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  1. Is your patient ready to go home? | PSNet

    psnet.ahrq.gov/issue/your-patient-ready-go-home
    November 08, 2023 - Newspaper/Magazine Article Is your patient ready to go home? Citation Text: Hoenig LJ. Is your patient ready to go home? Medical economics. 2006;83(11):45-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. | PSNet

    psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
    June 28, 2013 - Image/Poster To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. Citation Text: To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…

  3. Towards an International Classification for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/towards-international-classification-patient-safety
    March 11, 2020 - Special or Theme Issue Towards an International Classification for Patient Safety. Citation Text: Towards an International Classification for Patient Safety. Int J Qual Health Care. 2009;21:1-75.   Copy Citation Save Save to your library Print …

  4. Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study. | PSNet

    psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
    December 24, 2008 - Newspaper/Magazine Article Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study. Citation Text: Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funde…

  5. 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…

  6. 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…

  7. 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 …

  8. 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…

  9. 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…

  10. 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 …

  11. 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 …

  12. 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.…

  13. 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…

  14. Challenges with requiring five characters during ADC drug searches via override. | PSNet

    psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
    October 20, 2021 - Newspaper/Magazine Article Challenges with requiring five characters during ADC drug searches via override. Citation Text: Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3. Cop…

  15. Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. | PSNet

    psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
    March 14, 2023 - Newspaper/Magazine Article Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. Citation Text: Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspe…

  16. Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. | PSNet

    psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
    March 15, 2022 - Newspaper/Magazine Article Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. Citation Text: Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. ISMP Medication Safety Alert! Acut…

  17. Strengthen your resolve: no unlabeled containers anywhere, ever! | PSNet

    psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
    November 16, 2015 - Newspaper/Magazine Article Strengthen your resolve: no unlabeled containers anywhere, ever! Citation Text: Strengthen your resolve: no unlabeled containers anywhere, ever! ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4. Copy Citation Save …

  18. Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. | PSNet

    psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes-120-prepared
    June 10, 2018 - Newspaper/Magazine Article Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. Citation Text: Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. …

  19. 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 …

  20. 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…
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