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  1. Mistakes and disclosure. | PSNet

    psnet.ahrq.gov/issue/mistakes-and-disclosure
    October 19, 2022 - Commentary Mistakes and disclosure. Citation Text: Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  2. Disclosing medical errors: views from the United States and the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
    September 23, 2020 - Commentary Disclosing medical errors: views from the United States and the United Kingdom. Citation Text: Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  3. FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication | PSNet

    psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
    October 28, 2020 - Grant Announcement FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Citation Text: FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019. Copy Citati…

  4. Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. | PSNet

    psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
    April 08, 2020 - Press Release/Announcement Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. Citation Text: Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …

  5. Rethinking rapid response teams. | PSNet

    psnet.ahrq.gov/issue/rethinking-rapid-response-teams
    February 23, 2019 - Commentary Rethinking rapid response teams. Citation Text: Litvak E, Pronovost P. Rethinking rapid response teams. JAMA. 2010;304(12):1375-6. doi:10.1001/jama.2010.1385. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  6. Framework for patient safety—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/framework-patient-safety-part-1-and-part-2
    September 07, 2016 - Commentary Framework for patient safety—part 1 and part 2. Citation Text: Blouin AS, McDonagh KJ. Framework for patient safety, part 1: culture as an imperative. J Nurs Adm. 2011;41(10):397-400. doi:10.1097/NNA.0b013e31822edb4d. Copy Citation Format: DOI Google Scholar Pu…

  7. Drug shortages continue to compromise patient care. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
    February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

  8. Survey shows room for improvement with three new best practices for hospitals. | PSNet

    psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
    June 01, 2022 - Newspaper/Magazine Article Survey shows room for improvement with three new best practices for hospitals. Citation Text: Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  Copy Ci…

  9. Medication safety: look-alike/sound-alike drugs in home care. | PSNet

    psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
    February 03, 2021 - Commentary Medication safety: look-alike/sound-alike drugs in home care. Citation Text: Friedman MMG. Medication safety: look-alike/sound-alike drugs in home care. Home Healthc Nurse. 2005;23(4):243-253. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  10. Report focuses on risk to patients from ED errors. | PSNet

    psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
    June 26, 2019 - Newspaper/Magazine Article Report focuses on risk to patients from ED errors. Citation Text: Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019. Copy Citation Save Save to your library Print Download…

  11. 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…

  12. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet

    psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
    January 16, 2019 - Government Resource The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Citation Text: The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Kutner M, Greenberg E, Jin Y, et al. Washin…

  13. Rapid response teams: ten essentials leaders need to know. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know
    December 21, 2014 - Newspaper/Magazine Article Rapid response teams: ten essentials leaders need to know. Citation Text: Dahlen GM, Benz BA. Rapid response teams. Ten essentials leaders need to know. Healthcare executive. 2006;21(4):28-32, 34. Copy Citation Format: Google Scholar PubMed BibT…

  14. Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. | PSNet

    psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
    December 23, 2012 - Congressional Testimony Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. Citation Text: Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…

  15. Common Formats for Patient Safety Data Collection. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
    October 08, 2024 - Press Release/Announcement Common Formats for Patient Safety Data Collection. Citation Text: Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992. Copy Citation Save Save to your li…

  16. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet

    psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
    October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…

  17. Briefings, checklists, geese, and surgical safety. | PSNet

    psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
    August 02, 2015 - Commentary Briefings, checklists, geese, and surgical safety. Citation Text: Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  18. Instrument count sheets and set reviews as patient safety tools. | PSNet

    psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
    February 28, 2011 - Commentary Instrument count sheets and set reviews as patient safety tools. Citation Text: Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007. Copy Citation Format: DOI Google Scholar PubMed …

  19. Doctors' unconscious bias affects quality of health care services, research shows. | PSNet

    psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
    October 21, 2020 - Audiovisual Doctors' unconscious bias affects quality of health care services, research shows. Citation Text: Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020. Copy Cita…

  20. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …
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