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  1. Root cause analysis. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis
    June 15, 2016 - Commentary Root cause analysis. Citation Text: Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  2. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. | PSNet

    psnet.ahrq.gov/issue/critical-care-delivery-united-states-distribution-services-and-compliance-leapfrog
    November 18, 2020 - Study Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Citation Text: Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Angus DC; Shorr AF; White A; Dr…

  3. Death due to pharmacy compounding error reinforces need for safety focus. | PSNet

    psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
    May 31, 2017 - Newspaper/Magazine Article Death due to pharmacy compounding error reinforces need for safety focus. Citation Text: Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. Copy Citation …

  4. Cancer drug shortages are creating dire circumstances for some patients. | PSNet

    psnet.ahrq.gov/issue/cancer-drug-shortages-are-creating-dire-circumstances-some-patients
    September 21, 2022 - Newspaper/Magazine Article Cancer drug shortages are creating dire circumstances for some patients. Citation Text: Cancer drug shortages are creating dire circumstances for some patients. Lovelace B, Jr, Kopf M. NBC. April 11, 2023. Copy Citation Save Save to yo…

  5. Preventing pressure ulcers: the goal is zero. | PSNet

    psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
    September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. Citation Text: Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  6. Air pressure: human factors are the key to a safer flight environment. | PSNet

    psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
    October 27, 2021 - Newspaper/Magazine Article Air pressure: human factors are the key to a safer flight environment. Citation Text: Air pressure: human factors are the key to a safer flight environment. Erich J. EMS World. April 2019;48:26-31. Copy Citation Save Save to your library…

  7. Office-based anesthesia. | PSNet

    psnet.ahrq.gov/issue/office-based-anesthesia
    August 01, 2012 - Review Office-based anesthesia. Citation Text: Kurrek MM, Twersky RS. Office-based anesthesia. Can J Anaesth. 2010;57(3):256-72. doi:10.1007/s12630-009-9238-z. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. | PSNet

    psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
    November 29, 2023 - Newspaper/Magazine Article For 4 days, the hospital thought he had just pneumonia. It was coronavirus. Citation Text: Goldstein J, Salcedo A. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. New York Times. 2020;March 10. Copy Citation Format: Goo…

  9. Studying the technical work of emergency care. | PSNet

    psnet.ahrq.gov/issue/studying-technical-work-emergency-care
    September 29, 2010 - Commentary Studying the technical work of emergency care. Citation Text: Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  10. Creating complex health improvement programs as mindful organizations: from theory to action. | PSNet

    psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
    October 19, 2022 - Commentary Creating complex health improvement programs as mindful organizations: from theory to action. Citation Text: Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. Copy C…

  11. A performance improvement plan to increase nurse adherence to use of medication safety software. | PSNet

    psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
    March 13, 2024 - Commentary A performance improvement plan to increase nurse adherence to use of medication safety software. Citation Text: Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…

  12. Medication errors: immunisation.  | PSNet

    psnet.ahrq.gov/issue/medication-errors-immunisation
    December 02, 2020 - Commentary Medication errors: immunisation.  Citation Text: Bird S. Medication errors: immunisation. Aust Fam Physician. 2006;35(9):735-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citati…

  13. Patient Safety in the Traditional and Evolving Nontraditional Office Setting | PSNet

    psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
    September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…

  14. Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. | PSNet

    psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
    March 17, 2021 - Commentary Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. Citation Text: Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. Copy Citation Format: Google …

  15. Patient safety: lessons learned. | PSNet

    psnet.ahrq.gov/issue/patient-safety-lessons-learned
    October 18, 2017 - Commentary Patient safety: lessons learned. Citation Text: Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…

  16. Patient handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs
    June 17, 2014 - Newspaper/Magazine Article Patient handoffs. Citation Text: Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

  17. Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/index.html
    July 01, 2021 - Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Next Page Table of Contents Safe and Judicious Use of Antipsychotic Medications in Children and Adolescents Toolkit Introduction Overview About the Measure Key Driver Diagrams Quality Improvement Strategi…

  18. Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/index.html
    September 01, 2021 - Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Next Page Table of Contents Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit Introduction Overview About the Measure Key Driver Diagram Quali…

  19. 5 pandemic mistakes we keep repeating. We can learn from our failures. | PSNet

    psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
    March 10, 2021 - Newspaper/Magazine Article 5 pandemic mistakes we keep repeating. We can learn from our failures. Citation Text: 5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021 Copy Citation Save Save to you…

  20. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…
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