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  1. psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
    November 27, 2018 - Book/Report What Every Health Care Organization Should Know about Sentinel Events. Citation Text: What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117. Copy C…
  2. psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
    April 06, 2022 - Commentary Avoiding errors associated with insulin therapy. Citation Text: Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009. Copy Citation Save Save to your library Print Download PDF Share Face…
  3. psnet.ahrq.gov/issue/burnout-engagement-and-dental-errors-among-us-dentists
    October 28, 2020 - Study Burnout, engagement, and dental errors among U.S. dentists. Citation Text: Yansane A, Tokede O, Walji MF, et al. Burnout, engagement, and dental errors among U.S. dentists. J Patient Saf. 2021;17(8):e1050-e1056. doi:10.1097/pts.0000000000000673. Copy Citation Format: …
  4. psnet.ahrq.gov/web-mm/poor-prognosis
    March 15, 2016 - SPOTLIGHT CASE Poor Prognosis Citation Text: Lamont EB. Poor Prognosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  5. psnet.ahrq.gov/issue/factfinders
    February 17, 2021 - Commentary FactFinders. Citation Text: FactFinders. SIS Patient Safety Committee. Spine Intervention Society. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
  6. psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied
    September 30, 2020 - Press Release/Announcement Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. Citation Text: Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. National Alert Net…
  7. psnet.ahrq.gov/print/pdf/node/74279
    January 01, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality COVID-19 Pandemic Impact on Healthcare Associated Conditions Curated Library All Library Content The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healt…
  8. psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses
    July 31, 2024 - Study Predictors of nursing home nurses' willingness to report medication near-misses. Citation Text: Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-0…
  9. psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
    October 09, 2024 - Review Pay-for-performance and patient safety in acute care: a systematic review. Citation Text: Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. …
  10. psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
    February 11, 2015 - Book/Report Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. Citation Text: Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277. Copy Citation …
  11. psnet.ahrq.gov/issue/medication-reconciliation-handbook-2nd-edition
    May 04, 2015 - Book/Report Medication Reconciliation Handbook, 2nd edition. Citation Text: Medication Reconciliation Handbook, 2nd edition. American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009…
  12. psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
    April 29, 2020 - Commentary Patient identification and tube labelling—a call for harmonisation. Citation Text: van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…
  13. psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers
    September 21, 2022 - Study Leadership style and patient safety: implications for nurse managers. Citation Text: Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm. 2015;45(6):319-324. doi:10.1097/NNA.0000000000000207. Copy Citation Format: DOI Google Sc…
  14. psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
    July 24, 2019 - Toolkit Josie's Story: A Patient Safety Curriculum. Citation Text: Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013. Copy Citation Save Save to your librar…
  15. psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
    July 10, 2024 - Commentary The wicked problem of patient misidentification: how could the technological revolution help address patient safety? Citation Text: Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address pat…
  16. psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
    August 28, 2024 - Study Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. Citation Text: Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
  17. psnet.ahrq.gov/issue/improving-hand-communication
    April 24, 2007 - Book/Report Classic Improving Hand-Off Communication. Citation Text: Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. Copy Citation Save Save to your library Print …
  18. psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
    June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
  19. psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
    April 29, 2020 - Review A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. Citation Text: Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to v…
  20. psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study
    February 09, 2022 - Study Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Citation Text: Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol…

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