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9881. NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. | PSNet
      psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
      October 18, 2017 - Book/Report NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. Citation Text: NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…

9882. Implementing a systematic response to medication errors. | PSNet
      psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
      August 27, 2009 - Commentary Implementing a systematic response to medication errors. Citation Text: Larsen D, Cole R, Higton P. Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

9883. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. | PSNet
      psnet.ahrq.gov/issue/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
      January 15, 2009 - Review Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. Citation Text: Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.111…

9884. Costs of medical injuries in Utah and Colorado. | PSNet
      psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
      June 30, 2021 - Study Classic Costs of medical injuries in Utah and Colorado. Citation Text: Costs of medical injuries in Utah and Colorado. Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA Copy Citation Save Save to your …

9885. Sensemaking in Organizations. | PSNet
      psnet.ahrq.gov/issue/sensemaking-organizations
      June 20, 2018 - Book/Report Classic Sensemaking in Organizations. Citation Text: Sensemaking in Organizations. Weick KE. Thousand Oaks, CA: Sage Publications; 1995. ISBN: 9780803971776. Copy Citation Save Save to your library Print Download PDF…

9886. Risk, society and system failure. | PSNet
      psnet.ahrq.gov/issue/risk-society-and-system-failure
      November 29, 2023 - Commentary Risk, society and system failure. Citation Text: Scalliet P. Risk, society and system failure. Radiotherapy and Oncology. 2006;80(3). doi:10.1016/j.radonc.2006.07.003. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

9887. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet
      psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
      March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

9888. Pump up the volume: how to prioritize events and analyze error data. | PSNet
      psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
      March 14, 2023 - Newspaper/Magazine Article Pump up the volume: how to prioritize events and analyze error data. Citation Text: Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. Copy Citation …

9889. Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. | PSNet
      psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
      June 18, 2014 - Newspaper/Magazine Article Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. Citation Text: Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…

9890. Drug shortages: national survey reveals high level of frustration, low level of safety. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
      April 05, 2023 - Newspaper/Magazine Article Drug shortages: national survey reveals high level of frustration, low level of safety. Citation Text: Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…

9891. "It's not our ass": medical resident sense-making regarding lawsuits. | PSNet
      psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
      December 02, 2015 - Study "It's not our ass": medical resident sense-making regarding lawsuits. Citation Text: Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

9892. Results of our survey on drug storage, stability, compatibility, and beyond use dating. | PSNet
      psnet.ahrq.gov/issue/results-our-survey-drug-storage-stability-compatibility-and-beyond-use-dating
      February 13, 2019 - Newspaper/Magazine Article Results of our survey on drug storage, stability, compatibility, and beyond use dating. Citation Text: Results of our survey on drug storage, stability, compatibility, and beyond use dating. ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-…

9893. Cancer drug shortages are creating dire circumstances for some patients. | PSNet
      psnet.ahrq.gov/issue/cancer-drug-shortages-are-creating-dire-circumstances-some-patients
      September 21, 2022 - Newspaper/Magazine Article Cancer drug shortages are creating dire circumstances for some patients. Citation Text: Cancer drug shortages are creating dire circumstances for some patients. Lovelace B, Jr, Kopf M. NBC. April 11, 2023. Copy Citation Save Save to yo…

9894. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet
      psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
      March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…

9895. Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. | PSNet
      psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
      July 30, 2014 - Newspaper/Magazine Article Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. Citation Text: Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. ISMP Medication Safety Alert! Acute …

9896. Medication errors: the year in review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-year-review
      May 02, 2018 - Newspaper/Magazine Article Medication errors: the year in review. Citation Text: Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019. Copy Citation Save Save to your library Print Down…

9897. Surgeon age and operative mortality in the United States. | PSNet
      psnet.ahrq.gov/issue/surgeon-age-and-operative-mortality-united-states
      August 02, 2015 - Study Surgeon age and operative mortality in the United States. Citation Text: Waljee JF, Greenfield LJ, Dimick JB, et al. Surgeon Age and Operative Mortality in the United States. Transactions of the .. Meeting of the American Surgical Association. 2006;124. doi:10.1097/01.sla.0000234…

9898. With oral chemotherapy, we simply must do better! | PSNet
      psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better
      February 13, 2019 - Newspaper/Magazine Article With oral chemotherapy, we simply must do better! Citation Text: With oral chemotherapy, we simply must do better! ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4. Copy Citation Save Save to your library Prin…

9899. The absence of a drug–disease interaction alert leads to a child's death. | PSNet
      psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
      July 08, 2015 - Newspaper/Magazine Article The absence of a drug–disease interaction alert leads to a child's death. Citation Text: The absence of a drug–disease interaction alert leads to a child's death. ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. Copy Citation …

9900. Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices
      March 15, 2022 - Newspaper/Magazine Article Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5. Copy …