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  1. Pro/con debate: color-coded medication labels. | PSNet

    psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …

  2. A patient-centered prescription drug label to promote appropriate medication use and adherence. | PSNet

    psnet.ahrq.gov/issue/patient-centered-prescription-drug-label-promote-appropriate-medication-use-and-adherence
    December 21, 2014 - Study A patient-centered prescription drug label to promote appropriate medication use and adherence. Citation Text: Wolf MS, Davis TC, Curtis LM, et al. A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence. J Gen Intern Med. 2016;31(12):1482-148…

  3. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet

    psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
    November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

  4. American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. | PSNet

    psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
    September 28, 2022 - Clinical Guideline American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. Citation Text: doi:10.2214/ajr.182.5.182111. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  5. Hidden danger, obvious opportunity: error and risk in the management of cancer. | PSNet

    psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
    June 07, 2018 - Commentary Hidden danger, obvious opportunity: error and risk in the management of cancer. Citation Text: Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66. Copy Citation Format: Google Scholar PubMe…

  6. Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. | PSNet

    psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
    October 06, 2021 - Book/Report Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Citation Text: Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. A…

  7. Medication safety issue brief. Bar code implementation strategies. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Bar code implementation strategies. Citation Text: Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hospitals & health networks. 2005;79(7):65-6. Copy Citation …

  8. The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. | PSNet

    psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2022-eisenberg-award-recipients
    February 21, 2024 - Award Recipient The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Citation Text: The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum: January 23…

  9. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …

  10. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
    October 19, 2022 - Commentary Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Citation Text: Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. Copy Citation Format: Google Sch…

  11. "To Err Is Human" Report Retrospective and the Decade Ahead. | PSNet

    psnet.ahrq.gov/issue/err-human-report-retrospective-and-decade-ahead
    February 15, 2011 - Meeting/Conference Proceedings "To Err Is Human" Report Retrospective and the Decade Ahead. Citation Text: Bonacum D, Corrigan J, Gelinas L, et al. 2009 Annual National Patient Safety Foundation Congress. doi:10.1097/pts.0b013e3181b5cb8a. Copy Citation Format: DOI Google …

  12. Seeing systems in health care organizations. | PSNet

    psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
    January 25, 2023 - Commentary Seeing systems in health care organizations. Citation Text: Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  13. Communication and teamwork in patient care: how much can we learn from aviation? | PSNet

    psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation
    August 12, 2019 - Review Communication and teamwork in patient care: how much can we learn from aviation? Citation Text: Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet Gynecol Neonatal Nurs. 2006;35(4):538-46. Copy Citation Format: Googl…

  14. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-engaging-patients-diagnostic-decision-making-emergency
    April 22, 2020 - Book/Report Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Citation Text: Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Mangus CW, Singh H, Mahajan P. Rockville, MD:…

  15. A framework for classifying factors that contribute to error in the emergency department. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
    February 14, 2024 - Commentary A framework for classifying factors that contribute to error in the emergency department. Citation Text: Cosby K. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med. 2003;42(6):815-23. Copy Citation Format: G…

  16. Educational agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
    February 27, 2019 - Review Educational agenda for diagnostic error reduction. Citation Text: Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. Copy Citation Format: DOI Google Scholar…

  17. To improve health care, focus on fixing systems — not people. | PSNet

    psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
    September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not people. Citation Text: Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; Copy Citation Format: Google Scho…

  18. The role of automation in complex system failures. | PSNet

    psnet.ahrq.gov/issue/role-automation-complex-system-failures
    June 28, 2013 - Commentary The role of automation in complex system failures. Citation Text: Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…

  19. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet

    psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - Book/Report Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Citation Text: Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. Copy Citation Save …

  20. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. | PSNet

    psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
    May 29, 2014 - Commentary Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. Citation Text: Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. American Journal of Health-Sys…
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