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  1. Inadvertent Administration of an Oral Liquid Medicine into a Vein. | PSNet

    psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
    January 22, 2020 - Book/Report Inadvertent Administration of an Oral Liquid Medicine into a Vein. Citation Text: Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. Copy Citation Save Save to your …

  2. AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. | PSNet

    psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool
    December 10, 2024 - Audiovisual Presentation AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. Citation Text: AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025. Copy Citation…

  3. On Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-4
    September 21, 2022 - Special or Theme Issue On Patient Safety. Citation Text: On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  4. New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental Items for Medical Offices. | PSNet

    psnet.ahrq.gov/issue/new-ahrq-surveys-patient-safety-culture-diagnostic-safety-supplemental-items-medical-offices
    December 24, 2008 - Webinar New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental Items for Medical Offices. Citation Text: New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental Items for Medical Offices. Agency for Healthcare Research and Quality. June 2, 2021. Cop…

  5. Patient Safety, Spring 2019 Final CDP Report. | PSNet

    psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
    October 28, 2020 - Book/Report Patient Safety, Spring 2019 Final CDP Report. Citation Text: Patient Safety, Spring 2019 Final CDP Report. Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020. Copy Citation Save Save to your libr…

  6. Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). | PSNet

    psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
    May 04, 2016 - Grant Announcement Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). Citation Text: Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 Copy Citation Save Save…

  7. Adaptive expertise in medical decision making. | PSNet

    psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
    September 18, 2024 - Commentary Emerging Classic Adaptive expertise in medical decision making. Citation Text: Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898. Copy Citation Format: DOI Google…

  8. Improving Education—A Key to Better Diagnostic Outcomes. | PSNet

    psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
    October 05, 2022 - Book/Report Improving Education—A Key to Better Diagnostic Outcomes. Citation Text: Improving Education—A Key to Better Diagnostic Outcomes. Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF …

  9. Your Safety in our Hands in Hospital. | PSNet

    psnet.ahrq.gov/issue/your-safety-our-hands-hospital
    July 07, 2021 - Book/Report Your Safety in our Hands in Hospital. Citation Text: Your Safety in our Hands in Hospital. Patient Safety Surveillance Unit. Department of Health, Perth: Western Australia. Copy Citation Save Save to your library Print Download PDF S…

  10. 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  | PSNet

    psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
    July 18, 2018 - Book/Report 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  Citation Text: 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012. Copy Citation Save Save to you…

  11. Improving nursing unit teamwork. | PSNet

    psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
    January 18, 2011 - Commentary Improving nursing unit teamwork. Citation Text: Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. doi:10.1097/00005110-200512000-00009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  12. Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). | PSNet

    psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
    May 07, 2018 - Newspaper/Magazine Article Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). Citation Text: Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…

  13. Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. | PSNet

    psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
    March 05, 2010 - Book/Report Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. Citation Text: Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013. Copy Citation Save …

  14. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…

  15. Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. | PSNet

    psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
    November 16, 2011 - Course Material/Curriculum Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Citation Text: Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.  Copy Citation …

  16. Just culture: who gets to draw the line? | PSNet

    psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
    June 24, 2020 - Commentary Just culture: who gets to draw the line? Citation Text: Dekker SWA. Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). doi:10.1007/s10111-008-0110-7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  17. Enteral feeding misconnections: an update. | PSNet

    psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
    January 06, 2017 - Review Enteral feeding misconnections: an update. Citation Text: Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  18. Case Studies in Patient Safety: Foundations for Core Competencies. | PSNet

    psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
    July 15, 2009 - Book/Report Case Studies in Patient Safety: Foundations for Core Competencies. Citation Text: Case Studies in Patient Safety: Foundations for Core Competencies. Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548. Copy Citation …

  19. Deprescribing Guidelines: Special Section on Symposium Results. | PSNet

    psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
    July 31, 2019 - Meeting/Conference Proceedings Deprescribing Guidelines: Special Section on Symposium Results. Citation Text: Deprescribing Guidelines: Special Section on Symposium Results. Res Social Adm Pharm. 2019;15(6):780-810. Copy Citation Save Save to your library …

  20. When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? | PSNet

    psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend
    April 02, 2014 - Meeting/Conference Proceedings When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? Citation Text: When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? National Health Policy Forum. Washington, DC: George Washington University. March 11…
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