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  1. Adverse drug events in hospitalized cardiac patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 2023 - Study Adverse drug events in hospitalized cardiac patients. Citation Text: Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  2. Patient Safety and Quality Improvement Act of 2005: what you need to know. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
    December 17, 2014 - Commentary Patient Safety and Quality Improvement Act of 2005: what you need to know. Citation Text: Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2. Copy Citation Format: Google Scholar PubMed …

  3. Independent double checks: worth the effort if used judiciously and properly. | PSNet

    psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
    January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

  4. Diagnostic excellence through the lens of patient-centeredness. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
    June 24, 2020 - Commentary Diagnostic excellence through the lens of patient-centeredness. Citation Text: Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513. Copy Citation Format: DOI Google Scholar BibTeX E…

  5. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet

    psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
    September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…

  6. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

    psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

  7. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
    February 25, 2013 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Oakbrook Terrace, IL: The Joint Commission; October 2013.  …

  8. HealthGrades Sixth Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
    October 25, 2013 - Book/Report HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; April 2009.  Copy Citation Save Save to your library …

  9. The Value of Close Calls in Improving Patient Safety. | PSNet

    psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
    July 12, 2006 - Book/Report The Value of Close Calls in Improving Patient Safety. Citation Text: The Value of Close Calls in Improving Patient Safety. Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158. Copy Citation Save Save to your library …

  10. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
    November 29, 2017 - Book/Report Classic The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Citation Text: The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…

  11. 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…

  12. 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 …

  13. Perioperative medication errors: uncovering risk from behind the drapes. | PSNet

    psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
    March 27, 2018 - Newspaper/Magazine Article Perioperative medication errors: uncovering risk from behind the drapes. Citation Text: Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. Copy Citation …

  14. Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. | PSNet

    psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
    May 20, 2020 - Newspaper/Magazine Article Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Citation Text: Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Levy S. Drug Topics. July 9, 2007 Copy…

  15. 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…

  16. Improving patient safety by shifting power from health professionals to patients. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
    June 01, 2014 - Special or Theme Issue Improving patient safety by shifting power from health professionals to patients. Citation Text: Improving patient safety by shifting power from health professionals to patients. BMJ. 2023(383):2219, 2278, 2319, 2331. Copy Citation Save Save…

  17. An interview with Lucian Leape. | PSNet

    psnet.ahrq.gov/issue/interview-lucian-leape
    June 30, 2011 - Commentary An interview with Lucian Leape. Citation Text: Schyve PM. An Interview with Lucian Leape. Jt Comm J Qual Patient Saf. 2016;30(12):653-658. doi:10.1016/s1549-3741(04)30076-6. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  18. No excuses: the reality that demands action. | PSNet

    psnet.ahrq.gov/issue/no-excuses-reality-demands-action
    July 20, 2022 - Meeting/Conference Proceedings No excuses: the reality that demands action. Citation Text: Denham CR, Bagian JP, Daley J, et al. No Excuses: The Reality That Demands Action. doi:10.1097/01.jps.0000183854.29928.4d. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  19. System failure versus personal accountability--the case for clean hands. | PSNet

    psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
    February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands. Citation Text: Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. Copy Citation Format: Google Scholar PubMed BibTeX End…

  20. Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. | PSNet

    psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
    March 29, 2023 - Newspaper/Magazine Article Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Citation Text: Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…
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