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  1. 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…

  2. 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 …

  3. Our story. | PSNet

    psnet.ahrq.gov/issue/our-story
    December 04, 2016 - Commentary Our story. Citation Text: King S. Our story. Pediatr Radiol. 2006;36(4):284-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your librar…

  4. 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 …

  5. 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…

  6. The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! | PSNet

    psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
    November 05, 2014 - Newspaper/Magazine Article The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! Citation Text: The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. Copy Citation …

  7. Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. | PSNet

    psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
    June 10, 2018 - Webinar Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Citation Text: Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Institute for Safe Medication Practices. September 15, 2020. Copy Citation …

  8. Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
    September 29, 2021 - Study Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. Citation Text: Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. Moore CR; Lin JJ; O'Connor N; Hal…

  9. Diversion is a Threat to Patient Safety: Adopting Best Practices. | PSNet

    psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
    April 20, 2022 - Webinar Diversion is a Threat to Patient Safety: Adopting Best Practices. Citation Text: Diversion is a Threat to Patient Safety: Adopting Best Practices. Institute for Safe Medication Practices. April 6, 2022.  Copy Citation Save Save to your library P…

  10. Increasing patient safety and surgical team communication by using a count/time out board. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-and-surgical-team-communication-using-counttime-out-board
    February 22, 2012 - Commentary Increasing patient safety and surgical team communication by using a count/time out board. Citation Text: Edel EM. Increasing patient safety and surgical team communication by using a count/time out board. AORN J. 2010;92(4):420-4. doi:10.1016/j.aorn.2010.03.013. Copy Cita…

  11. 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 …

  12. Special Issue on Medication Safety. | PSNet

    psnet.ahrq.gov/issue/special-issue-medication-safety
    June 26, 2019 - Special or Theme Issue Special Issue on Medication Safety. Citation Text: Special Issue on Medication Safety. Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906. Copy Citation Save Save to your library Print Downloa…

  13. 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…

  14. Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
    November 21, 2016 - Book/Report Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Citation Text: Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015. Copy Citation Save …

  15. Unlabeled containers lead to patient's death. | PSNet

    psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
    September 26, 2017 - Commentary Unlabeled containers lead to patient's death. Citation Text: Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  16. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume.…

  17. Crushing or splitting medications: unrecognized hazards. | PSNet

    psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
    October 26, 2010 - Commentary Crushing or splitting medications: unrecognized hazards. Citation Text: Gill D, Spain M, Edlund BJ. Crushing or Splitting Medications: Unrecognized Hazards. J Gerontol Nurs. 2012. doi:10.3928/00989134-20111213-01. Copy Citation Format: DOI Google Scholar BibTeX…

  18. Medication errors attributed to health information technology. | PSNet

    psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
    March 27, 2018 - Newspaper/Magazine Article Medication errors attributed to health information technology. Citation Text: Medication errors attributed to health information technology. Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. Copy Citation Save Save to …

  19. 2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet

    psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
    February 28, 2018 - Press Release/Announcement 2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Citation Text: 2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission. Copy Citation Save Save to your library Pr…

  20. Medical errors: mandatory reporting, voluntary reporting, or both? | PSNet

    psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
    February 28, 2024 - Commentary Medical errors: mandatory reporting, voluntary reporting, or both? Citation Text: Grepperud S. Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both? European Journal of Law and Economics. 2005;20(1). doi:10.1007/s10657-005-1019-8. Copy Citation Format: …
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