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  1. Workarounds are routinely used by nurses—but are they ethical? | PSNet

    psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
    October 27, 2016 - Commentary Workarounds are routinely used by nurses—but are they ethical? Citation Text: Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7. Copy Citation Format: DOI Google Schol…

  2. Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? | PSNet

    psnet.ahrq.gov/issue/pulse-oximeters-and-their-inaccuracies-will-get-fda-scrutiny-today-what-took-so-long
    February 14, 2024 - Newspaper/Magazine Article Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? Citation Text: Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? McFarling UL. STAT. November 1, 2022. Copy Citation …

  3. Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
    May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy errors. Citation Text: Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. Copy Citation F…

  4. Quest for the ideal: a redesign of the medication use system. | PSNet

    psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
    September 16, 2020 - Commentary Quest for the ideal: a redesign of the medication use system. Citation Text: Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. Copy Citation Format: Google Scholar PubMed BibTeX En…

  5. Medication Safety for Look-alike, Sound-alike Medicines. | PSNet

    psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines
    November 19, 2014 - Book/Report Medication Safety for Look-alike, Sound-alike Medicines. Citation Text: Medication Safety for Look-alike, Sound-alike Medicines. Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897. Copy Citation …

  6. Safety lessons from the NIH Clinical Center. | PSNet

    psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
    April 10, 2024 - Commentary Safety lessons from the NIH Clinical Center. Citation Text: Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet

    psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
    February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …

  8. FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet

    psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
    June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…

  9. Learning and sharing safety lessons to improve patient care. | PSNet

    psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
    August 07, 2019 - Commentary Learning and sharing safety lessons to improve patient care. Citation Text: Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). doi:10.7748/ns.20.18.49.s52. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  10. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  11. Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. | PSNet

    psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
    April 20, 2022 - Newspaper/Magazine Article Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. Citation Text: Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…

  12. Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/online-counseling-enable-lifestyle-focused-obesity-treatment-primary-care/annual-summary/2012
    January 01, 2012 - Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care - 2012 Project Name Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care Principal Investigator McTigue, Kathleen M. Organization University of Pittsburgh at Pittsburgh …

  13. The pursuit of better diagnostic performance: a human factors perspective. | PSNet

    psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
    September 24, 2017 - Commentary The pursuit of better diagnostic performance: a human factors perspective. Citation Text: Henriksen K, Brady J. The pursuit of better diagnostic performance: a human factors perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii1-ii5. doi:10.1136/bmjqs-2013-001827. Copy Citation …

  14. From mindless to mindful practice—cognitive bias and clinical decision making. | PSNet

    psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
    November 23, 2016 - Commentary From mindless to mindful practice—cognitive bias and clinical decision making. Citation Text: Croskerry P. From mindless to mindful practice--cognitive bias and clinical decision making. N Engl J Med. 2013;368(26):2445-2448. doi:10.1056/NEJMp1303712. Copy Citation Form…

  15. Infection Control and Prevention (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/infectioncontrol.pdf
    October 14, 2008 - Infection Control and Prevention Infection Control and Prevention A. Providing a sanitary environment • All treatment-related areas, equipment and surfaces are kept free of blood, mold, and accumulation of dirt, dust and other potentially infectious materials. o Treatment-related areas include any area…

  16. Gorman_Asynchronous (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/gorman.pdf
    January 01, 2009 - Gorman_Asynchronous Slide 1: Response to: Wiki-­‐enabled  Communication… Mark Gorman Director  oÆ Survivorship Policy National Coalition  for Cancer Survivorship Silver Spring,  MD Slide 2: About NCCS • Founded  in  1986 • Mission: Advocate for Quali…

  17. TND-612-09-03-2013 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-612-09-03-2013.pdf
    January 01, 2013 - TND-612-09-03-2013 Topic Number(s): 0520 Document Completion Date: 02-06-2013 1 Results of Topic Selection Process & Next Steps  The topic, Interventions to Transition Children with Special Health Care Needs (CSHCN) from Pediatric to Adult Care, is not feasible for a full systematic review due…

  18. Patient safety: the patient's role. | PSNet

    psnet.ahrq.gov/issue/patient-safety-patients-role
    May 26, 2011 - Commentary Patient safety: the patient's role. Citation Text: Ford D. Patient safety: the patient's role. . World Hosp Health Serv. 2006;42(3):45-48. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

  19. We're not your enemy: an appeal from a consumer to re-imagine tort reform. | PSNet

    psnet.ahrq.gov/issue/were-not-your-enemy-appeal-consumer-re-imagine-tort-reform
    March 27, 2005 - Newspaper/Magazine Article We're not your enemy: an appeal from a consumer to re-imagine tort reform. Citation Text: We're not your enemy: an appeal from a consumer to re-imagine tort reform. Sheridan SS, Hatlie MJ. Patient Safety Quality Healthcare. July / August 2007. Copy Citat…

  20. Fixing broken bones and broken homes: domestic violence as a patient safety issue. | PSNet

    psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
    September 03, 2011 - Study Fixing broken bones and broken homes: domestic violence as a patient safety issue. Citation Text: Cohn F, Rudman WJ. Fixing broken bones and broken homes: domestic violence as a patient safety issue. Jt Comm J Qual Saf. 2004;30(11):636-646. Copy Citation Format: Googl…
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