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  1. Patient Safety Organizations: Hospital Participation, Value, and Challenges. | PSNet

    psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
    February 11, 2015 - Book/Report Patient Safety Organizations: Hospital Participation, Value, and Challenges. Citation Text: Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…

  2. Normalization of deviance is contrary to the principles of high reliability. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
    June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

  3. Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. | PSNet

    psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
    September 04, 2013 - Commentary Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. Citation Text: Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…

  4. The 2004 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2004-john-m-eisenberg-patient-safety-and-quality-awards
    January 05, 2017 - Special or Theme Issue The 2004 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: The 2004 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Saf. 2004;30(12):653-680. Copy Citation Save Save to your library Print Dow…

  5. Metric units and the preferred dosing of orally administered liquid medications. | PSNet

    psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
    April 11, 2011 - Organizational Policy/Guidelines Metric units and the preferred dosing of orally administered liquid medications. Citation Text: Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-0072. Copy Citation Format: DOI Google Sch…

  6. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
    May 23, 2018 - Commentary The normalization of deviance: do we (un)knowingly accept doing the wrong thing? Citation Text: Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7. Copy Citation Format: …

  7. Communicative competence of international nurses and patient safety and quality of care. | PSNet

    psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and-quality-care
    March 24, 2019 - Commentary Communicative competence of international nurses and patient safety and quality of care. Citation Text: Xu Y. Communicative Competence of International Nurses and Patient Safety and Quality of Care. Home Health Care Manag Pract. 2008;20(5). doi:10.1177/1084822308316162. Co…

  8. Nurses' clinical reasoning: processes and practices of medication safety. | PSNet

    psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
    June 15, 2012 - Study Nurses' clinical reasoning: processes and practices of medication safety. Citation Text: Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health Res. 2012;22(1):3-16. doi:10.1177/1049732311420448. Copy Citation Format: …

  9. Verbal medication orders in the OR. | PSNet

    psnet.ahrq.gov/issue/verbal-medication-orders-or
    March 06, 2024 - Commentary Verbal medication orders in the OR. Citation Text: Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

  10. Evaluating the effectiveness of health care teams. | PSNet

    psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
    September 20, 2023 - Review Evaluating the effectiveness of health care teams. Citation Text: Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  11. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet

    psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
    November 29, 2017 - Commentary Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Citation Text: Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…

  12. Using standardised patients in an objective structured clinical examination as a patient safety tool. | PSNet

    psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool
    April 21, 2010 - Commentary Using standardised patients in an objective structured clinical examination as a patient safety tool. Citation Text: Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …

  13. Patient safety in surgery: non-technical aspects of safe surgical performance. | PSNet

    psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
    June 12, 2008 - Review Patient safety in surgery: non-technical aspects of safe surgical performance. Citation Text: Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4. Copy Citation Format: …

  14. Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. | PSNet

    psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
    September 11, 2009 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. Citation Text: Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …

  15. Risk of mistaken DNR orders. | PSNet

    psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
    October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  16. Your company's secret change agents. | PSNet

    psnet.ahrq.gov/issue/your-companys-secret-change-agents
    June 09, 2021 - Commentary Your company's secret change agents. Citation Text: Pascale RT, Sternin J. Your company's secret change agents. Harv Bus Rev. 2005;83(5):72-81, 153. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. | PSNet

    psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
    May 24, 2015 - Multi-use Website Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Citation Text: Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. Novembe…

  18. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
    July 19, 2017 - Newspaper/Magazine Article Sounding the alarm. Nurses, organizations work to address alarm fatigue. Citation Text: Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. Copy Citation Format: Google Scholar PubMed…

  19. Opioids, iatrogenic harm and disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
    November 21, 2021 - Commentary Opioids, iatrogenic harm and disclosure of medical error. Citation Text: Blinderman CD. Opioids, iatrogenic harm and disclosure of medical error. J Pain Symptom Manage. 2010;39(2):309-13. doi:10.1016/j.jpainsymman.2009.11.242. Copy Citation Format: DOI Google Sc…

  20. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
    August 02, 2023 - Special or Theme Issue 2022 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450. Copy Citation Save Save to your library Print Down…
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