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  1. Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care | PSNet

    psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
    June 01, 2023 - Book/Report Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Citation Text: Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020. Copy Citation …

  2. Oral solid medication appearance should play a greater role in medication error prevention. | PSNet

    psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
    February 20, 2019 - Newspaper/Magazine Article Oral solid medication appearance should play a greater role in medication error prevention. Citation Text: Oral solid medication appearance should play a greater role in medication error prevention. ISMP Medication Safety Alert! Acute care edition. July 28, 201…

  3. Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. | PSNet

    psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
    March 30, 2022 - Book/Report Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Citation Text: Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Paterson R. Auckland, NZ; Office of the Health and Disability Commiss…

  4. A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. | PSNet

    psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
    October 22, 2014 - Newspaper/Magazine Article A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. Citation Text: A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…

  5. The Ethics of Using QI Methods to Improve Health Care Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
    August 11, 2008 - Book/Report The Ethics of Using QI Methods to Improve Health Care Quality and Safety. Citation Text: The Ethics of Using QI Methods to Improve Health Care Quality and Safety. Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40. Copy Citation…

  6. Fail-safe patient ID matching remains just out of reach. | PSNet

    psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach
    October 05, 2016 - Newspaper/Magazine Article Fail-safe patient ID matching remains just out of reach. Citation Text: Fail-safe patient ID matching remains just out of reach. Arndt RZ. Mod Healthc. July 14, 2018. Copy Citation Save Save to your library Print Download PDF …

  7. Preventing newborn falls and drops. | PSNet

    psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
    October 10, 2018 - Newspaper/Magazine Article Preventing newborn falls and drops. Citation Text: Preventing newborn falls and drops. Quick Safety. March 27, 2018;(40):1-2. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  8. To err is human; the need for trauma support is, too. | PSNet

    psnet.ahrq.gov/issue/err-human-need-trauma-support-too
    December 21, 2018 - Commentary To err is human; the need for trauma support is, too. Citation Text: To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005. Copy Citation Save Save to your library …

  9. Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers. | PSNet

    psnet.ahrq.gov/issue/constitutional-arguments-favor-modifying-hcqia-allow-dissemination-physician-information
    March 20, 2024 - Commentary Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers. Citation Text: Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare con…

  10. The State of VA Health Care. | PSNet

    psnet.ahrq.gov/issue/state-va-health-care
    May 01, 2015 - Congressional Testimony The State of VA Health Care. Citation Text: The State of VA Health Care. Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014). Copy Citation Save Save to your library Print Downlo…

  11. A comprehensive grassroots model for statewide safety improvement. | PSNet

    psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
    February 25, 2009 - Commentary A comprehensive grassroots model for statewide safety improvement. Citation Text: Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677. Copy Citation Format: G…

  12. A piece of my mind. How many have you done? | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-how-many-have-you-done
    December 01, 2004 - Commentary A piece of my mind. How many have you done? Citation Text: Reisman A. A PIECE OF MY MIND. How Many Have You Done? JAMA. 2016;316(5):491. doi:10.1001/jama.2016.1996. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  13. Quality indicators to detect pre-analytical errors in laboratory testing. | PSNet

    psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
    December 21, 2016 - Commentary Quality indicators to detect pre-analytical errors in laboratory testing. Citation Text: Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8. Copy Citation Format: Google Scholar PubMed BibTeX E…

  14. Optimal Resources for Surgical Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
    September 29, 2017 - Book/Report Optimal Resources for Surgical Quality and Safety. Citation Text: Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. Copy Citation Save Save to your library …

  15. The normalization of deviance in healthcare delivery. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
    November 19, 2014 - Commentary The normalization of deviance in healthcare delivery. Citation Text: Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  16. Understanding And Addressing Pre-Hospital Diagnostic Delays. | PSNet

    psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
    May 15, 2024 - Special or Theme Issue Understanding And Addressing Pre-Hospital Diagnostic Delays. Citation Text: Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023. Copy Citation Save Save to your library Print …

  17. Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. | PSNet

    psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
    September 06, 2023 - Newspaper/Magazine Article Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. Citation Text: Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. West S. Kaiser Health News. August 5, 2022. Co…

  18. Peripheral vision: expertise in real world contexts. | PSNet

    psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
    April 24, 2018 - Commentary Peripheral vision: expertise in real world contexts. Citation Text: Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5). doi:10.1177/0170840605053102. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  19. Drug package inserts get mixed reception. | PSNet

    psnet.ahrq.gov/issue/drug-package-inserts-get-mixed-reception
    September 12, 2016 - Newspaper/Magazine Article Drug package inserts get mixed reception. Citation Text: Mitka M. Drug package inserts get mixed reception. JAMA. 2006;295(10):1110-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety
    November 27, 2018 - Book/Report Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. Citation Text: Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. Oakbrook Terrace, IL: Joint Commission. Copy Citation Save…
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