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  1. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
    August 02, 2023 - Special or Theme Issue 2022 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450. Copy Citation Save Save to your library Print Down…

  2. Medication errors in anaesthesia and critical care. | PSNet

    psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
    January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  3. Factors influencing doctors' ability to calculate drug doses correctly. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
    March 19, 2019 - Study Factors influencing doctors' ability to calculate drug doses correctly. Citation Text: Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94. Copy Citation Format: Google Scho…

  4. Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. | PSNet

    psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
    February 22, 2023 - Book/Report Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. Citation Text: Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. Turney S, Evans EW, Callaway E, et al. Englewood Cliffs, CO: Medical Group Management Association; 2009. Copy Citat…

  5. Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet

    psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
    December 12, 2018 - Newspaper/Magazine Article Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. Citation Text: Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024. Copy…

  6. Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
    December 20, 2023 - Government Resource Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Citation Text: Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. Copy Citation…

  7. Digital Healthcare Research

    digital.ahrq.gov/
    January 01, 2023 - Program Impact: Transforming Healthcare Through Digital Innovation Discover ways digital healthcare research is powering real-world solutions. Annual Report: Improving Healthcare Through AHRQ’s Digital Healthcare Research Program Examine the real-world use of digital healthcare technologies to advance healt…

  8. The (slowly) vanishing prescription pad. | PSNet

    psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
    April 08, 2019 - Commentary The (slowly) vanishing prescription pad. Citation Text: Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  9. The role of the chief executive officer in maximizing patient safety. | PSNet

    psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
    January 03, 2017 - Newspaper/Magazine Article The role of the chief executive officer in maximizing patient safety. Citation Text: Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. Copy Citation Format: Google Scho…

  10. High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. | PSNet

    psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
    October 09, 2013 - Book/Report High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. Citation Text: High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…

  11. Safe operation as a social construct. | PSNet

    psnet.ahrq.gov/issue/safe-operation-social-construct
    August 07, 2019 - Commentary Safe operation as a social construct. Citation Text: Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  12. Optimizing medication safety in the home. | PSNet

    psnet.ahrq.gov/issue/optimizing-medication-safety-home
    August 24, 2015 - Study Optimizing medication safety in the home. Citation Text: LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  13. An organizational learning framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
    November 28, 2018 - Commentary An organizational learning framework for patient safety. Citation Text: Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  14. The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
    May 02, 2018 - Book/Report The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Citation Text: The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…

  15. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  16. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…

  17. Practice Transformation: Lessons Learned From Multiple Integration Projects | The Academy

    integrationacademy.ahrq.gov/expert-insight/webcast/10976
    January 01, 2013 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  18. From Safety-I to Safety-II: A White Paper. | PSNet

    psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
    July 22, 2019 - Book/Report From Safety-I to Safety-II: A White Paper. Citation Text: From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. Copy Citation Save Save to your library Print Dow…

  19. "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 …

  20. 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 …
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