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  1. Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. | PSNet

    psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
    February 17, 2021 - Press Release/Announcement Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. Citation Text: Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Adm…

  2. Unequal Treatment Revisited: A Workshop Series. | PSNet

    psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series
    September 12, 2018 - Audiovisual Presentation Unequal Treatment Revisited: A Workshop Series. Citation Text: Unequal Treatment Revisited: A Workshop Series. Committee on Unequal Treatment. Washington DC: National Academies of Sciences, Engineering and Medicine; 2023-2024. Copy Citation Save…

  3. Diffusion of Innovations. 5th ed. | PSNet

    psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
    January 27, 2021 - Book/Report Classic Diffusion of Innovations. 5th ed. Citation Text: Diffusion of Innovations. 5th ed. Rogers EM. New York NY: Free Press; 2005. Copy Citation Save Save to your library Print Download PDF Share Fa…

  4. Framework for analysing risk and safety in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
    March 05, 2014 - Commentary Classic Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7. Copy Citation Format: …

  5. Textbook of Patient Safety and Clinical Risk Management. | PSNet

    psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
    September 11, 2019 - Book/Report Textbook of Patient Safety and Clinical Risk Management. Citation Text: Textbook of Patient Safety and Clinical Risk Management. Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.    Copy Citat…

  6. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
    April 18, 2018 - Study Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Citation Text: Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…

  7. Leading a Culture of Safety: a Blueprint for Success. | PSNet

    psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
    August 20, 2018 - Book/Report Leading a Culture of Safety: a Blueprint for Success. Citation Text: Leading a Culture of Safety: a Blueprint for Success. Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. Copy Citation …

  8. Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-addressing-culture-conditions-and-values-help-people-work-safely
    October 18, 2017 - Book/Report Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. Citation Text: Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. Woodward, S. 1st ed. New York, NY: Taylor & Francis Group; Sept…

  9. Some doctors questioning whether shorter shifts for interns are endangering patients. | PSNet

    psnet.ahrq.gov/issue/some-doctors-questioning-whether-shorter-shifts-interns-are-endangering-patients
    July 26, 2017 - Newspaper/Magazine Article Some doctors questioning whether shorter shifts for interns are endangering patients. Citation Text: Some doctors questioning whether shorter shifts for interns are endangering patients. Boodman SG. Kaiser Health News. July 9, 2013. Copy Citation …

  10. Care transitions: a threat and an opportunity for patient safety. | PSNet

    psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patient-safety
    May 20, 2009 - Commentary Care transitions: a threat and an opportunity for patient safety. Citation Text: Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537. Copy Citation Format: DO…

  11. Patient Safety Improvement Corps: An AHRQ/VA partnership. | PSNet

    psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
    December 24, 2008 - Government Resource Patient Safety Improvement Corps: An AHRQ/VA partnership. Citation Text: Patient Safety Improvement Corps: An AHRQ/VA partnership. AHRQ; Agency for Healthcare Research and Quality. Copy Citation Save Save to your library Print Downloa…

  12. Safe Practices for Drug Allergies—Using CDS and Health IT. | PSNet

    psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
    March 10, 2021 - Book/Report Safe Practices for Drug Allergies—Using CDS and Health IT. Citation Text: Safe Practices for Drug Allergies—Using CDS and Health IT. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. Copy Citation Save Save to your l…

  13. How PSOs Help Health Care Organizations Improve Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
    May 25, 2016 - Book/Report How PSOs Help Health Care Organizations Improve Patient Safety Culture. Citation Text: How PSOs Help Health Care Organizations Improve Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF. Copy Citation …

  14. Improving Hand-Off Communication. | PSNet

    psnet.ahrq.gov/issue/improving-hand-communication
    April 24, 2007 - Book/Report Classic Improving Hand-Off Communication. Citation Text: Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. Copy Citation Save Save to your library Print …

  15. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - Toolkit Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Citation Text: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…

  16. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet

    psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - Book/Report Second Victim: Error, Guilt, Trauma, and Resilience. Citation Text: Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412. Copy Citation Save Save to your library Print Download PD…

  17. Safety in Medication Use. | PSNet

    psnet.ahrq.gov/issue/safety-medication-use
    January 01, 2019 - Book/Report Safety in Medication Use. Citation Text: Safety in Medication Use. Tully MP, Franklin BD, eds. Boca Raton, FL: CRC Press, Taylor and Francis Group; 2016. ISBN: 9781482227000. Copy Citation Save Save to your library Print Download PDF …

  18. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…

  19. Validity of Patient Safety Indicators in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
    October 16, 2008 - Special or Theme Issue Validity of Patient Safety Indicators in the Veterans Health Administration. Citation Text: Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.   Copy Citation Save Save t…

  20. Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. | PSNet

    psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
    February 17, 2021 - Book/Report Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Citation Text: Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…
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