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8781. 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 …

8782. Preventing harm from high-alert medications. | PSNet
      psnet.ahrq.gov/issue/preventing-harm-high-alert-medications
      August 14, 2017 - Commentary Preventing harm from high-alert medications. Citation Text: Federico F. Preventing harm from high-alert medications. Jt Comm J Qual Patient Saf. 2007;33(9):537-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

8783. Hidden medication loss when using a primary administration set for small-volume intermittent infusions. | PSNet
      psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
      December 14, 2022 - Newspaper/Magazine Article Hidden medication loss when using a primary administration set for small-volume intermittent infusions. Citation Text: Hidden medication loss when using a primary administration set for small-volume intermittent infusions. ISMP Medication Safety Alert! Acute ca…

8784. Patient safety tools for primary care. | PSNet
      psnet.ahrq.gov/issue/patient-safety-tools-primary-care
      May 17, 2023 - Commentary Patient safety tools for primary care. Citation Text: Patient safety tools for primary care. Domdera J. Fam Pract Manag. 2023;30(2):24-28. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

8785. Using patient safety science to explore strategies for improving safety in intravenous medication administration. | PSNet
      psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
      June 02, 2021 - Commentary Using patient safety science to explore strategies for improving safety in intravenous medication administration. Citation Text: Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…

8786. Nebraska Coalition for Patient Safety Annual Report. | PSNet
      psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
      July 13, 2022 - Book/Report Nebraska Coalition for Patient Safety Annual Report. Citation Text: Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022. Copy Citation Save Save to your library Print Download PDF …

8787. An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England | PSNet
      psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
      March 17, 2011 - Book/Report An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Citation Text: An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…

8788. Crime in the workplace, part 1. | PSNet
      psnet.ahrq.gov/issue/crime-workplace-part-1
      September 11, 2024 - Commentary Crime in the workplace, part 1. Citation Text: Pastorius D. Crime in the workplace, part 1. Nurs Manage. 2007;38(10):18, 20, 22, 24, 26-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

8789. Blaming others for threatening events. | PSNet
      psnet.ahrq.gov/issue/blaming-others-threatening-events
      November 25, 2009 - Review Classic Blaming others for threatening events. Citation Text: Blaming others for threatening events. Tennen H; Affleck G. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

8790. Communicating With Patients and Families About Antibiotic Decisions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-one-pager.pdf
      September 01, 2022 - Communicating With Patients and Families About Antibiotic Decisions Communicating With Patients and Families About Antibiotic Decisions Patients want to feel HEARD1-3 • Say: “What I am hearing you say is [repeat the main concerns].” • Sit at eye level with the patient. • Nod your head to…

8791. Adverse outpatient drug events—a problem and an opportunity. | PSNet
      psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
      April 12, 2011 - Commentary Adverse outpatient drug events—a problem and an opportunity. Citation Text: Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

8792. Serious medication errors from intravenous administration of nimodipine oral capsules. | PSNet
      psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
      March 01, 2010 - Government Resource Serious medication errors from intravenous administration of nimodipine oral capsules. Citation Text: Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA. Copy Citation …

8793. Electronic data collection using MedWatchPlus portal and rational questionnaire. | PSNet
      psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational-questionnaire
      July 03, 2013 - Government Resource Electronic data collection using MedWatchPlus portal and rational questionnaire. Citation Text: Electronic data collection using MedWatchPlus portal and rational questionnaire. Shuren J. Federal Register. October 23, 2008;73:63153-63157. Copy Citation …

8794. Strengthening the core. Middle managers play a vital role in improving safety. | PSNet
      psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
      April 25, 2016 - Newspaper/Magazine Article Strengthening the core. Middle managers play a vital role in improving safety. Citation Text: Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. Copy Citation Forma…

8795. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
      June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action What Can Leaders Achieve by Prioritizing Diagnostic Safety? Previous Page Next Page Table of Contents Leadership To Improve Diagnosis: A Call to Action Diagnostic Safety as a Challenge for Healthcare Leadership Why Are Leaders Essential to Diagno…

8796. Radiologic errors and malpractice: a blurry distinction. | PSNet
      psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction
      October 23, 2018 - Review Radiologic errors and malpractice: a blurry distinction. Citation Text: Berlin L. Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol. 2007;189(3):517-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

8797. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. …

8798. The slow, troubling death of the autopsy. | PSNet
      psnet.ahrq.gov/issue/slow-troubling-death-autopsy
      August 19, 2020 - Newspaper/Magazine Article The slow, troubling death of the autopsy. Citation Text: The slow, troubling death of the autopsy. Ashworth S. Elemental. September 22, 2020. Copy Citation Save Save to your library Print Download PDF Share F…

8799. Use systems redesign and the law to prevent medical errors and accidents. | PSNet
      psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
      August 26, 2020 - Newspaper/Magazine Article Use systems redesign and the law to prevent medical errors and accidents. Citation Text: Use systems redesign and the law to prevent medical errors and accidents. Saks MJ, Landsman S. STAT. August 4, 2021. Copy Citation Save Save to yo…

8800. Major Physician Measurement Sets | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
      January 01, 2023 - Major Physician Measurement Sets Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …