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  1. One Bronchoscopy, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  2. Don't Pick the PICC | PSNet

    psnet.ahrq.gov/web-mm/dont-pick-picc
    December 01, 2011 - Don't Pick the PICC Citation Text: McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  3. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-471
    December 31, 2024 - January 22, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  4. Preventable Transfer to the Hospital | PSNet

    psnet.ahrq.gov/web-mm/preventable-transfer-hospital
    March 31, 2022 - Preventable Transfer to the Hospital Citation Text: Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar Bi…

  5. On the Other Hand | PSNet

    psnet.ahrq.gov/web-mm/other-hand
    December 12, 2012 - On the Other Hand Citation Text: Henneman EA. On the Other Hand. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  7. MRSA Infections. | PSNet

    psnet.ahrq.gov/issue/mrsa-infections
    September 26, 2018 - Commentary MRSA Infections. Citation Text: Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  8. The untold story of a cyberattack, a hospital and a dying woman. | PSNet

    psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
    August 25, 2021 - Newspaper/Magazine Article The untold story of a cyberattack, a hospital and a dying woman. Citation Text: The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020. Copy Citation Save Save to your library …

  9. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191. Copy Citation Format: …

  10. Serious Adverse Events Reports. | PSNet

    psnet.ahrq.gov/issue/serious-adverse-events-reports
    November 10, 2011 - Book/Report Serious Adverse Events Reports. Citation Text: Serious Adverse Events Reports. The Quality Improvement Committee. Wellington, New Zealand; 2006-2013. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  11. Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. | PSNet

    psnet.ahrq.gov/issue/incorporating-health-information-technology-workflow-redesign-request-information-summary
    September 29, 2017 - Book/Report Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Citation Text: Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Carayon P, Karsh B-T, Cartmill RS, et al.…

  12. The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. | PSNet

    psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
    December 24, 2008 - Toolkit The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. Citation Text: The Patient Education Materials Assessment Tool (PEMAT) and User's Guid…

  13. The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients. | PSNet

    psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2023-eisenberg-award-recipients
    February 01, 2023 - Award Recipient The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients. Citation Text: The Joint Commission and National Quality Forum Announce 2023 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum; February 1…

  14. Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. | PSNet

    psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
    November 09, 2022 - Book/Report Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Citation Text: Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012. Copy Citati…

  15. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet

    psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
    May 06, 2015 - Book/Report Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. Citation Text: Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Deve…

  16. PC standards for maternal safety. | PSNet

    psnet.ahrq.gov/issue/pc-standards-maternal-safety
    September 06, 2017 - Newspaper/Magazine Article PC standards for maternal safety. Citation Text: PC standards for maternal safety. The Joint Commission. R3 Report. August 21, 2019;24:1-6. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  17. Premature closure? Not so fast. | PSNet

    psnet.ahrq.gov/issue/premature-closure-not-so-fast
    September 28, 2022 - Commentary Premature closure? Not so fast. Citation Text: Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-005267. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  18. Be an Active Member of Your Health Care Team. | PSNet

    psnet.ahrq.gov/issue/be-active-member-your-health-care-team
    April 08, 2020 - Government Resource Be an Active Member of Your Health Care Team. Citation Text: Be an Active Member of Your Health Care Team. US Food and Drug Administration; FDA. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  19. Making Medical Devices Safer at Home. | PSNet

    psnet.ahrq.gov/issue/making-medical-devices-safer-home
    July 31, 2013 - Fact Sheet/FAQs Making Medical Devices Safer at Home. Citation Text: Making Medical Devices Safer at Home. Consumer Updates. Silver Spring, MD: US Food and Drug Administration; December 12, 2012. Copy Citation Save Save to your library Print Down…

  20. A Safer Place for Patients: Learning to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety
    October 04, 2017 - Government Resource A Safer Place for Patients: Learning to Improve Patient Safety. Citation Text: A Safer Place for Patients: Learning to Improve Patient Safety. National Audit Office. London UK: The Stationery Office; 2005. ISBN 0102933448. Copy Citation Save …
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