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  1. Handoff Communication Tools. | PSNet

    psnet.ahrq.gov/issue/handoff-communication-tools
    May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…

  2. 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet

    psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
    January 26, 2023 - Press Release/Announcement 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: 2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada. Copy…

  3. Common formats for patient safety data collection and event reporting. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
    July 03, 2013 - Press Release/Announcement Common formats for patient safety data collection and event reporting. Citation Text: Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…

  4. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet

    psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

  5. Medication prescribing errors involving the route of administration. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
    January 12, 2011 - Study Medication prescribing errors involving the route of administration. Citation Text: Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. Copy Citation Format: DOI Google Scholar Bib…

  6. Why patient safety is such a tough nut to crack. | PSNet

    psnet.ahrq.gov/issue/why-patient-safety-such-tough-nut-crack
    May 03, 2023 - Commentary Why patient safety is such a tough nut to crack. Citation Text: Leistikow IP, Kalkman CJ, de Bruijn H. Why patient safety is such a tough nut to crack. BMJ. 2011;342:d3447. doi:10.1136/bmj.d3447. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  7. Understanding human over-reliance on technology. | PSNet

    psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
    February 24, 2016 - Newspaper/Magazine Article Understanding human over-reliance on technology. Citation Text: Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4. Copy Citation Save Save to your library Pr…

  8. National Center for Patient Safety Falls Toolkit 2004. | PSNet

    psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
    May 24, 2017 - Toolkit National Center for Patient Safety Falls Toolkit 2004. Citation Text: National Center for Patient Safety Falls Toolkit 2004. Department of Veterans Affairs (VA) National Center for Patient Safety Copy Citation Save Save to your library Print Down…

  9. Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. | PSNet

    psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
    February 24, 2016 - Newspaper/Magazine Article Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. Citation Text: Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…

  10. Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. | PSNet

    psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
    January 24, 2018 - Newspaper/Magazine Article Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. Citation Text: Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…

  11. Is an indication-based prescribing system in our future? | PSNet

    psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
    February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …

  12. Improving care transitions: optimizing medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
    June 17, 2014 - Commentary Improving care transitions: optimizing medication reconciliation. Citation Text: Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…

  13. 2005 Quest for Quality Prize. | PSNet

    psnet.ahrq.gov/issue/2005-quest-quality-prize
    June 17, 2014 - Award Recipient 2005 Quest for Quality Prize. Citation Text: Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66. Copy Citation Format: Google Scholar PubMed BibTeX En…

  14. Clinical Risk Management. Enhancing Patient Safety. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
    May 20, 2019 - Book/Report Classic Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Citation Text: Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. Copy Citation Save …

  15. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet

    psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…

  16. The Shift Coupon: an innovative method to monitor adverse events. | PSNet

    psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
    June 25, 2010 - Study The Shift Coupon: an innovative method to monitor adverse events. Citation Text: Kellogg VA, Havens DS. The Shift Coupon: an innovative method to monitor adverse events. J Nurs Care Qual. 2006;21(1):49-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  17. Guide to Patient and Family Engagement: Environmental Scan Report. | PSNet

    psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
    August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…

  18. Towards a model of surgeons' leadership in the operating room. | PSNet

    psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
    July 01, 2020 - Review Towards a model of surgeons' leadership in the operating room. Citation Text: Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295. Copy Citation Format: DOI G…

  19. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. | PSNet

    psnet.ahrq.gov/issue/causes-consequences-detection-and-prevention-identification-errors-laboratory-diagnostics
    July 05, 2017 - Review Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Citation Text: Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;…

  20. The emotional fallout from the culture of blame and shame. | PSNet

    psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
    October 28, 2020 - Commentary The emotional fallout from the culture of blame and shame. Citation Text: Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. Copy Citation Format: DOI Google Scholar PubMe…
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