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  1. First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). | PSNet

    psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
    June 10, 2018 - Newspaper/Magazine Article First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). Citation Text: First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). ISMP Medication Safety Alert! Acute Care Editi…

  2. At US hospitals, a drug mix-up is just a few keystrokes away. | PSNet

    psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
    March 30, 2022 - Newspaper/Magazine Article At US hospitals, a drug mix-up is just a few keystrokes away. Citation Text: At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022. Copy Citation Save Save to your library Prin…

  3. Symposium on Simulation Science in Health and Medicine. | PSNet

    psnet.ahrq.gov/issue/symposium-simulation-science-health-and-medicine
    April 03, 2017 - Special or Theme Issue Symposium on Simulation Science in Health and Medicine. Citation Text: Symposium on Simulation Science in Health and Medicine. J Emerg Trauma Shock. 2010;3:348-394.    Copy Citation Save Save to your library Print …

  4. 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…

  5. 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 …

  6. 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…

  7. 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…

  8. 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…

  9. Independent double checks: undervalued and misused. | PSNet

    psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
    July 12, 2023 - Newspaper/Magazine Article Independent double checks: undervalued and misused. Citation Text: Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.   Copy Citation Save Save to your lib…

  10. 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 …

  11. 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…

  12. Too many abandon the "second victims" of medical errors. | PSNet

    psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors
    June 10, 2018 - Newspaper/Magazine Article Too many abandon the "second victims" of medical errors. Citation Text: Too many abandon the "second victims" of medical errors. ISMP Medication Safety Alert! Acute care edition. July 14, 2011;16:1-3. Copy Citation Save Save to your libr…

  13. Indiana Medical Error Reporting System. | PSNet

    psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
    July 15, 2009 - Multi-use Website Indiana Medical Error Reporting System. Citation Text: Indiana Medical Error Reporting System. Indianapolis, IN: Indiana State Department of Health. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  14. Do No Harm: Are We Preventing Medication Errors in Children with Medical Complexity? | PSNet

    psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity
    April 20, 2022 - Meeting/Conference Proceedings Do No Harm: Are We Preventing Medication Errors in Children with Medical Complexity? Citation Text: Do No Harm: Are We Preventing Medication Errors in Children with Medical Complexity? Children's Healthcare Canada. April 7, 2021. Copy Citation …

  15. 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…

  16. 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 …

  17. 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…

  18. 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 …

  19. 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…

  20. 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 …
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