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  1. Promoting Safety and Quality Through Human Resource Practices: Executive Summary. | PSNet

    psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
    September 14, 2011 - Book/Report Promoting Safety and Quality Through Human Resource Practices: Executive … September 14, 2011 Confidential Physician Feedback Reports: Designing for Optimal Impact … November 30, 2016 Guide to Patient and Family Engagement: Environmental Scan Report. … View More Related Resources National Healthcare Quality and Disparities Reports … May 21, 2014 Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38933/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38 This monthly selection of error … reports discusses incidents involving insulin preparation, automated medication cabinet stocking, and … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38

  3. No excuses: the reality that demands action. | PSNet

    psnet.ahrq.gov/issue/no-excuses-reality-demands-action
    July 20, 2022 - July 20, 2022 Transforming concepts in patient safety: a progress report. … February 10, 2021 "To Err Is Human" Report Retrospective and the Decade Ahead.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35275/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis This monthly selection of medication … error reports provides examples from the field of potential errors and helpful tips on how to avoid … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36257/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-7 This monthly selection of medication … error reports provides examples of problems related to poorly scanned pharmacy orders, ambiguous labeling … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-7

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35560/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-2 This monthly selection of medication … error reports provides examples of problems with neuromuscular blocking agents, confusion with drug … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-2

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36071/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6 This monthly selection of medication … error reports provides examples of nimodipine administration mishaps, a lithium overdose, and suggested … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37897/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-26 This monthly selection of medication … error reports includes examples of look-alike/sound-alike medications and a discussion of immunosuppressant … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-26

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36840/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-11 This monthly selection of medication … error reports provides examples of problems related to abbreviations, electronic prescribing, and communication … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-11

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39158/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR; Smetzer JL. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40 This monthly selection of error … reports discusses incidents involving incomplete administration of a two-part pediatric vaccine and … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36665/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-10 This monthly selection of medication … error reports provides examples of look-alike solution confusion, order entry error, and inhaler dose … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-10

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35768/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-3 This monthly selection of medication … error reports provides examples of problems with drug name confusion and misspellings, oral medication … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-3

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35821/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen M. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4 This monthly selection of medication … error reports provides examples of oral to IV dosing conflicts, name confusion with a new sleep aid … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38266/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Smetzer JL; Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31 This monthly selection of error … reports includes examples of confusion regarding medication delivery instructions and sound-alike mistakes … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37084/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15 This monthly selection of medication … error reports discusses product name confusion, an unsafe process for outdated drug replacement, and … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38738/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. Hosp Pharm. 2009;44:463-464. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-36 This monthly selection of error … reports shares examples of topical anesthetic error, methotrexate overdose, and child-proof medicine … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-36

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37206/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR; Smetzer JL. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17 This monthly selection of medication … error reports discusses problems related to intravenous tubing misconnections, unidentified medication … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35423/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-0 This monthly selection of medication … error reports discusses helpful tips for how to avoid similar mistakes. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-0

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38605/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-34 This monthly selection of reports … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-34

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37162/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-16 This monthly selection of medication … error reports describes mix-ups involving insulin being administered instead of heparin and discusses … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-16
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