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  1. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
    August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…

  2. Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

    psnet.ahrq.gov/issue/assessing-evidence-context-sensitive-effectiveness-and-safety-patient-safety-practices
    July 27, 2018 - Book/Report Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Shekelle PG, Pron…

  3. Addressing Problematic Opioid Use in OECD Countries. | PSNet

    psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
    October 14, 2020 - Book/Report Addressing Problematic Opioid Use in OECD Countries. Citation Text: Addressing Problematic Opioid Use in OECD Countries. Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260. Copy Citation Save …

  4. Surgical fires: decreasing incidence relies on continued prevention efforts. | PSNet

    psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
    April 03, 2019 - Newspaper/Magazine Article Surgical fires: decreasing incidence relies on continued prevention efforts. Citation Text: Surgical fires: decreasing incidence relies on continued prevention efforts. Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June…

  5. The concept of shared mental models in healthcare collaboration. | PSNet

    psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
    November 29, 2017 - Commentary The concept of shared mental models in healthcare collaboration. Citation Text: McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307. Copy Citation Format: DOI Google Scholar …

  6. Malnutrition in Hospitalized Adults: A Systematic Review. | PSNet

    psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
    December 21, 2022 - Book/Report Malnutrition in Hospitalized Adults: A Systematic Review. Citation Text: Malnutrition in Hospitalized Adults: A Systematic Review. Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021.  AHRQ Publication No. 21(22)…

  7. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet

    psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
    March 14, 2023 - Newspaper/Magazine Article Temporarily holding medication orders safely in order to prevent patient harm. Citation Text: Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. Copy Ci…

  8. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  9. Discharge from Mental Health Care: Making it Safe and Patient-centred. | PSNet

    psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred
    October 07, 2020 - Book/Report Discharge from Mental Health Care: Making it Safe and Patient-centred. Citation Text: Discharge from Mental Health Care: Making it Safe and Patient-centred. Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. Copy Citation Save Sa…

  10. A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. | PSNet

    psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
    June 12, 2008 - Commentary A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Citation Text: Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J …

  11. 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 …

  12. Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. | PSNet

    psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize-prescriber-use
    September 19, 2018 - Book/Report Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. Citation Text: Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, …

  13. Is it time to move beyond errors in clinical reasoning and discuss accuracy? | PSNet

    psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
    September 26, 2016 - Commentary Is it time to move beyond errors in clinical reasoning and discuss accuracy? Citation Text: Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. Copy Citatio…

  14. Health care workers in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/health-care-workers-midst-crisis
    February 15, 2023 - Sentinel Event Alerts Health care workers in the midst of crisis. Citation Text: Health care workers in the midst of crisis. Sentinel Event Alert. Feb 2, 2021;(62):1-7.  Copy Citation Save Save to your library Print Download PDF Sha…

  15. Deliverables for Participating Hospitals.

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn7.jsp
    August 01, 2014 - Deliverables for Participating Hospitals. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Upd…

  16. Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. | PSNet

    psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review
    June 14, 2023 - Book/Report Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Citation Text: Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018. Copy…

  17. Standardization as a mechanism to improve safety in health care. | PSNet

    psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
    January 05, 2017 - Study Standardization as a mechanism to improve safety in health care. Citation Text: Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Patient Saf. 2004;30(1):5-14. Copy Citation Format: Google Schol…

  18. 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 …

  19. 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…

  20. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet

    psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…
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