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  1. Lax oversight leaves surgery center regulators and patients in the dark. | PSNet

    psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark
    May 17, 2017 - Newspaper/Magazine Article Lax oversight leaves surgery center regulators and patients in the dark. Citation Text: Lax oversight leaves surgery center regulators and patients in the dark. Jewett C, Alesia M. Kaiser Health News. August 9, 2018. Copy Citation Save S…

  2. Preventable errors in the operating room: retained foreign bodies after surgery--part I. | PSNet

    psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
    April 28, 2021 - Review Preventable errors in the operating room: retained foreign bodies after surgery--part I. Citation Text: Gibbs VC, Coakley FD, Reines D. Preventable errors in the operating room: retained foreign bodies after surgery--Part I. Curr Probl Surg. 2007;44(5):281-337. Copy Citation …

  3. 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,…

  4. Eight-year experience with a neurosurgical checklist. | PSNet

    psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
    September 27, 2023 - Study Eight-year experience with a neurosurgical checklist. Citation Text: Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  5. Patient reports of undesirable events during hospitalization. | PSNet

    psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
    March 28, 2011 - Study Patient reports of undesirable events during hospitalization. Citation Text: Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8. Copy Citation Format: Google Scholar PubMed BibTeX End…

  6. In treating sepsis, questions about timing and mandates. | PSNet

    psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates
    September 04, 2016 - Newspaper/Magazine Article In treating sepsis, questions about timing and mandates. Citation Text: Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  7. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.   | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-sedatives-analgesics-and-other-drugs-provide-patient-comfort
    March 11, 2011 - Review Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.   Citation Text: Riker RR, Fraser GL. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensiv…

  8. A mediation skills model to manage disclosure of errors and adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
    May 31, 2017 - Commentary A mediation skills model to manage disclosure of errors and adverse events to patients. Citation Text: Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…

  9. Electronic fetal heart rate monitoring: applying principles of patient safety. | PSNet

    psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
    October 10, 2018 - Commentary Electronic fetal heart rate monitoring: applying principles of patient safety. Citation Text: Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016. Copy C…

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. Wired hospitals: can high tech save your life? | PSNet

    psnet.ahrq.gov/issue/can-high-tech-save-your-life
    August 07, 2024 - Newspaper/Magazine Article Wired hospitals: can high tech save your life? Citation Text: Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49-50, 52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  15. High reliability: excellent care every time. | PSNet

    psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
    July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  16. Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet

    psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
    June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…

  17. 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…

  18. 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 …

  19. 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…

  20. Patient safety in dermatology: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
    May 25, 2022 - Review Patient safety in dermatology: a review of the literature. Citation Text: Cao LY, Taylor JS, Vidimos A. Patient safety in dermatology: a review of the literature. Dermatol Online J. 2010;16(1):3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…
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