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  1. Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
    September 29, 2017 - Book/Report Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. Citation Text: Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. Abrams MA, Hung LL, Kashuba AB, et al. Chicago, IL: American Medical Association; 2007. Copy Citation …

  2. Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. | PSNet

    psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-hospitalization
    June 10, 2018 - Newspaper/Magazine Article Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. Citation Text: Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. ISMP Medication Safety Alert! Acute Care…

  3. Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. | PSNet

    psnet.ahrq.gov/issue/durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition
    June 10, 2018 - Newspaper/Magazine Article Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. Citation Text: Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. ISMP Medication Safety Alert! Acute care edition. …

  4. Science and patient safety. | PSNet

    psnet.ahrq.gov/issue/science-and-patient-safety
    July 19, 2019 - Commentary Science and patient safety. Citation Text: Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  5. Audit of missed or delayed antimicrobial drugs. | PSNet

    psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
    August 01, 2012 - Newspaper/Magazine Article Audit of missed or delayed antimicrobial drugs. Citation Text: Audit of missed or delayed antimicrobial drugs. Wright J. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  6. Medication administration errors in hospitals—challenges and recommendations for their measurement. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-recommendations-their-measurement
    December 09, 2015 - Government Resource Medication administration errors in hospitals—challenges and recommendations for their measurement. Citation Text: Medication administration errors in hospitals—challenges and recommendations for their measurement. McLeod M, Barber N, Franklin BD. National Quality Mea…

  7. Nurses' role in communication and patient safety. | PSNet

    psnet.ahrq.gov/issue/nurses-role-communication-and-patient-safety
    July 23, 2008 - Commentary Nurses' role in communication and patient safety. Citation Text: Nadzam DM. Nurses' role in communication and patient safety. J Nurs Care Qual. 2009;24(3):184-188. doi:10.1097/01.NCQ.0000356905.87452.62. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  8. Is consent required for publication of medical errors? | PSNet

    psnet.ahrq.gov/issue/consent-required-publication-medical-errors
    March 18, 2011 - Commentary Is consent required for publication of medical errors? Citation Text: Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q. 2005;8(4):66-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  9. 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…

  10. 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…

  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. Safe Site Invasive Procedure—Non-Operating Room. | PSNet

    psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
    December 07, 2022 - Commentary Safe Site Invasive Procedure—Non-Operating Room. Citation Text: Safe Site Invasive Procedure—Non-Operating Room. Institute for Clinical Systems Improvement. Copy Citation Save Save to your library Print Download PDF Share Faceb…

  13. Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. | PSNet

    psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
    April 17, 2025 - Meeting/Conference Proceedings Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Citation Text: Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Armstrong Institute for Patient Safety and Quality…

  14. Tolerating uncertainty—the next medical revolution? | PSNet

    psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
    April 24, 2018 - Commentary Tolerating uncertainty—the next medical revolution? Citation Text: Simpkin AL, Schwartzstein RM. Tolerating Uncertainty - The Next Medical Revolution? New Engl J Med. 2016;375(18):1713-1715. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  15. Person-Centered Guidelines for Preserving Family Presence in Challenging Times. | PSNet

    psnet.ahrq.gov/issue/person-centered-guidelines-preserving-family-presence-challenging-times
    October 14, 2015 - Book/Report Person-Centered Guidelines for Preserving Family Presence in Challenging Times. Citation Text: Person-Centered Guidelines for Preserving Family Presence in Challenging Times. Derby, CT: Planetree; 2020. Copy Citation Save Save to your library P…

  16. Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say. | PSNet

    psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-and-cash-front-dealing-medical-errors-when
    February 20, 2019 - Newspaper/Magazine Article Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say. Citation Text: Preventing lawsuits: Coalition pushes apologies and cash up-fr…

  17. Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. | PSNet

    psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
    December 18, 2013 - Book/Report Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Citation Text: Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…

  18. Mistakes were made (by me). | PSNet

    psnet.ahrq.gov/issue/mistakes-were-made-me
    January 23, 2019 - Commentary Mistakes were made (by me). Citation Text: Manesh R. Mistakes Were Made (by Me). JAMA Intern Med. 2017;177(10). doi:10.1001/jamainternmed.2017.3781. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery
    March 13, 2013 - Commentary Wrong site surgery. Citation Text: Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  20. Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. | PSNet

    psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
    November 16, 2011 - Course Material/Curriculum Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Citation Text: Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.  Copy Citation …
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