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  1. Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report
    May 03, 2023 - Government Resource Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Citation Text: Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduct…

  2. Ferrari's Formula One handovers and handovers from surgery to intensive care. | PSNet

    psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
    December 23, 2020 - Newspaper/Magazine Article Ferrari's Formula One handovers and handovers from surgery to intensive care. Citation Text: Ferrari's Formula One handovers and handovers from surgery to intensive care. Sower VE; Duffy JA; Kohers G; ASQ; American Society for Quality. Copy Citation …

  3. 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 …

  4. Report of the Independent Inquiry into the Issues Raised by Paterson. | PSNet

    psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
    November 16, 2022 - Book/Report Report of the Independent Inquiry into the Issues Raised by Paterson. Citation Text: Report of the Independent Inquiry into the Issues Raised by Paterson. James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020.…

  5. Long-Term Trends of Psychotropic Drug Use in Nursing Homes. | PSNet

    psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes
    May 25, 2022 - Book/Report Long-Term Trends of Psychotropic Drug Use in Nursing Homes. Citation Text: Long-Term Trends of Psychotropic Drug Use in Nursing Homes. Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20-00500. Copy Citation Save …

  6. 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…

  7. Preventing errors with high-risk medications. | PSNet

    psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
    May 20, 2020 - Newspaper/Magazine Article Preventing errors with high-risk medications. Citation Text: Preventing errors with high-risk medications. Wiley F. Drug Topics. August 2019;1633:16-18. Copy Citation Save Save to your library Print Download PDF Share …

  8. Management of a patient with a latex allergy. | PSNet

    psnet.ahrq.gov/issue/management-patient-latex-allergy
    June 21, 2017 - Commentary Management of a patient with a latex allergy. Citation Text: Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  9. Adversarial attacks on medical machine learning. | PSNet

    psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
    March 19, 2019 - Study Adversarial attacks on medical machine learning. Citation Text: Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979). 2019;363(6433):1287-1289. doi:10.1126/science.aaw4399. Copy Citation Format: DOI Google Scholar PubM…

  10. Causes of near misses: perceptions of perioperative nurses. | PSNet

    psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses
    October 07, 2020 - Study Causes of near misses: perceptions of perioperative nurses. Citation Text: Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  11. Unintended exposure in radiotherapy: identification of prominent causes. | PSNet

    psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
    May 01, 2003 - Study Unintended exposure in radiotherapy: identification of prominent causes. Citation Text: Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044. Copy Citation Format: …

  12. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. | PSNet

    psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
    December 21, 2016 - Study Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. Citation Text: Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-26…

  13. Handoffs: transitions of care for children in the emergency department. | PSNet

    psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
    July 03, 2016 - Organizational Policy/Guidelines Handoffs: transitions of care for children in the emergency department. Citation Text: Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…

  14. In harm's way. | PSNet

    psnet.ahrq.gov/issue/harms-way
    July 08, 2009 - Commentary In harm's way. Citation Text: Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

  15. Many people of color worry good health care is tied to their appearance. | PSNet

    psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
    September 20, 2023 - Newspaper/Magazine Article Many people of color worry good health care is tied to their appearance. Citation Text: Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023 Copy Citation Save Save to y…

  16. Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
    May 20, 2020 - Book/Report Incidence of Adverse Events in Indian Health Service Hospitals. Citation Text: Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530. Copy Citation Sav…

  17. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet

    psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
    September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …

  18. Public reporting of surgical outcomes: surgeons, hospitals, or both? | PSNet

    psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
    April 05, 2013 - Commentary Public reporting of surgical outcomes: surgeons, hospitals, or both? Citation Text: Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815. Copy Citation Format: DOI Google Scholar Pu…

  19. New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. | PSNet

    psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
    October 31, 2014 - Book/Report New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. Citation Text: New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. Washington, DC: US Department of Health and Human Services; May 7, 2014…

  20. The frustrating case of incident-reporting systems. | PSNet

    psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
    June 22, 2022 - Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…
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