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  1. Using information from external errors to signal a "clear and present danger." | PSNet

    psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
    March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…

  2. Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. | PSNet

    psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
    May 18, 2011 - Book/Report Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Citation Text: Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…

  3. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
    October 21, 2016 - Government Resource Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…

  4. 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…

  5. How to Identify and Address Unsafe Conditions Associated With Health IT. | PSNet

    psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
    June 29, 2016 - Book/Report How to Identify and Address Unsafe Conditions Associated With Health IT. Citation Text: How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…

  6. Start the year off right by addressing these top 10 medication safety concerns from 2021. | PSNet

    psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
    April 20, 2022 - Newspaper/Magazine Article Start the year off right by addressing these top 10 medication safety concerns from 2021. Citation Text: Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…

  7. Handoff Communication Tools. | PSNet

    psnet.ahrq.gov/issue/handoff-communication-tools
    May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…

  8. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet

    psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

  9. Common formats for patient safety data collection and event reporting. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
    July 03, 2013 - Press Release/Announcement Common formats for patient safety data collection and event reporting. Citation Text: Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…

  10. 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…

  11. Obstacles to research on the effects of interruptions in healthcare. | PSNet

    psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
    April 19, 2017 - Commentary Obstacles to research on the effects of interruptions in healthcare. Citation Text: Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083. Copy Citatio…

  12. Back to basics: the Universal Protocol. | PSNet

    psnet.ahrq.gov/issue/back-basics-universal-protocol
    March 17, 2021 - Commentary Back to basics: the Universal Protocol. Citation Text: Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  13. Patient safety: the patient's role. | PSNet

    psnet.ahrq.gov/issue/patient-safety-patients-role
    May 26, 2011 - Commentary Patient safety: the patient's role. Citation Text: Ford D. Patient safety: the patient's role. . World Hosp Health Serv. 2006;42(3):45-48. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

  14. The role for leaders of health care organizations in patient safety. | PSNet

    psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
    September 27, 2010 - Commentary The role for leaders of health care organizations in patient safety. Citation Text: Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8. Copy Citation Format: Google Scholar PubM…

  15. An Agenda for Research in Ambulatory Patient Safety. | PSNet

    psnet.ahrq.gov/issue/agenda-research-ambulatory-patient-safety
    December 22, 2008 - Meeting/Conference Proceedings An Agenda for Research in Ambulatory Patient Safety. Citation Text: An Agenda for Research in Ambulatory Patient Safety. Hammons T; Piland NF; Small SD; Hatlie MJ; Burstin HR; Medical Group Management Association; MGMA Copy Citation Save …

  16. Getting surgery right. | PSNet

    psnet.ahrq.gov/issue/getting-surgery-right
    February 15, 2011 - Study Getting surgery right. Citation Text: Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007;246(3):395-403, discussion 403-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  17. The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. | PSNet

    psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
    March 23, 2012 - Book/Report The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Citation Text: The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010. Copy Citation Sa…

  18. Learning from error: identifying contributory causes of medication errors in an Australian hospital. | PSNet

    psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
    October 19, 2022 - Study Learning from error: identifying contributory causes of medication errors in an Australian hospital. Citation Text: Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…

  19. Workforce and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/workforce-and-patient-safety
    February 21, 2024 - Book/Report Workforce and Patient Safety. Citation Text: Workforce and Patient Safety. Dorset, UK: Health Services Safety Investigations Body; 2024. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  20. Implementing a safe and reliable process for medication administration. | PSNet

    psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
    June 22, 2022 - Commentary Implementing a safe and reliable process for medication administration. Citation Text: Richardson B, Bromirski B, Hayden A. Implementing a safe and reliable process for medication administration. Clin Nurse Spec. 2012;26(3):169-76. doi:10.1097/NUR.0b013e3182503fbe. Copy Ci…
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