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  1. Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. | PSNet

    psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
    June 10, 2018 - Newspaper/Magazine Article Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. Citation Text: Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…

  2. The glaring loophole in U.S. virus response: human error. | PSNet

    psnet.ahrq.gov/issue/glaring-loophole-us-virus-response-human-error
    March 18, 2020 - Newspaper/Magazine Article The glaring loophole in U.S. virus response: human error. Citation Text: The glaring loophole in U.S. virus response: human error. Ehley B. Politico. March 2, 2020. Copy Citation Save Save to your library Print Download PDF …

  3. 'Inattentional blindness': what captures your attention? | PSNet

    psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0
    November 24, 2021 - Commentary 'Inattentional blindness': what captures your attention? Citation Text: Grissinger M. 'Inattentional blindness': what captures your attention? P.T. 2012;37(10):542-555. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  4. 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 …

  5. Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. | PSNet

    psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-non-profiled
    May 07, 2014 - Newspaper/Magazine Article Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. Citation Text: Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. ISMP Medication …

  6. Using simulation to improve systems. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-systems-0
    July 22, 2020 - Review Using simulation to improve systems. Citation Text: Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  7. Appendix C. Interview Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apc.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Appendix C. Interview Guide Previous Page   Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion Referenc…

  8. Pandemic presents new hurdles, and hope, for people struggling with addiction. | PSNet

    psnet.ahrq.gov/issue/pandemic-presents-new-hurdles-and-hope-people-struggling-addiction
    September 01, 2016 - Newspaper/Magazine Article Pandemic presents new hurdles, and hope, for people struggling with addiction. Citation Text: Pandemic presents new hurdles, and hope, for people struggling with addiction. Feldman N. Kaiser Health News. June 2, 2020. Copy Citation Save …

  9. The 2014 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards
    November 30, 2016 - Special or Theme Issue The 2014 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: Jt Comm J Qual Patient Saf. 2015;41(5):195-211. Copy Citation Format: PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  10. How safe are compounded drugs?    | PSNet

    psnet.ahrq.gov/issue/how-safe-are-compounded-drugs
    May 20, 2020 - Newspaper/Magazine Article How safe are compounded drugs?    Citation Text: How safe are compounded drugs?    Beyzarov E. Drug Topics. September 18, 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

  11. Communicating After Harm in Healthcare. | PSNet

    psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
    May 08, 2019 - Organizational Policy/Guidelines Communicating After Harm in Healthcare. Citation Text: Communicating After Harm in Healthcare. Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266 Copy Citation Save …

  12. Medical mistakes are more likely in women and minorities. | PSNet

    psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
    November 01, 2017 - Newspaper/Magazine Article Medical mistakes are more likely in women and minorities. Citation Text: Medical mistakes are more likely in women and minorities. Szabo L. NBC News. January 15, 2024. Copy Citation Save Save to your library Print Download PD…

  13. A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. | PSNet

    psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
    August 10, 2022 - Congressional Testimony A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. Citation Text: A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. U…

  14. The 2020 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2020-john-m-eisenberg-patient-safety-and-quality-awards
    August 12, 2020 - Award Recipient The 2020 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: The 2020 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2021;47(8):463-488.  Copy Citation Save Save to your library Pr…

  15. 2007 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-awards
    January 06, 2017 - Award Recipient 2007 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2007 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2007;33(12):709-757. Copy Citation Save Save to your library Print Download P…

  16. Medicare cuts payments to nursing homes whose patients keep ending up in hospital. | PSNet

    psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital
    June 27, 2018 - Newspaper/Magazine Article Medicare cuts payments to nursing homes whose patients keep ending up in hospital. Citation Text: Medicare cuts payments to nursing homes whose patients keep ending up in hospital. Rau J. Kaiser Health News. December 3, 2018. Copy Citation Sav…

  17. When incidents happen. | PSNet

    psnet.ahrq.gov/issue/when-incidents-happen
    January 14, 2011 - Commentary When incidents happen. Citation Text: Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. ISMP Medication Safety Intensive. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-intensive
    February 05, 2025 - International Meeting/Conference ISMP Medication Safety Intensive. Citation Text: ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). Copy Citation Save Save to your library Print Do…

  19. Half of hospitals in Conn., Del. hit by Medicare's safety penalties. | PSNet

    psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
    December 12, 2018 - Newspaper/Magazine Article Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Citation Text: Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018. Copy Citation Save Save to your library …

  20. More than 750 hospitals face Medicare crackdown on patient injuries. | PSNet

    psnet.ahrq.gov/issue/more-750-hospitals-face-medicare-crackdown-patient-injuries
    June 27, 2018 - Newspaper/Magazine Article More than 750 hospitals face Medicare crackdown on patient injuries. Citation Text: More than 750 hospitals face Medicare crackdown on patient injuries. Rau J. Kaiser Health News. June 22, 2014. Copy Citation Save Save to your library …
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