Bedside Medications * * Source and Credits This presentation is based on the November 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33795/psn-pdf
    November 01, 2015 - Introducing the Redesigned AHRQ Patient Safety Network November 1, 2015 Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network Editorial It's hard to believe that it has been 15 years since th…

  5. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-471
    December 31, 2024 - January 22, 2025 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…

  6. Black or 'other'? Doctors may be relying on race to make decisions about your health. | PSNet

    psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
    September 15, 2021 - Newspaper/Magazine Article Black or 'other'? Doctors may be relying on race to make decisions about your health. Citation Text: Black or 'other'? Doctors may be relying on race to make decisions about your health. Smith J, Spodak C. CNN. April 25, 2021. Copy Citation …

  7. Safer Together Survey: Advancing Patient and Workforce Safety | PSNet

    psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
    July 12, 2017 - Press Release/Announcement Safer Together Survey: Advancing Patient and Workforce Safety Citation Text: Safer Together Survey: Advancing Patient and Workforce Safety Cambridge, MA: Institute for Healthcare Improvement: January 2023. Copy Citation Save Save to yo…

  8. 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…

  9. Crushing or splitting medications: unrecognized hazards. | PSNet

    psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
    October 26, 2010 - Commentary Crushing or splitting medications: unrecognized hazards. Citation Text: Gill D, Spain M, Edlund BJ. Crushing or Splitting Medications: Unrecognized Hazards. J Gerontol Nurs. 2012. doi:10.3928/00989134-20111213-01. Copy Citation Format: DOI Google Scholar BibTeX…

  10. Secret data on hospital inspections may soon become public. | PSNet

    psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
    January 30, 2019 - Newspaper/Magazine Article Secret data on hospital inspections may soon become public. Citation Text: Secret data on hospital inspections may soon become public. Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. Copy Citation Save Sav…

  11. ERs are swamped with seriously ill patients, although many don’t have Covid. | PSNet

    psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid
    November 01, 2023 - Newspaper/Magazine Article ERs are swamped with seriously ill patients, although many don’t have Covid. Citation Text: ERs are swamped with seriously ill patients, although many don’t have Covid. Wells K. Health Shots. National Public Radio. October 29, 2021. Copy Citation …

  12. Medication Safety Certificate Program. | PSNet

    psnet.ahrq.gov/issue/medication-safety-certificate-program
    September 30, 2020 - Audiovisual Presentation Medication Safety Certificate Program. Citation Text: Medication Safety Certificate Program. American Society of Health-System Pharmacists, Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Do…

  13. Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. | PSNet

    psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
    July 18, 2018 - Book/Report Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Citation Text: Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Boston, MA: CRICO Strategies; 2017. Copy Citation Save Save to your library…

  14. Perioperative Handoffs. | PSNet

    psnet.ahrq.gov/issue/perioperative-handoffs
    October 04, 2017 - Special or Theme Issue Perioperative Handoffs. Citation Text: Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434. Copy Citation Save Save to your library Print Download PDF Share Face…

  15. Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. | PSNet

    psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
    November 18, 2015 - Newspaper/Magazine Article Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. Citation Text: Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. ISMP Medication Safety Alert! Acute care edition. November 19, 2…

  16. FactFinders. | PSNet

    psnet.ahrq.gov/issue/factfinders
    February 17, 2021 - Commentary FactFinders. Citation Text: FactFinders. SIS Patient Safety Committee. Spine Intervention Society. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  17. Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life". | PSNet

    psnet.ahrq.gov/issue/cyberattack-unitedhealth-still-impacting-prescription-access-these-are-threats-life
    March 21, 2024 - Newspaper/Magazine Article Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life". Citation Text: Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life". Sganga N, Triay A. CBS Evening News. February 29, 2024. …

  18. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor? Citation Text: Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. Copy Citation Format: Google Scholar PubMed BibT…

  19. The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. | PSNet

    psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
    March 06, 2005 - Newspaper/Magazine Article The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Citation Text: The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Barker T; Noguez J. Copy Citatio…

  20. Actions to renew focus on safety culture. | PSNet

    psnet.ahrq.gov/issue/actions-renew-focus-safety-culture
    July 24, 2024 - Newspaper/Magazine Article Actions to renew focus on safety culture. Citation Text: Actions to renew focus on safety culture. Salvon-Harman J. Healthcare Executive. 2023;39(3):48-49. Copy Citation Save Save to your library Print Download PDF S…
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