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  1. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet

    psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
    January 01, 2015 - Commentary The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. Citation Text: Eichhorn JH. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection,…

  2. Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. | PSNet

    psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
    June 18, 2014 - Newspaper/Magazine Article Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. Citation Text: Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…

  3. Root cause analysis. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis
    June 15, 2016 - Commentary Root cause analysis. Citation Text: Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  4. Patient safety strategies: a call for physician leadership. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
    January 13, 2021 - Commentary Patient safety strategies: a call for physician leadership. Citation Text: Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4. doi:10.7326/0003-4819-158-5-201303050-00011. Copy Citation Format: DOI Google …

  5. High-performance teams and the physician leader: an overview. | PSNet

    psnet.ahrq.gov/issue/high-performance-teams-and-physician-leader-overview
    December 14, 2016 - Commentary High-performance teams and the physician leader: an overview. Citation Text: Majmudar A, Jain AK, Chaudry J, et al. High-performance teams and the physician leader: an overview. J Surg Educ. 2010;67(4):205-9. doi:10.1016/j.jsurg.2010.06.002. Copy Citation Format: …

  6. Quality in cancer diagnosis. | PSNet

    psnet.ahrq.gov/issue/quality-cancer-diagnosis
    April 08, 2008 - Review Quality in cancer diagnosis. Citation Text: Raab SS, Grzybicki DM. Quality in cancer diagnosis. CA Cancer J Clin. 2010;60(3):139-165. doi:10.3322/caac.20068. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  7. Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error | PSNet

    psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
    February 10, 2021 - Newspaper/Magazine Article Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error Citation Text: Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. …

  8. Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. | PSNet

    psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
    September 05, 2012 - Book/Report Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Citation Text: Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…

  9. Many COVID-19 survivors will be left traumatized by their ICU experience. | PSNet

    psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience
    February 21, 2024 - Newspaper/Magazine Article Many COVID-19 survivors will be left traumatized by their ICU experience. Citation Text: Many COVID-19 survivors will be left traumatized by their ICU experience. Jee C. MIT Technology Review. April 22, 2020. Copy Citation Save Save to…

  10. Avoidable sepsis infections send thousands of seniors to gruesome deaths. | PSNet

    psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
    March 27, 2019 - Newspaper/Magazine Article Avoidable sepsis infections send thousands of seniors to gruesome deaths. Citation Text: Avoidable sepsis infections send thousands of seniors to gruesome deaths. Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018. Copy Cita…

  11. Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. | PSNet

    psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
    November 01, 2023 - Newspaper/Magazine Article Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. Citation Text: Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. O'Neill E. Health Shots. National Public Radio. December 2, 2023. …

  12. FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. | PSNet

    psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
    February 10, 2021 - Press Release/Announcement FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. Citation Text: FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…

  13. A national safety board made transportation safer and could do the same for health care, advocates say. | PSNet

    psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
    August 09, 2023 - Newspaper/Magazine Article A national safety board made transportation safer and could do the same for health care, advocates say. Citation Text: A national safety board made transportation safer and could do the same for health care, advocates say. Jaklevic MC. CNN. May 30, 2023. Co…

  14. Poor medication history plus slow symptom onset delays a diagnosis. | PSNet

    psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
    October 12, 2022 - Commentary Poor medication history plus slow symptom onset delays a diagnosis. Citation Text: Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41. Copy Citation Save Save to your l…

  15. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. | PSNet

    psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
    November 29, 2023 - Newspaper/Magazine Article For 4 days, the hospital thought he had just pneumonia. It was coronavirus. Citation Text: Goldstein J, Salcedo A. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. New York Times. 2020;March 10. Copy Citation Format: Goo…

  16. Start the year off right by preventing these top 10 medication errors and hazards from 2020. | PSNet

    psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
    February 09, 2022 - Newspaper/Magazine Article Start the year off right by preventing these top 10 medication errors and hazards from 2020. Citation Text: Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…

  17. A Randomized Field Study of a Leadership WalkRounds-Based Intervention. | PSNet

    psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
    May 24, 2016 - Book/Report A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Citation Text: A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. Cop…

  18. Like night and day — shedding light on off-hours care. | PSNet

    psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
    September 28, 2010 - Commentary Like night and day — shedding light on off-hours care. Citation Text: Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  19. No-fault compensation for medical injuries: the prospect for error prevention. | PSNet

    psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
    May 20, 2015 - Commentary Classic No-fault compensation for medical injuries: the prospect for error prevention. Citation Text: Studdert DM, Brennan TA. No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2). doi:10.1001/jama.286.2.217. Copy Citation Format: …

  20. Improving operating room and perioperative safety: background and specific recommendations. | PSNet

    psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
    August 29, 2011 - Commentary Improving operating room and perioperative safety: background and specific recommendations. Citation Text: Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35. Copy Citation Format: …
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