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  1. Improving medication reconciliation in hospitals. | PSNet

    psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
    October 25, 2017 - Commentary Improving medication reconciliation in hospitals. Citation Text: Improving medication reconciliation in hospitals. Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3. Copy Citation Save Save to your library Print Download PDF Sha…

  2. Patient safety at the crossroads. | PSNet

    psnet.ahrq.gov/issue/patient-safety-crossroads
    March 18, 2019 - Commentary Patient safety at the crossroads. Citation Text: Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  3. 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. | PSNet

    psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
    July 19, 2023 - Newspaper/Magazine Article 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Citation Text: 'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Renault M. STAT. July 28, …

  4. Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. | PSNet

    psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
    October 10, 2010 - Study Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. Citation Text: Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;…

  5. Circle Up Training. | PSNet

    psnet.ahrq.gov/issue/circle-training
    February 22, 2023 - Multi-use Website Circle Up Training. Citation Text: Circle Up Training. Center for Medical Simulation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May …

  6. Failure to weigh patients in hospital: a medication safety risk. | PSNet

    psnet.ahrq.gov/issue/failure-weigh-patients-hospital-medication-safety-risk
    April 22, 2015 - Study Failure to weigh patients in hospital: a medication safety risk. Citation Text: Hilmer SN, Rangiah C, Bajorek B, et al. Failure to weigh patients in hospital: a medication safety risk. Intern Med J. 2007;37(9):647-50. Copy Citation Format: Google Scholar PubMed BibT…

  7. Surgical fires, a clear and present danger. | PSNet

    psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
    May 16, 2018 - Review Surgical fires, a clear and present danger. Citation Text: Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  8. Patient safety in clinical research articles. | PSNet

    psnet.ahrq.gov/issue/patient-safety-clinical-research-articles
    June 01, 2022 - Commentary Patient safety in clinical research articles. Citation Text: Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006. Copy Citation Format: DOI Google…

  9. 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…

  10. FDA urged to move faster to fix pulse oximeters for darker-skinned patients. | PSNet

    psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients
    September 21, 2016 - Newspaper/Magazine Article FDA urged to move faster to fix pulse oximeters for darker-skinned patients. Citation Text: FDA urged to move faster to fix pulse oximeters for darker-skinned patients. McFarling UL. STAT. February 2, 2024. Copy Citation Save Save to y…

  11. Two decades since To Err Is Human: progress, but still a "chasm". | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
    January 23, 2019 - Special or Theme Issue Two decades since To Err Is Human: progress, but still a "chasm". Citation Text: Dzau VJ, Shine KI. Two Decades Since To Err Is Human. JAMA. 2020;324(24):2489-2490. doi:10.1001/jama.2020.23151. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  12. Multiple accountabilities in incident reporting and management. | PSNet

    psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
    August 28, 2024 - Slideset Multiple accountabilities in incident reporting and management. Citation Text: Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232. Copy Citation Format: …

  13. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet

    psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
    September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…

  14. Assessing and monitoring override medications in automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - Study Assessing and monitoring override medications in automated dispensing devices. Citation Text: Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. Copy Citation F…

  15. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet

    psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
    December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…

  16. Suicide in the medical setting. | PSNet

    psnet.ahrq.gov/issue/suicide-medical-setting
    April 24, 2018 - Review Suicide in the medical setting. Citation Text: Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  17. Microsoft PowerPoint - File 1_AHCA_Presentation_To_AHSS_On_POA.pptx (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/File1_AHCA_Presentation_To_AHSS_On_POA.pdf
    March 20, 2008 - Microsoft PowerPoint - File 1_AHCA_Presentation_To_AHSS_On_POA.pptx Present on Admission Indicators Today and Tomorrow Patrick W. Kennedy Administrator Office of Data Collection & Quality Assurance Agency for Health Care Administration Thursday, March 20, 2008 The History of POA in Florida • POA reporting ad…

  18. Tracking intraoperative complications. | PSNet

    psnet.ahrq.gov/issue/tracking-intraoperative-complications
    April 30, 2014 - Study Tracking intraoperative complications. Citation Text: Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  19. Preventing home medication errors. | PSNet

    psnet.ahrq.gov/issue/preventing-home-medication-errors
    September 15, 2021 - Audiovisual Presentation Preventing home medication errors. Citation Text: Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

  20. Systemic error in radiology. | PSNet

    psnet.ahrq.gov/issue/systemic-error-radiology
    August 01, 2018 - Commentary Systemic error in radiology. Citation Text: Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-639. doi:10.2214/AJR.16.17719. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
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