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  1. Using good catches to promote a just culture and perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety
    July 18, 2018 - Commentary Using good catches to promote a just culture and perioperative patient safety. Citation Text: Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. Copy Citation Format: DOI…

  2. Pharmacy student knowledge and communication of medication errors. | PSNet

    psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
    June 24, 2009 - Study Pharmacy student knowledge and communication of medication errors. Citation Text: Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60. Copy Citation Format: Google Scholar Pub…

  3. Emerging infections: the contact precautions controversy. | PSNet

    psnet.ahrq.gov/issue/emerging-infections-contact-precautions-controversy
    October 12, 2011 - Commentary Emerging infections: the contact precautions controversy. Citation Text: Zastrow RL. Emerging infections: the contact precautions controversy. Am J Nurs. 2011;111(3):47-53. doi:10.1097/10.1097/01.NAJ.0000395242.14347.37. Copy Citation Format: DOI Google Scholar…

  4. Rethinking rapid response teams. | PSNet

    psnet.ahrq.gov/issue/rethinking-rapid-response-teams
    February 23, 2019 - Commentary Rethinking rapid response teams. Citation Text: Litvak E, Pronovost P. Rethinking rapid response teams. JAMA. 2010;304(12):1375-6. doi:10.1001/jama.2010.1385. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  5. ASHP statement on the pharmacist's role in medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/ashp-statement-pharmacists-role-medication-reconciliation
    June 30, 2021 - Commentary ASHP statement on the pharmacist's role in medication reconciliation. Citation Text: ASHP Statement on the Pharmacist’s Role in Medication Reconciliation. Am J Health Syst Pharm. 2013;70(5):453-456. doi:10.2146/sp120009. Copy Citation Format: DOI Google Scholar B…

  6. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet

    psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
    June 24, 2020 - Newspaper/Magazine Article Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. Citation Text: Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. Copy …

  7. Evidence under judgment: can we oversee our own decision making? | PSNet

    psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
    May 21, 2019 - Commentary Evidence under judgment: can we oversee our own decision making? Citation Text: Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  8. Maximize Patient Safety with Advanced Root Cause Analysis. | PSNet

    psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
    November 18, 2011 - Book/Report Maximize Patient Safety with Advanced Root Cause Analysis. Citation Text: Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485 Copy Citation Save Save to your…

  9. Point-of-care testing, medical error, and patient safety: a 2007 assessment. | PSNet

    psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
    February 01, 2017 - Review Point-of-care testing, medical error, and patient safety: a 2007 assessment. Citation Text: Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73. Copy Citation Format: Google Scho…

  10. Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds. | PSNet

    psnet.ahrq.gov/issue/drugmakers-are-abandoning-cheap-generics-and-now-us-cancer-patients-cant-get-meds
    September 20, 2023 - Newspaper/Magazine Article Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds. Citation Text: Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds. Allen A. KFF Health News. June 21, 2023. Copy Citation S…

  11. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
    April 19, 2011 - Study Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. Citation Text: Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…

  12. Health plan members' views about disclosure of medical errors. | PSNet

    psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
    November 15, 2011 - Study Classic Health plan members' views about disclosure of medical errors. Citation Text: Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18. Copy Citation Format: …

  13. Quantifying distraction and interruption in urological surgery. | PSNet

    psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
    March 11, 2009 - Study Quantifying distraction and interruption in urological surgery. Citation Text: Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9. Copy Citation Format: Google Scholar PubMed BibTeX …

  14. Making checklists work: South Carolina's statewide experiment. | PSNet

    psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
    April 01, 2015 - Newspaper/Magazine Article Making checklists work: South Carolina's statewide experiment. Citation Text: Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  15. The high costs of unnecessary care. | PSNet

    psnet.ahrq.gov/issue/high-costs-unnecessary-care
    June 28, 2023 - Commentary The high costs of unnecessary care. Citation Text: Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  16. A human factors subsystems approach to trauma care. | PSNet

    psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
    October 08, 2013 - Study A human factors subsystems approach to trauma care. Citation Text: Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  17. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. | PSNet

    psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
    October 08, 2016 - Review Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Citation Text: Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. Copy Citation Fo…

  18. 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…

  19. Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. | PSNet

    psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
    June 18, 2014 - Newspaper/Magazine Article Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. Citation Text: Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19…

  20. Lewis Blackman Patient Safety Award. | PSNet

    psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
    April 28, 2021 - Award Announcement Lewis Blackman Patient Safety Award. Citation Text: Lewis Blackman Patient Safety Award. Chicago, IL: American College of Graduate Medical Education. Copy Citation Save Save to your library Print Download PDF Share Facebook…
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