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  1. Balancing just culture with regulatory standards. | PSNet

    psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
    December 13, 2023 - Commentary Balancing just culture with regulatory standards. Citation Text: Gorzeman J. Balancing Just Culture with regulatory standards. Nurs Adm Q. 2008;32(4):308-11. doi:10.1097/01.NAQ.0000336728.72501.c6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  2. Hidden medication loss when using a primary administration set for small-volume intermittent infusions. | PSNet

    psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
    December 14, 2022 - Newspaper/Magazine Article Hidden medication loss when using a primary administration set for small-volume intermittent infusions. Citation Text: Hidden medication loss when using a primary administration set for small-volume intermittent infusions. ISMP Medication Safety Alert! Acute ca…

  3. The texting debate: beneficial means of communication or safety and security risk? | PSNet

    psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
    July 12, 2023 - Newspaper/Magazine Article The texting debate: beneficial means of communication or safety and security risk? Citation Text: The texting debate: beneficial means of communication or safety and security risk? ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5. Copy C…

  4. Using patient safety science to explore strategies for improving safety in intravenous medication administration. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
    June 02, 2021 - Commentary Using patient safety science to explore strategies for improving safety in intravenous medication administration. Citation Text: Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…

  5. A tragic death: a time to blame or a time to learn? | PSNet

    psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
    March 23, 2011 - Commentary A tragic death: a time to blame or a time to learn? Citation Text: Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  6. 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 …

  7. AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/201414.html
    August 01, 2014 - AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts Search All Impact Case Studies August 2014 MedStar Washington Hospital Center, a 926-bed teaching and research hospital in Washington, D.C., has used AHRQ's Hospital Survey on Patient Safety Culture since…

  8. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. | PSNet

    psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
    May 01, 2017 - Webinar New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Citation Text: New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021. Copy Citation Save Save to…

  9. Complying with the 2008 national patient safety goals. | PSNet

    psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
    July 13, 2010 - Commentary Complying with the 2008 national patient safety goals. Citation Text: Catalano K, Fickenscher K. Complying with the 2008 National Patient Safety Goals. AORN J. 2008;87(3):547-56. doi:10.1016/j.aorn.2007.12.029. Copy Citation Format: DOI Google Scholar PubMed Bi…

  10. Blaming others for threatening events. | PSNet

    psnet.ahrq.gov/issue/blaming-others-threatening-events
    November 25, 2009 - Review Classic Blaming others for threatening events. Citation Text: Blaming others for threatening events. Tennen H; Affleck G. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  11. Human factors in patient safety as an innovation. | PSNet

    psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
    June 09, 2021 - Commentary Human factors in patient safety as an innovation. Citation Text: Carayon P. Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. doi:10.1016/j.apergo.2009.12.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  12. The Sunday story: when hospitals don't say sorry. | PSNet

    psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
    June 21, 2023 - Audiovisual Presentation The Sunday story: when hospitals don't say sorry. Citation Text: The Sunday story: when hospitals don't say sorry. Rascoe A, Gorenstein D. National Public Radio. January 21, 2024. Copy Citation Save Save to your library Print Dow…

  13. Feds move to rein in prior authorization, a system that harms and frustrates patients. | PSNet

    psnet.ahrq.gov/issue/feds-move-rein-prior-authorization-system-harms-and-frustrates-patients
    June 01, 2022 - Newspaper/Magazine Article Feds move to rein in prior authorization, a system that harms and frustrates patients. Citation Text: Feds move to rein in prior authorization, a system that harms and frustrates patients. Sausser L. Kaiser Health News. March 13, 2023. Copy Citation …

  14. 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 …

  15. Quantitative analysis of adverse events in neurosurgery. | PSNet

    psnet.ahrq.gov/issue/quantitative-analysis-adverse-events-neurosurgery
    September 25, 2019 - Study Quantitative analysis of adverse events in neurosurgery. Citation Text: Houkin K, Baba T, Minamida Y, et al. Quantitative analysis of adverse events in neurosurgery. Neurosurgery. 2009;65(3):587-94; discussion 594. doi:10.1227/01.NEU.0000350860.59902.68. Copy Citation Forma…

  16. White blood cell left shift in a neonate: a case of mistaken identity. | PSNet

    psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
    March 30, 2022 - Commentary White blood cell left shift in a neonate: a case of mistaken identity. Citation Text: White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S. Copy Citation …

  17. Computer viruses are "rampant" on medical devices in hospitals. | PSNet

    psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals
    February 21, 2024 - Newspaper/Magazine Article Computer viruses are "rampant" on medical devices in hospitals. Citation Text: Computer viruses are "rampant" on medical devices in hospitals. Talbot D. MIT Technology Review. October 17, 2012. Copy Citation Save Save to your librar…

  18. 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…

  19. Towards safe conversational agents in healthcare. | PSNet

    psnet.ahrq.gov/issue/towards-safe-conversational-agents-healthcare
    July 10, 2024 - Review Towards safe conversational agents in healthcare. Citation Text: Denecke K. Towards Safe Conversational Agents in Healthcare. Stud Health Technol Inform. 2023;302:157-161. doi:10.3233/shti230094. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

  20. AMC PSO Resource Center. | PSNet

    psnet.ahrq.gov/issue/amc-pso-resource-center
    November 17, 2021 - Multi-use Website AMC PSO Resource Center. Citation Text: AMC PSO Resource Center. Academic Medical Center Patient Safety Organization. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
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