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  1. First, Do No Harm: Improving Health Quality and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-improving-health-quality-and-patient-safety
    September 28, 2010 - Congressional Testimony First, Do No Harm: Improving Health Quality and Patient Safety. Citation Text: First, Do No Harm: Improving Health Quality and Patient Safety. Full Committee Hearing. US Senate Committee on Health, Education, Labor and Pensions (May 5, 2011) Copy Citation …

  2. Themed Issue on the Opioid Epidemic. | PSNet

    psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
    January 14, 2019 - Special or Theme Issue Themed Issue on the Opioid Epidemic. Citation Text: Themed Issue on the Opioid Epidemic. Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778. Copy Citation Save Save to your library Print Download PDF Share …

  3. Hospital discharge and readmission. | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-and-readmission
    March 27, 2005 - Review Hospital discharge and readmission. Citation Text: Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

  4. Rethinking Patient Safety. | PSNet

    psnet.ahrq.gov/issue/rethinking-patient-safety
    April 13, 2018 - Book/Report Rethinking Patient Safety. Citation Text: Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  5. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. | PSNet

    psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
    November 16, 2022 - Study Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Citation Text: Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):8…

  6. The Lancet Commission on lessons for the future from the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/lancet-commission-lessons-future-covid-19-pandemic
    January 12, 2022 - Commentary The Lancet Commission on lessons for the future from the COVID-19 pandemic. Citation Text: Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. C…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49689/psn-pdf
    August 21, 2013 - Anesthesia: A Weighty Issue August 21, 2013 Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/anesthesia-weighty-issue The Case A 77-year-old woman was evaluated preoperatively in anticipation of an elective left hip arthroplasty. She reported having a history of hyperte…

  8. Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
    November 13, 2024 - Journal Article Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. Citation Text: Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…

  9. As industry automates, adverse events continue to haunt caregivers. | PSNet

    psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
    February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…

  10. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  11. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. | PSNet

    psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
    March 14, 2022 - Organizational Policy/Guidelines Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Citation Text: Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …

  12. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. | PSNet

    psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
    August 04, 2021 - Commentary Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Citation Text: Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227. Copy …

  13. Teaching medical error disclosure to residents using patient-centered simulation training. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
    October 19, 2022 - Study Teaching medical error disclosure to residents using patient-centered simulation training. Citation Text: Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…

  14. Nature of human error: implications for surgical practice. | PSNet

    psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
    March 24, 2021 - Review Nature of human error: implications for surgical practice. Citation Text: Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  15. Is it time for safeguards in the adoption of robotic surgery? | PSNet

    psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
    December 04, 2019 - Commentary Is it time for safeguards in the adoption of robotic surgery? Citation Text: Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. Copy Citation Format: DOI Google Scholar Pub…

  16. Medication errors in pediatrics—the octopus evading defeat. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatrics-octopus-evading-defeat
    March 14, 2022 - Review Medication errors in pediatrics—the octopus evading defeat. Citation Text: Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  17. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  18. Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. | PSNet

    psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
    December 21, 2022 - Study Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. Citation Text: Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…

  19. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products | PSNet

    psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
    July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…

  20. Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet

    psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
    September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…
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