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  1. Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
    April 17, 2017 - Newspaper/Magazine Article Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. Citation Text: Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.   Grissinger M, Dabliz R. Pa Patient S…

  2. Doctor administered fatal dose of calcium to baby, inquest told. | PSNet

    psnet.ahrq.gov/issue/doctor-administered-fatal-dose-calcium-baby-inquest-told
    March 06, 2005 - Newspaper/Magazine Article Doctor administered fatal dose of calcium to baby, inquest told. Citation Text: Doctor administered fatal dose of calcium to baby, inquest told. Morris S. Copy Citation Save Save to your library Print Download PDF …

  3. Getting beyond blame in your practice. | PSNet

    psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
    March 17, 2021 - Newspaper/Magazine Article Getting beyond blame in your practice. Citation Text: Pawar M. Getting beyond blame in your practice. Family Practice Management. 2007;14(5):30-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  4. Uncovering the shocking dangers of misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
    May 13, 2020 - Audiovisual Uncovering the shocking dangers of misdiagnosis. Citation Text: Uncovering the shocking dangers of misdiagnosis. Graedon T. People’s Pharmacy.  Show 1355. September 8, 2023. Copy Citation Save Save to your library Print Download PDF …

  5. Simulation in health care: setting realistic expectations. | PSNet

    psnet.ahrq.gov/issue/simulation-health-care-setting-realistic-expectations
    September 24, 2017 - Commentary Simulation in health care: setting realistic expectations. Citation Text: Simulation in health care: setting realistic expectations. Henriksen K; Patterson MD. Copy Citation Save Save to your library Print Download PDF Share F…

  6. Knowledge is power: averting safety-compromising events in the OR. | PSNet

    psnet.ahrq.gov/issue/knowledge-power-averting-safety-compromising-events-or
    July 13, 2010 - Commentary Knowledge is power: averting safety-compromising events in the OR. Citation Text: Catalano K. Knowledge is power: averting safety-compromising events in the OR. AORN J. 2008;88(6):987-95. doi:10.1016/j.aorn.2008.06.002. Copy Citation Format: DOI Google Scholar …

  7. Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. | PSNet

    psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong
    March 17, 2010 - Newspaper/Magazine Article Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. Citation Text: Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. Schulz K. Slate.com. June 28, 2010. Copy Citation …

  8. Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary. | PSNet

    psnet.ahrq.gov/issue/are-new-safety-paradigms-only-about-safety-and-sufficient-ensure-it-overview-and-critical
    October 26, 2022 - Commentary Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary. Citation Text: Karanikas N, Zerguine H. Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary. Safety …

  9. Health Care Professionals Tools. | PSNet

    psnet.ahrq.gov/issue/health-care-professionals-tools
    January 30, 2003 - Multi-use Website Health Care Professionals Tools. Citation Text: Health Care Professionals Tools. Little Rock, AR: National Transitions of Care Coalition; April 2008. Copy Citation Save Save to your library Print Download PDF Share Face…

  10. Safer Sign Out. | PSNet

    psnet.ahrq.gov/issue/safer-sign-out
    April 22, 2020 - Tools/Toolkit Safer Sign Out. Citation Text: Safer Sign Out. Emergency Medicine Patient Safety Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  11. Medical error reporting system still a year off. | PSNet

    psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
    July 10, 2013 - Newspaper/Magazine Article Medical error reporting system still a year off. Citation Text: Medical error reporting system still a year off. Hansen D. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  12. Two steps forward and one step back for patient safety? | PSNet

    psnet.ahrq.gov/issue/two-steps-forward-and-one-step-back-patient-safety
    June 10, 2018 - Newspaper/Magazine Article Two steps forward and one step back for patient safety? Citation Text: Two steps forward and one step back for patient safety? ISMP Medication Safety Alert! Acute Care Edition. June 30, 2005;10.   Copy Citation Save Save to your…

  13. Using Human Factors Engineering to Improve Patient Safety, Second edition. | PSNet

    psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition
    May 18, 2016 - Book/Report Using Human Factors Engineering to Improve Patient Safety, Second edition. Citation Text: Using Human Factors Engineering to Improve Patient Safety, Second edition. Gosbee JW, Gosbee LL. Oakbrook, IL: Joint Commission; 2010. ISBN: 9781599404110. Copy Citation …

  14. Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. | PSNet

    psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-patterns
    March 27, 2005 - Newspaper/Magazine Article Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Citation Text: Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Collins TR. The Hospitalist. July 2011. Copy Citation …

  15. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
    May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066. …

  16. Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. | PSNet

    psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
    June 15, 2005 - Newspaper/Magazine Article Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Citation Text: Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Connolly C. Washington Post. March…

  17. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
    January 08, 2025 - Review Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. Citation Text: Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care prof…

  18. Preventing Medication Errors: A $21 Billion Opportunity. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
    December 03, 2008 - Fact Sheet/FAQs Preventing Medication Errors: A $21 Billion Opportunity. Citation Text: Preventing Medication Errors: A $21 Billion Opportunity. Washington, DC: National Priorities Partnership and National Quality Forum; December 2010. Copy Citation Save Save…

  19. Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. | PSNet

    psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
    June 10, 2018 - Newspaper/Magazine Article Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. Citation Text: Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.…

  20. Sentinel Event. | PSNet

    psnet.ahrq.gov/issue/sentinel-event
    May 30, 2012 - Multi-use Website Classic Sentinel Event. Citation Text: Sentinel Event. The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
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