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  1. Report of the Independent Inquiry into the Issues Raised by Paterson. | PSNet

    psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
    November 16, 2022 - Book/Report Report of the Independent Inquiry into the Issues Raised by Paterson. Citation Text: Report of the Independent Inquiry into the Issues Raised by Paterson. James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020.…

  2. Radiological error: analysis, standard setting, targeted instruction and teamworking. | PSNet

    psnet.ahrq.gov/issue/radiological-error-analysis-standard-setting-targeted-instruction-and-teamworking
    December 12, 2018 - Commentary Radiological error: analysis, standard setting, targeted instruction and teamworking. Citation Text: FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8). doi:10.1007/s00330-005-2662-8. Copy Citation …

  3. Failure to rescue in neonatal care. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-neonatal-care
    July 06, 2011 - Commentary Failure to rescue in neonatal care. Citation Text: Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  4. Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. | PSNet

    psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
    January 23, 2019 - Book/Report Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Citation Text: Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Newcast…

  5. Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. | PSNet

    psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
    December 09, 2020 - Book/Report Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. Citation Text: Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-…

  6. The business case for patient safety. | PSNet

    psnet.ahrq.gov/issue/business-case-patient-safety
    September 28, 2010 - Review The business case for patient safety. Citation Text: Hwang RW, Herndon JH. The business case for patient safety. Clin Orthop Relat Res. 2007;457:21-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. Errors and analysis of errors. | PSNet

    psnet.ahrq.gov/issue/errors-and-analysis-errors
    August 28, 2019 - Commentary Errors and analysis of errors. Citation Text: Mulligan MA, Nechodom P. Errors and analysis of errors. Clin Obstet Gynecol. 2008;51(4):656-65. doi:10.1097/GRF.0b013e3181899a5a. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  8. Nurses' clinical reasoning: processes and practices of medication safety. | PSNet

    psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
    June 15, 2012 - Study Nurses' clinical reasoning: processes and practices of medication safety. Citation Text: Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health Res. 2012;22(1):3-16. doi:10.1177/1049732311420448. Copy Citation Format: …

  9. Medicines-related harm in the elderly post-hospital discharge. | PSNet

    psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
    February 07, 2024 - Commentary Medicines-related harm in the elderly post-hospital discharge. Citation Text: Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34. Copy Citation Save Save to your library …

  10. Medication errors in older people with mental health problems: a review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
    April 27, 2022 - Review Medication errors in older people with mental health problems: a review. Citation Text: doi:10.1002/gps.1943. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to y…

  11. Interception of potential adverse drug events in long-term psychiatric care units. | PSNet

    psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
    May 31, 2023 - Study Interception of potential adverse drug events in long-term psychiatric care units. Citation Text: Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84. Copy Citation …

  12. Addressing medication errors - the role of undergraduate nurse education. | PSNet

    psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
    October 29, 2014 - Commentary Addressing medication errors - the role of undergraduate nurse education. Citation Text: Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. Copy Citation Format: Google Scholar PubM…

  13. Probability error in diagnosis: the conjunction fallacy among beginning medical students. | PSNet

    psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
    June 21, 2017 - Study Probability error in diagnosis: the conjunction fallacy among beginning medical students. Citation Text: Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5. Copy Citation Format: Google Scholar P…

  14. New enteral connectors: raising awareness. | PSNet

    psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
    August 28, 2024 - Commentary New enteral connectors: raising awareness. Citation Text: Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  15. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. | PSNet

    psnet.ahrq.gov/issue/language-barriers-prescriptions-patients-limited-english-proficiency-survey-pharmacies
    September 23, 2020 - Study Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Citation Text: Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 20…

  16. Decreasing 30-day readmission rates. | PSNet

    psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
    July 19, 2018 - Commentary Decreasing 30-day readmission rates. Citation Text: Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  17. Top 10 patient safety issues: what more can we do? | PSNet

    psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
    May 08, 2013 - Commentary Top 10 patient safety issues: what more can we do? Citation Text: Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012. Copy Citation Format: DOI Google Scholar PubMed…

  18. Guideline for Prevention of Unintentionally Retained Surgical Items. | PSNet

    psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items
    August 01, 2018 - Commentary Guideline for Prevention of Unintentionally Retained Surgical Items. Citation Text: Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  19. Commonly used, easily confused: let's eliminate hyper and hypo. | PSNet

    psnet.ahrq.gov/issue/commonly-used-easily-confused-lets-eliminate-hyper-and-hypo
    April 18, 2018 - Commentary Commonly used, easily confused: let's eliminate hyper and hypo. Citation Text: Frankel A, Vecchio P. Commonly used, easily confused: let's eliminate hyper and hypo. BMJ. 2010;341:c5867. doi:10.1136/bmj.c5867. Copy Citation Format: DOI Google Scholar PubMed BibT…

  20. New research highlights the role of patient safety culture and safer care. | PSNet

    psnet.ahrq.gov/issue/new-research-highlights-role-patient-safety-culture-and-safer-care
    May 20, 2009 - Commentary New research highlights the role of patient safety culture and safer care. Citation Text: Clancy CM. New research highlights the role of patient safety culture and safer care. J Nurs Care Qual. 2011;26(3):193-6. doi:10.1097/NCQ.0b013e31821d0520. Copy Citation Format: …
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