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  1. Health literacy and patient safety events. | PSNet

    psnet.ahrq.gov/issue/health-literacy-and-patient-safety-events
    January 11, 2017 - Newspaper/Magazine Article Health literacy and patient safety events. Citation Text: Gardner LA. Health literacy and patient safety events. PA-PSRS Patient Saf Advis. 2016;13(2):58-65. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  2. Beyond the organisational accident: the need for "error wisdom" on the frontline. | PSNet

    psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
    November 18, 2015 - Commentary Beyond the organisational accident: the need for "error wisdom" on the frontline. Citation Text: Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33. Copy Citation Format: Goo…

  3. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. | PSNet

    psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
    May 29, 2014 - Commentary Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. Citation Text: Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. American Journal of Health-Sys…

  4. Adverse drug events in hospitalized cardiac patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 2023 - Study Adverse drug events in hospitalized cardiac patients. Citation Text: Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  5. Patient Safety and Quality Improvement Act of 2005: what you need to know. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
    December 17, 2014 - Commentary Patient Safety and Quality Improvement Act of 2005: what you need to know. Citation Text: Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2. Copy Citation Format: Google Scholar PubMed …

  6. Independent double checks: worth the effort if used judiciously and properly. | PSNet

    psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
    January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

  7. Framework for a High Performance Health System for the United States. | PSNet

    psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
    April 12, 2006 - Book/Report Framework for a High Performance Health System for the United States. Citation Text: Framework for a High Performance Health System for the United States. Mongan JJ. New York, NY; The Commonwealth Fund: 2006. Copy Citation Save Save to your library…

  8. Coronavirus Commission for Safety and Quality in Nursing Homes. | PSNet

    psnet.ahrq.gov/issue/coronavirus-commission-safety-and-quality-nursing-homes
    May 26, 2021 - Book/Report Coronavirus Commission for Safety and Quality in Nursing Homes. Citation Text: Coronavirus Commission for Safety and Quality in Nursing Homes. Centers for Medicare and Medicaid Services. McLean, VA: MITRE Corporation; September 2020. Copy Citation …

  9. Maryland Hospital Patient Safety Program Annual Report. | PSNet

    psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
    December 24, 2008 - Book/Report Maryland Hospital Patient Safety Program Annual Report. Citation Text: Maryland Hospital Patient Safety Program Annual Report. Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. Copy Citation Save Save to yo…

  10. An evolving hospital quality star rating system from CMS: aligning the stars. | PSNet

    psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
    December 13, 2017 - Commentary An evolving hospital quality star rating system from CMS: aligning the stars. Citation Text: Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. Copy Citation For…

  11. Medication communication: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/medication-communication-concept-analysis
    June 16, 2021 - Review Medication communication: a concept analysis. Citation Text: Manias E. Medication communication: a concept analysis. J Adv Nurs. 2010;66(4):933-43. doi:10.1111/j.1365-2648.2009.05225.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  12. Preventing errors when preparing and administering medications via enteral feeding tubes. | PSNet

    psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
    November 30, 2016 - Newspaper/Magazine Article Preventing errors when preparing and administering medications via enteral feeding tubes. Citation Text: Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…

  13. Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. | PSNet

    psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
    October 27, 2015 - Book/Report Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Citation Text: Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012. Copy Citatio…

  14. Perioperative medication errors: uncovering risk from behind the drapes. | PSNet

    psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
    March 27, 2018 - Newspaper/Magazine Article Perioperative medication errors: uncovering risk from behind the drapes. Citation Text: Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. Copy Citation …

  15. I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. | PSNet

    psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
    November 06, 2012 - Newspaper/Magazine Article I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Citation Text: I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Tamayo-Sarver J. Fast Company. March 13, 2023. Copy Citation …

  16. Junior doctors' shifts and sleep deprivation. | PSNet

    psnet.ahrq.gov/issue/junior-doctors-shifts-and-sleep-deprivation
    October 16, 2012 - Commentary Junior doctors' shifts and sleep deprivation. Citation Text: Murray A, Pounder R, Mather H, et al. Junior doctors' shifts and sleep deprivation. BMJ. 2005;330(7505):1404. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  17. Toolkit for Preventing CLABSI and CAUTI in ICUs. | PSNet

    psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
    December 24, 2008 - Toolkit Toolkit for Preventing CLABSI and CAUTI in ICUs. Citation Text: Toolkit for Preventing CLABSI and CAUTI in ICUs. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. Copy Citation Save Save to your library Print Download PDF …

  18. Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. | PSNet

    psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
    December 24, 2008 - Book/Report Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Citation Text: Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…

  19. Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
    March 14, 2022 - Commentary Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. Citation Text: Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.71…

  20. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …
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