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  1. Metric units and the preferred dosing of orally administered liquid medications. | PSNet

    psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
    April 11, 2011 - Organizational Policy/Guidelines Metric units and the preferred dosing of orally administered liquid medications. Citation Text: Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-0072. Copy Citation Format: DOI Google Sch…

  2. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
    May 23, 2018 - Commentary The normalization of deviance: do we (un)knowingly accept doing the wrong thing? Citation Text: Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7. Copy Citation Format: …

  3. Saying "I'm sorry": error disclosure for ophthalmologists. | PSNet

    psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
    November 20, 2019 - Commentary Saying "I'm sorry": error disclosure for ophthalmologists. Citation Text: Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010. Copy Citation Format: DOI Google S…

  4. As cancer drug shortages grow, some doctors are forced to ration doses or delay care. | PSNet

    psnet.ahrq.gov/issue/cancer-drug-shortages-grow-some-doctors-are-forced-ration-doses-or-delay-care
    April 26, 2023 - Newspaper/Magazine Article As cancer drug shortages grow, some doctors are forced to ration doses or delay care. Citation Text: As cancer drug shortages grow, some doctors are forced to ration doses or delay care. Kopf M, Beck C. NBC News. May 26, 2023. Copy Citation …

  5. The perinatal safety nurse: exemplar of transformational leadership. | PSNet

    psnet.ahrq.gov/issue/perinatal-safety-nurse-exemplar-transformational-leadership
    August 20, 2018 - Commentary The perinatal safety nurse: exemplar of transformational leadership. Citation Text: Raab CA, Palmer-Byfield R. The perinatal safety nurse: exemplar of transformational leadership. MCN Am J Matern Child Nurs. 2011;36(5):280-7; quiz 288-9. doi:10.1097/NMC.0b013e31822631ec. C…

  6. Top 10 patient safety issues: what more can we do? | PSNet

    psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
    May 08, 2013 - Commentary Top 10 patient safety issues: what more can we do? Citation Text: Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012. Copy Citation Format: DOI Google Scholar PubMed…

  7. The challenges to transparency in reporting medical errors. | PSNet

    psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
    July 19, 2023 - Commentary The challenges to transparency in reporting medical errors. Citation Text: Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88. Copy Citation Format: …

  8. Changing our culture: adopting the military aviation safety system. | PSNet

    psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
    November 21, 2021 - Commentary Changing our culture: adopting the military aviation safety system. Citation Text: Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. Copy Citation Format: DOI …

  9. The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
    September 28, 2022 - Book/Report The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. Citation Text: The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Econo…

  10. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet

    psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
    February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

  11. Checklists, safety, my culture and me. | PSNet

    psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
    June 19, 2019 - Commentary Checklists, safety, my culture and me. Citation Text: Raghunathan K. Checklists, safety, my culture and me. BMJ Qual Saf. 2012;21(7):617-20. doi:10.1136/bmjqs-2011-000608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  12. Medication Safety Officer's Handbook. | PSNet

    psnet.ahrq.gov/issue/medication-safety-officers-handbook
    September 01, 2018 - Book/Report Medication Safety Officer's Handbook. Citation Text: Medication Safety Officer's Handbook. Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. Copy Citation Save Save to your library Pr…

  13. Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. | PSNet

    psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …

  14. Demanding Medical Excellence. Doctors and Accountability in the Information Age. | PSNet

    psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age
    May 13, 2020 - Book/Report Classic Demanding Medical Excellence. Doctors and Accountability in the Information Age. Citation Text: Demanding Medical Excellence. Doctors and Accountability in the Information Age. Millenson ML. Chicago, IL: University of Chicago Press; 1999. ISB…

  15. Health Care Leader Action Guide to Reduce Avoidable Readmissions. | PSNet

    psnet.ahrq.gov/issue/health-care-leader-action-guide-reduce-avoidable-readmissions
    March 14, 2018 - Book/Report Health Care Leader Action Guide to Reduce Avoidable Readmissions. Citation Text: Health Care Leader Action Guide to Reduce Avoidable Readmissions. Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Healt…

  16. The role of automation in complex system failures. | PSNet

    psnet.ahrq.gov/issue/role-automation-complex-system-failures
    June 28, 2013 - Commentary The role of automation in complex system failures. Citation Text: Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…

  17. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet

    psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
    November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

  18. Staying safe while getting well. | PSNet

    psnet.ahrq.gov/issue/staying-safe-while-getting-well
    February 05, 2014 - Newspaper/Magazine Article Staying safe while getting well. Citation Text: Staying safe while getting well. Salamon M. Harvard Women's Health Watch. August 1, 2023 Copy Citation Save Save to your library Print Download PDF Share Facebook …

  19. Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
    July 22, 2024 - Meeting/Conference Proceedings Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Citation Text: Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…

  20. Safer Healthcare: Strategies for the Real World. | PSNet

    psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
    March 23, 2022 - Book/Report Classic Safer Healthcare: Strategies for the Real World. Citation Text: Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 Copy Citation Save Save to your library Pr…
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