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  1. When public health goes wrong: toward a new concept of public health error. | PSNet

    psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
    September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

  2. The need for systems integration in health care. | PSNet

    psnet.ahrq.gov/issue/need-systems-integration-health-care
    July 01, 2017 - Commentary The need for systems integration in health care. Citation Text: Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  3. Medical emergency team calls: the need to communicate a resuscitation plan. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
    November 26, 2014 - Commentary Medical emergency team calls: the need to communicate a resuscitation plan. Citation Text: MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1. Copy Citation Format: …

  4. National Prescription Drug Take Back Day. | PSNet

    psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
    May 20, 2020 - Press Release/Announcement National Prescription Drug Take Back Day. Citation Text: National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023. Copy Citation Save Save to your library Print Download PDF Share Fa…

  5. Clinical drug interactions in outpatients of a university hospital in Thailand. | PSNet

    psnet.ahrq.gov/issue/clinical-drug-interactions-outpatients-university-hospital-thailand
    September 20, 2011 - Study Clinical drug interactions in outpatients of a university hospital in Thailand. Citation Text: Janchawee B, Owatranporn T, Mahatthanatrakul W, et al. Clinical drug interactions in outpatients of a university hospital in Thailand. J Clin Pharm Ther. 2005;30(6):583-90. Copy Citat…

  6. 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…

  7. 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: …

  8. A medical error leads to tragedy: how do we inform the patient? | PSNet

    psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
    April 08, 2018 - Commentary A medical error leads to tragedy: how do we inform the patient? Citation Text: Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  9. Decreasing patient misidentification before chemotherapy administration. | PSNet

    psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
    July 19, 2023 - Commentary Decreasing patient misidentification before chemotherapy administration. Citation Text: Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717. Copy Cita…

  10. 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…

  11. Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
    June 27, 2018 - Book/Report Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Citation Text: Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. Copy Cit…

  12. McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release]. | PSNet

    psnet.ahrq.gov/issue/mcneil-consumer-specialty-pharmaceuticals-announces-nationwide-recall-childrens-tylenol
    August 19, 2020 - Press Release/Announcement McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release]. Citation Text: McNeil Consumer & Specialty Pharmaceuticals…

  13. 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: …

  14. Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. | PSNet

    psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health
    April 22, 2016 - Book/Report Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. Citation Text: Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310. Copy Citation Format: …

  15. The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
    May 02, 2018 - Book/Report The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Citation Text: The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…

  16. How medical jargon can make COVID health disparities even worse. | PSNet

    psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
    July 28, 2021 - Newspaper/Magazine Article How medical jargon can make COVID health disparities even worse. Citation Text: How medical jargon can make COVID health disparities even worse. Kritz F. Health Shots. National Public Radio; May 24, 2021. Copy Citation Save Save t…

  17. Surgical safety checklists: do they improve outcomes? | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
    July 13, 2010 - Review Surgical safety checklists: do they improve outcomes? Citation Text: Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175. Copy Citation Format: DOI Google Scholar PubMed …

  18. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. | PSNet

    psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
    November 03, 2015 - Review Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Citation Text: O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…

  19. Using technology to promote perinatal patient safety. | PSNet

    psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety
    January 27, 2021 - Commentary Using technology to promote perinatal patient safety. Citation Text: McCartney PR. Using technology to promote perinatal patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(3):424-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  20. Embedding quality improvement and patient safety - the UCLA value analysis experience. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-ucla-value-analysis-experience
    October 02, 2019 - Commentary Embedding quality improvement and patient safety - the UCLA value analysis experience. Citation Text: Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. Copy C…
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