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  1. Engineering the system of communication for safer surgery. | PSNet

    psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
    January 18, 2013 - Commentary Engineering the system of communication for safer surgery. Citation Text: Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5. Copy Citation Format: …

  2. When machine learning goes off the rails. A guide to managing the risks. | PSNet

    psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
    June 28, 2011 - Newspaper/Magazine Article When machine learning goes off the rails. A guide to managing the risks. Citation Text: When machine learning goes off the rails. A guide to managing the risks. Babic B, Cohen IG,  Evgeniou T, et al. Harv Bus Rev.  2021 January/February;99(1):76-…

  3. Wise before the event. | PSNet

    psnet.ahrq.gov/issue/wise-event
    October 09, 2024 - Commentary Wise before the event. Citation Text: Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  4. The science of improvement. | PSNet

    psnet.ahrq.gov/issue/science-improvement
    August 04, 2021 - Commentary Classic The science of improvement. Citation Text: Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  5. System-related and cognitive errors in laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
    December 21, 2016 - Commentary System-related and cognitive errors in laboratory medicine. Citation Text: Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  6. AHRQ announces interest in research on health IT safety. | PSNet

    psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
    August 15, 2018 - Press Release/Announcement AHRQ announces interest in research on health IT safety. Citation Text: AHRQ announces interest in research on health IT safety. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016. Publication No. NOT-HS-16-009. …

  7. Patient safety issues in advanced practice nursing students' care settings. | PSNet

    psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
    April 10, 2013 - Study Patient safety issues in advanced practice nursing students' care settings. Citation Text: Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27. Copy Citatio…

  8. Improving medication reconciliation in hospitals. | PSNet

    psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
    October 25, 2017 - Commentary Improving medication reconciliation in hospitals. Citation Text: Improving medication reconciliation in hospitals. Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3. Copy Citation Save Save to your library Print Download PDF Sha…

  9. Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
    March 19, 2014 - Book/Report Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Citation Text: Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. Washington, DC: United States Government Accountability Off…

  10. Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

    psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
    September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

  11. Skilful anticipation: maternity nurses' perspectives on maintaining safety. | PSNet

    psnet.ahrq.gov/issue/skilful-anticipation-maternity-nurses-perspectives-maintaining-safety
    February 15, 2023 - Study Skilful anticipation: maternity nurses' perspectives on maintaining safety. Citation Text: Lyndon A. Skillful anticipation: maternity nurses' perspectives on maintaining safety. Qual Saf Health Care. 2010;19(5):e8. doi:10.1136/qshc.2007.024547. Copy Citation Format: …

  12. Safety and Quality in Perioperative Anesthesia Care. | PSNet

    psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
    June 15, 2011 - Special or Theme Issue Safety and Quality in Perioperative Anesthesia Care. Citation Text: Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154. Copy Citation Save Save to your library …

  13. Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. | PSNet

    psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care
    March 10, 2021 - Book/Report Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Citation Text: Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. Copy Cita…

  14. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
    December 15, 2011 - Study A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Citation Text: Needham DM, Sinopoli DJ, Thompson DA, et al. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Crit Care Med. 2005;33(8):1701-1707. …

  15. Five Medication Safety Tips for Older Adults. | PSNet

    psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
    April 23, 2012 - Fact Sheet/FAQs Five Medication Safety Tips for Older Adults. Citation Text: Five Medication Safety Tips for Older Adults. FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15, 2024. Copy Citation Save Save to your libra…

  16. Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. | PSNet

    psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine
    December 02, 2015 - Government Resource Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. Citation Text: Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. Food and Drug Administration; FDA; CDER; Center for Drug Evaluati…

  17. Patient safety in clinical research articles. | PSNet

    psnet.ahrq.gov/issue/patient-safety-clinical-research-articles
    June 01, 2022 - Commentary Patient safety in clinical research articles. Citation Text: Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006. Copy Citation Format: DOI Google…

  18. Report on the Safe Use of Pick Lists in Ambulatory Care Settings. | PSNet

    psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
    June 29, 2016 - Government Resource Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Citation Text: Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. Copy Citation …

  19. Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. | PSNet

    psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
    January 24, 2018 - Newspaper/Magazine Article Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. Citation Text: Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…

  20. Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health-records-support-medication-reconciliation
    August 08, 2014 - Book/Report Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Citation Text: Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Heal…
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