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Recommendations to ensure safety of AI in real-world clinical care. | PSNet

psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-care

December 06, 2023 - Commentary Recommendations to ensure safety of AI in real-world clinical care. Citation Text: Sittig DF, Singh H. Recommendations to ensure safety of AI in real-world clinical care. JAMA. 2025;333(6):457-458. doi:10.1001/jama.2024.24598. Copy Citation Format: DOI Google Sch…

Reality check for checklists. | PSNet

psnet.ahrq.gov/issue/reality-check-checklists

April 21, 2015 - Commentary Classic Reality check for checklists. Citation Text: Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. | PSNet

psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices

August 14, 2019 - Newspaper/Magazine Article IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. Citation Text: IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. ISMP Medication Safety Alert! Acute Care Edition. Augu…

Waiting for urgent procedures on the weekend among emergently hospitalized patients. | PSNet

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September 04, 2019 - Study Waiting for urgent procedures on the weekend among emergently hospitalized patients. Citation Text: Bell CM, Redelmeier DA. Waiting for urgent procedures on the weekend among emergently hospitalized patients. Am J Med. 2004;117(3):175-81. Copy Citation Format: Googl…

Why even good physicians do not wash their hands. | PSNet

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September 21, 2022 - Commentary Why even good physicians do not wash their hands. Citation Text: Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. | PSNet

psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving

April 12, 2023 - Review What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Citation Text: Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…

Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. | PSNet

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April 28, 2021 - Book/Report Classic Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Citation Text: Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …

Tamiflu (oseltamivir) for oral suspension: potential medication errors. | PSNet

psnet.ahrq.gov/issue/tamiflu-oseltamivir-oral-suspension-potential-medication-errors

November 07, 2012 - Government Resource Tamiflu (oseltamivir) for oral suspension: potential medication errors. Citation Text: Tamiflu (oseltamivir) for oral suspension: potential medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 25, 2009. …

Achieving a climate for patient safety by focusing on relationships. | PSNet

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December 19, 2017 - Study Achieving a climate for patient safety by focusing on relationships. Citation Text: Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068. Copy Citation …

Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. | PSNet

psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-2019-covid-19

June 10, 2018 - Newspaper/Magazine Article Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. Citation Text: Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. ISMP Medicat…

Failure to report poor care as a breach of moral and professional expectation. | PSNet

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March 05, 2025 - Commentary Failure to report poor care as a breach of moral and professional expectation. Citation Text: Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299. Copy Citation …

The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. | PSNet

psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology-past-present-and-future

January 14, 2014 - Commentary The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. Citation Text: Mellin-Olsen J, Staender S. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. Curr Opin Anaesthesiol. 2014;27(6):630-634. doi:…

Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic

July 08, 2008 - Study Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. Citation Text: Jani Y, Ghaleb M, Marks SD, et al. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. J Pediatr. 2008;152(2):214-8. doi:10.1016/j.jpeds.…

Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. | PSNet

psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital

March 15, 2016 - Study Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. Citation Text: Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…

Escape Fire: Lessons for the Future of Health Care. | PSNet

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July 05, 2008 - Book/Report Classic Escape Fire: Lessons for the Future of Health Care. Citation Text: Escape Fire: Lessons for the Future of Health Care. Berwick DM. Washington DC: Commonwealth Fund; 2002. Copy Citation Save Save to your library P…

During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. | PSNet

psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes

September 07, 2022 - Newspaper/Magazine Article During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. Citation Text: During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. ISMP Medication Safety Alert! Acute care e…

Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet

psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose

June 03, 2020 - Newspaper/Magazine Article Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. Citation Text: Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…

Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. | PSNet

psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-and-ppe-1-30

December 24, 2008 - Tools/Toolkit Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. Citation Text: Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. Rockville, MD; Agency for Healthcare Research a…

A survey of the use of time-out protocols in emergency medicine. | PSNet

psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine

November 30, 2012 - Study A survey of the use of time-out protocols in emergency medicine. Citation Text: Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288. Copy Citation Format: Google Schola…

It is time to define antimicrobial never events. | PSNet

psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events

November 16, 2022 - Commentary It is time to define antimicrobial never events. Citation Text: Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313. Copy Citation Format: DOI Google Schol…

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