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  1. Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. | PSNet

    psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
    June 10, 2018 - Newspaper/Magazine Article Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. Citation Text: Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. ISMP Medication Safety…

  2. Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. | PSNet

    psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
    June 10, 2018 - Newspaper/Magazine Article Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. Citation Text: Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…

  3. Accidental IV infusion of heparinized irrigation in the OR. | PSNet

    psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …

  4. Medical monitoring for pharmaceutical injuries: tort law for the public's health? | PSNet

    psnet.ahrq.gov/issue/medical-monitoring-pharmaceutical-injuries-tort-law-publics-health
    May 20, 2015 - Commentary Medical monitoring for pharmaceutical injuries: tort law for the public's health? Citation Text: Studdert DM, Mello MM, Brennan TA. Medical monitoring for pharmaceutical injuries: tort law for the public's health? JAMA. 2003;289(7):889-94. Copy Citation Format: …

  5. Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. | PSNet

    psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
    June 26, 2019 - Book/Report Emerging Classic Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. Citation Text: Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. Wears R, Sutcliffe K. New York, NY: Oxford University Press; 201…

  6. Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. | PSNet

    psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
    August 03, 2016 - Commentary Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. Citation Text: Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…

  7. The competent surgeon: individual accountability in the era of "systems" failure. | PSNet

    psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
    May 30, 2014 - Commentary The competent surgeon: individual accountability in the era of "systems" failure. Citation Text: Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93. Copy Citation …

  8. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
    May 02, 2018 - Newspaper/Magazine Article FDA Advise-ERR: medication errors associated with Cerebyx. Citation Text: FDA Advise-ERR: medication errors associated with Cerebyx. ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2. Copy Citation Save Save to your…

  9. The Rebecca O'Malley Report. | PSNet

    psnet.ahrq.gov/issue/rebecca-omalley-report
    June 14, 2017 - Book/Report The Rebecca O'Malley Report. Citation Text: The Rebecca O'Malley Report. Cork, Ireland: Health Information and Quality Authority; March 21, 2008. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  10. Diagnostic Safety Toolkit. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
    January 01, 2019 - Toolkit Diagnostic Safety Toolkit. Citation Text: Diagnostic Safety Toolkit. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library Print Down…

  11. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet

    psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
    October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations.  Citation Text: A Thematic Analysis of HSIB's First 22 Investigations.  Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. Copy Citation Save Save to your library …

  12. Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. | PSNet

    psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
    September 29, 2021 - Book/Report Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. Citation Text: Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…

  13. Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. | PSNet

    psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
    June 12, 2019 - Book/Report Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. Citation Text: Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…

  14. 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…

  15. All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. | PSNet

    psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-and-why-it-matters
    March 06, 2024 - Book/Report All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. Citation Text: All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. New York, NY: Harper Wave; 2024. ISBN: 978006…

  16. Factors Affecting the Delivery of Safe Care in Midwifery Units. | PSNet

    psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
    November 11, 2020 - Book/Report Factors Affecting the Delivery of Safe Care in Midwifery Units. Citation Text: Factors Affecting the Delivery of Safe Care in Midwifery Units. Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. Copy Citation …

  17. Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. | PSNet

    psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
    July 14, 2021 - Book/Report Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Citation Text: Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Geneva, Switzer…

  18. The Impact of Artificial Intelligence (AI) on the Safety of Patients. | PSNet

    psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
    May 29, 2024 - Webinar The Impact of Artificial Intelligence (AI) on the Safety of Patients. Citation Text: Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. . Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  19. Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. | PSNet

    psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review
    March 09, 2022 - Book/Report Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. Citation Text: Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094. Copy Cit…

  20. No Place Like Home: Advancing the Safety of Care in the Home. | PSNet

    psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
    January 09, 2019 - Book/Report No Place Like Home: Advancing the Safety of Care in the Home. Citation Text: No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018. Copy Citation Save Save to your library Print D…
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