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Intralipid medication errors in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit

January 02, 2017 - Study Intralipid medication errors in the neonatal intensive care unit. Citation Text: Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11. Copy Citation Format: Google Scholar PubMed B…

Assessing diagnostic performance. | PSNet

psnet.ahrq.gov/issue/assessing-diagnostic-performance

May 13, 2020 - Review Assessing diagnostic performance. Citation Text: Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid. 2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. | PSNet

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July 08, 2016 - Book/Report Classic Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Citation Text: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committe…

Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. | PSNet

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November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …

Identification and Prioritization of Health IT Patient Safety Measures. | PSNet

psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures

September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet

psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …

The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. | PSNet

psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature

August 18, 2021 - Review The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. Citation Text: Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5…

Recommended responsibilities for management of MR safety. | PSNet

psnet.ahrq.gov/issue/recommended-responsibilities-management-mr-safety

April 19, 2013 - Commentary Recommended responsibilities for management of MR safety. Citation Text: Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. Copy Citation Format: …

Impact of nurse peer review on a culture of safety. | PSNet

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November 29, 2023 - Commentary Impact of nurse peer review on a culture of safety. Citation Text: Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. Copy Citation Format: DOI Google Scholar PubMed …

Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. | PSNet

psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker

June 19, 2019 - Newspaper/Magazine Article Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. Citation Text: Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…

Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. | PSNet

psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy

July 14, 2010 - Study Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Citation Text: Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …

America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. | PSNet

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November 27, 2018 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017. Copy Citation …

Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. | PSNet

psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety

June 08, 2010 - Commentary Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Citation Text: Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…

Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet

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July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and patient safety. Citation Text: Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…

Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet

psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge

February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …

Patient safety movement: history and future directions. | PSNet

psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions

February 21, 2015 - Review Patient safety movement: history and future directions. Citation Text: Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. Copy Citation Format: DOI Google Scholar BibTe…

Error and cognitive bias in diagnostic radiology. | PSNet

psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology

August 07, 2013 - Commentary Error and cognitive bias in diagnostic radiology. Citation Text: Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320. Copy Citation Format: DOI Google Scholar …

Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. | PSNet

psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical

April 08, 2020 - Press Release/Announcement Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. Citation Text: Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--l…

Disclosure of medical error: policies and practice. | PSNet

psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice

June 30, 2011 - Commentary Disclosure of medical error: policies and practice. Citation Text: Kalra J, Massey L, Mulla A. Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. | PSNet

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January 20, 2010 - Book/Report Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Citation Text: Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Wright S. Washington, DC: US Department of Health and Human Services, Office of t…

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