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  1. Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. | PSNet

    psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
    June 12, 2019 - Book/Report Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. Citation Text: Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…

  2. Factors Affecting the Delivery of Safe Care in Midwifery Units. | PSNet

    psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
    November 11, 2020 - Book/Report Factors Affecting the Delivery of Safe Care in Midwifery Units. Citation Text: Factors Affecting the Delivery of Safe Care in Midwifery Units. Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. Copy Citation …

  3. Development of a patient safety web-based education curriculum for physicians, nurses, and patients. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-nurses-and-patients
    March 29, 2023 - Commentary Development of a patient safety web-based education curriculum for physicians, nurses, and patients. Citation Text: Development of a patient safety web-based education curriculum for physicians, nurses, and patients. Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf.…

  4. Handoffs and fumbles. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-fumbles
    June 12, 2007 - Book/Report Handoffs and fumbles. Citation Text: Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004. Copy Citation …

  5. The paradoxes of defensive medicine. | PSNet

    psnet.ahrq.gov/issue/paradoxes-defensive-medicine
    June 08, 2022 - Commentary The paradoxes of defensive medicine. Citation Text: The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  6. American Hospital Association-McKesson Quest for Quality Prize. | PSNet

    psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize
    September 23, 2020 - Award Recipient American Hospital Association-McKesson Quest for Quality Prize. Citation Text: American Hospital Association-McKesson Quest for Quality Prize. Jt Comm J Qual Patient Saf. 2006;32(10):541-572. Copy Citation Save Save to your library Print …

  7. Proactive prevention of maternal death from maternal hemorrhage. | PSNet

    psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
    January 15, 2020 - Newspaper/Magazine Article Proactive prevention of maternal death from maternal hemorrhage. Citation Text: Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. October 29, 2019;(51):1-3. Copy Citation Save Save to your library Prin…

  8. Preventing catheter/tubing misconnections: much needed help is on the way. | PSNet

    psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
    May 07, 2018 - Newspaper/Magazine Article Preventing catheter/tubing misconnections: much needed help is on the way. Citation Text: Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. Copy Citation …

  9. Improving the Health Care Work Environment. | PSNet

    psnet.ahrq.gov/issue/improving-health-care-work-environment
    March 28, 2018 - Special or Theme Issue Improving the Health Care Work Environment. Citation Text: Improving the Health Care Work Environment. Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.   Copy Citation Save Save to your library Print Download PDF Shar…

  10. A new frontier in patient safety. | PSNet

    psnet.ahrq.gov/issue/new-frontier-patient-safety
    February 03, 2011 - Commentary A new frontier in patient safety. Citation Text: McCannon J, Berwick DM. A new frontier in patient safety. JAMA. 2011;305(21):2221-2. doi:10.1001/jama.2011.742. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  11. Administering just the diluent or one of two vaccine components leaves patients unprotected. | PSNet

    psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
    May 07, 2018 - Newspaper/Magazine Article Administering just the diluent or one of two vaccine components leaves patients unprotected. Citation Text: Administering just the diluent or one of two vaccine components leaves patients unprotected. ISMP Medication Safety Alert! Acute care edition. May 22, 20…

  12. Your high-alert medication list—relatively useless without associated risk-reduction strategies. | PSNet

    psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
    May 07, 2014 - Newspaper/Magazine Article Your high-alert medication list—relatively useless without associated risk-reduction strategies. Citation Text: Your high-alert medication list—relatively useless without associated risk-reduction strategies. ISMP Medication Safety Alert! Acute Care Edition. Ap…

  13. Accidental IV infusion of heparinized irrigation in the OR. | PSNet

    psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …

  14. Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. | PSNet

    psnet.ahrq.gov/issue/durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition
    June 10, 2018 - Newspaper/Magazine Article Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. Citation Text: Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. ISMP Medication Safety Alert! Acute care edition. …

  15. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. | PSNet

    psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
    June 10, 2018 - Newspaper/Magazine Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…

  16. A shortage of everything except errors: harm associated with drug shortages. | PSNet

    psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
    February 13, 2019 - Newspaper/Magazine Article A shortage of everything except errors: harm associated with drug shortages. Citation Text: A shortage of everything except errors: harm associated with drug shortages. ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3. Copy Citation …

  17. Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet

    psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
    July 08, 2015 - Newspaper/Magazine Article Technology and error-prevention strategies: why are we still overlooking the IV room? Citation Text: Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…

  18. Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet

    psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
    February 13, 2019 - Newspaper/Magazine Article Raising the index of suspicion: red flags that represent credible threats to patient safety. Citation Text: Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…

  19. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
    April 18, 2018 - Study Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Citation Text: Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…

  20. First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. | PSNet

    psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
    March 29, 2007 - Book/Report First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. Citation Text: First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778. Copy Citat…
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