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  1. Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. | PSNet

    psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
    November 18, 2015 - Newspaper/Magazine Article Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. Citation Text: Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. ISMP Medication Safety Alert! Acute care edition. November 19, 2…

  2. AHRQ announces interest in research on diagnostic errors in ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-errors-ambulatory-care-settings
    November 10, 2021 - Government Resource AHRQ announces interest in research on diagnostic errors in ambulatory care settings. Citation Text: AHRQ announces interest in research on diagnostic errors in ambulatory care settings. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis N…

  3. ISMP survey shows provider text messaging often runs afoul of patient safety. | PSNet

    psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
    May 07, 2018 - Newspaper/Magazine Article ISMP survey shows provider text messaging often runs afoul of patient safety. Citation Text: ISMP survey shows provider text messaging often runs afoul of patient safety. ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5. Copy Citatio…

  4. FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
    April 29, 2015 - Newspaper/Magazine Article FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. Citation Text: FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5. Copy Citation Save …

  5. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet

    psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
    November 01, 2023 - Newspaper/Magazine Article Patient death tied to lack of proper escalation process for barcode scanning failures. Citation Text: Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3. Cop…

  6. Medication errors involving healthcare students. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
    December 19, 2016 - Newspaper/Magazine Article Medication errors involving healthcare students. Citation Text: Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23. Copy Citation Save Save to your library …

  7. Medication tracers: a systems approach to medication safety. | PSNet

    psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-safety
    December 21, 2018 - Commentary Medication tracers: a systems approach to medication safety. Citation Text: Hendrick EC, Montanya KR, Griffith NL. Medication Tracers: A Systems Approach to Medication Safety. Hosp Pharm. 2010;42(10):916-920. doi:10.1310/hpj4210-916. Copy Citation Format: DOI Goo…

  8. When the bone flap hits the floor. | PSNet

    psnet.ahrq.gov/issue/when-bone-flap-hits-floor
    March 12, 2025 - Study When the bone flap hits the floor. Citation Text: Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  9. Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. | PSNet

    psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
    September 06, 2023 - Newspaper/Magazine Article Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. Citation Text: Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. West S. Kaiser Health News. August 5, 2022. Co…

  10. ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. | PSNet

    psnet.ahrq.gov/issue/arv-medication-errors-experience-community-based-hiv-specialty-clinic-and-review-literature
    March 29, 2010 - Study ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Citation Text: ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Cocohoba J; Dong BJ. Copy Citation S…

  11. Errors in clinical reasoning: causes and remedial strategies. | PSNet

    psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
    August 25, 2021 - Commentary Errors in clinical reasoning: causes and remedial strategies. Citation Text: Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  12. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. | PSNet

    psnet.ahrq.gov/issue/2010-annual-national-patient-safety-foundation-congress-conference-proceedings
    July 31, 2012 - Commentary 2010 Annual National Patient Safety Foundation Congress: conference proceedings. Citation Text: Pinakiewicz DC, Bonacum D, Youngberg BJ, et al. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. J Patient Saf. 2010;6(3):128-36. Copy Citation …

  13. How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. | PSNet

    psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
    January 01, 2019 - Book/Report How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. Citation Text: How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness…

  14. Quality and patient safety. Engaging your board to take the lead.  | PSNet

    psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
    April 21, 2015 - Newspaper/Magazine Article Quality and patient safety. Engaging your board to take the lead.  Citation Text: Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7. Copy Citation Format: Google Scholar PubMed B…

  15. Dangers of diagnostic overshadowing. | PSNet

    psnet.ahrq.gov/issue/dangers-diagnostic-overshadowing
    October 26, 2022 - Commentary Dangers of diagnostic overshadowing. Citation Text: Iezzoni LI. Dangers of Diagnostic Overshadowing. N Engl J Med. 2019;380(22):2092-2093. doi:10.1056/NEJMp1903078. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  16. Complying with the 2008 national patient safety goals. | PSNet

    psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
    July 13, 2010 - Commentary Complying with the 2008 national patient safety goals. Citation Text: Catalano K, Fickenscher K. Complying with the 2008 National Patient Safety Goals. AORN J. 2008;87(3):547-56. doi:10.1016/j.aorn.2007.12.029. Copy Citation Format: DOI Google Scholar PubMed Bi…

  17. Patient safety and patient error. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-patient-error
    June 02, 2010 - Commentary Patient safety and patient error. Citation Text: Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

  18. White blood cell left shift in a neonate: a case of mistaken identity. | PSNet

    psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
    March 30, 2022 - Commentary White blood cell left shift in a neonate: a case of mistaken identity. Citation Text: White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S. Copy Citation …

  19. The evolution of the apology. | PSNet

    psnet.ahrq.gov/issue/evolution-apology
    September 29, 2010 - Commentary The evolution of the apology. Citation Text: Newfield JS. The Evolution of the Apology. Home Health Care Manag Pract. 2007;19(2). doi:10.1177/1084822306294456. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  20. The State of the Science on Safe Medication Administration. | PSNet

    psnet.ahrq.gov/issue/state-science-safe-medication-administration
    June 22, 2009 - Special or Theme Issue The State of the Science on Safe Medication Administration. Citation Text: The State of the Science on Safe Medication Administration. Am J Nurs. 2005;105;(supp 5):2-55. Copy Citation Save Save to your library Print Download P…
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