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  1. Leadership Survey: Immunization Against Burnout: Insights Report. | PSNet

    psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report
    November 15, 2016 - Book/Report Leadership Survey: Immunization Against Burnout: Insights Report. Citation Text: Leadership Survey: Immunization Against Burnout: Insights Report. Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018. Copy Citation Save Sa…

  2. FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). | PSNet

    psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-zerbaxa
    April 08, 2020 - Government Resource FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). Citation Text: FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). Food and Drug Admin…

  3. Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. | PSNet

    psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care
    March 10, 2021 - Book/Report Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Citation Text: Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. Copy Cita…

  4. Surgical fires, a clear and present danger. | PSNet

    psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
    May 16, 2018 - Review Surgical fires, a clear and present danger. Citation Text: Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92. doi:10.1016/j.surge.2010.01.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  5. Wide heart monitor use tied to missed alarms. | PSNet

    psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
    July 19, 2023 - Newspaper/Magazine Article Wide heart monitor use tied to missed alarms. Citation Text: Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…

  6. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. | PSNet

    psnet.ahrq.gov/issue/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
    February 17, 2011 - Study Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. Citation Text: Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-17. Copy…

  7. Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. | PSNet

    psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
    October 19, 2022 - Press Release/Announcement Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Citation Text: Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022. C…

  8. Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. | PSNet

    psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
    September 19, 2018 - Book/Report Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Citation Text: Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…

  9. Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
    November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

  10. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. | PSNet

    psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
    July 19, 2023 - Study Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. Citation Text: Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…

  11. Understanding the root cause analysis process to increase safety event reporting. | PSNet

    psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
    August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

  12. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet

    psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
    March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

  13. Drug shortages: national survey reveals high level of frustration, low level of safety. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
    April 05, 2023 - Newspaper/Magazine Article Drug shortages: national survey reveals high level of frustration, low level of safety. Citation Text: Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…

  14. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet

    psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
    October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

  15. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. | PSNet

    psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
    July 13, 2010 - Study Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. Citation Text: Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…

  16. Influencing leadership perceptions of patient safety through just culture training. | PSNet

    psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
    September 24, 2010 - Commentary Influencing leadership perceptions of patient safety through just culture training. Citation Text: Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…

  17. The (slowly) vanishing prescription pad. | PSNet

    psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
    April 08, 2019 - Commentary The (slowly) vanishing prescription pad. Citation Text: Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  18. The COVID-19 pandemic and dentistry: parts 1 and 2. | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-and-dentistry-parts-1-and-2
    December 16, 2015 - Commentary The COVID-19 pandemic and dentistry: parts 1 and 2. Citation Text: The COVID-19 pandemic and dentistry: parts 1 and 2. Coulthard P, Thomson P, Dave M, et al. Br Dent J. 2020;229:743-747; 801-805.   Copy Citation Save Save to your library …

  19. Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. | PSNet

    psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
    January 04, 2017 - Book/Report Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Citation Text: Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  C…

  20. Work-arounds in health care settings: literature review and research agenda. | PSNet

    psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
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