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9901. Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error | PSNet
      psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
      February 10, 2021 - Newspaper/Magazine Article Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error Citation Text: Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. …

9902. Patient safety in plastic surgery. | PSNet
      psnet.ahrq.gov/issue/patient-safety-plastic-surgery
      September 09, 2020 - Commentary Patient safety in plastic surgery. Citation Text: Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e. doi:10.1097/prs.0b013e31825dc349. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

9903. Factors influencing nurses' decisions to raise concerns about care quality. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
      June 22, 2009 - Study Factors influencing nurses' decisions to raise concerns about care quality. Citation Text: Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

9904. Interruptions and miscommunications in surgery: an observational study. | PSNet
      psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
      August 11, 2021 - Study Interruptions and miscommunications in surgery: an observational study. Citation Text: Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012. Copy Citation For…

9905. Perceptions of radiation safety culture in medical imaging by role. | PSNet
      psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role
      September 27, 2023 - Study Perceptions of radiation safety culture in medical imaging by role. Citation Text: Perceptions of radiation safety culture in medical imaging by role. Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347. Copy Citation Save Save to your library Pr…

9906. Two decades since To Err Is Human: progress, but still a "chasm". | PSNet
      psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
      January 23, 2019 - Special or Theme Issue Two decades since To Err Is Human: progress, but still a "chasm". Citation Text: Dzau VJ, Shine KI. Two Decades Since To Err Is Human. JAMA. 2020;324(24):2489-2490. doi:10.1001/jama.2020.23151. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

9907. Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? | PSNet
      psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-about-improvement
      April 27, 2011 - Meeting/Conference Proceedings Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? Citation Text: Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Ca…

9908. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet
      psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
      October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

9909. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet
      psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
      December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

9910. Multiple accountabilities in incident reporting and management. | PSNet
      psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
      August 28, 2024 - Slideset Multiple accountabilities in incident reporting and management. Citation Text: Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232. Copy Citation Format: …

9911. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. | PSNet
      psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
      July 13, 2010 - Study Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. Citation Text: Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…

9912. Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). | PSNet
      psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
      January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).  Rockville, MD: Agency for Healthcare Research and Quality; Septembe…

9913. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
      December 15, 2011 - Study A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Citation Text: Needham DM, Sinopoli DJ, Thompson DA, et al. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Crit Care Med. 2005;33(8):1701-1707. …

9914. Emergency lights and sirens on ambulances may do more harm than good. | PSNet
      psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good
      February 15, 2023 - Newspaper/Magazine Article Emergency lights and sirens on ambulances may do more harm than good. Citation Text: Emergency lights and sirens on ambulances may do more harm than good. Renault M. Stat. July 7, 2023. Copy Citation Save Save to your library Pri…

9915. The role of apology laws in medical malpractice. | PSNet
      psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
      July 29, 2020 - Commentary The role of apology laws in medical malpractice. Citation Text: The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414. Copy Citation Save Save to your library Print Download PD…

9916. Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. | PSNet
      psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
      November 25, 2009 - Tools/Toolkit Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. Citation Text: Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: Univers…

9917. Follow-up tips for a safe, efficient practice. | PSNet
      psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
      July 23, 2010 - Newspaper/Magazine Article Follow-up tips for a safe, efficient practice. Citation Text: Weiss GG. Follow-up tips for a safe, efficient practice. Medical economics. 2006;83(10):47-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

9918. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. | PSNet
      psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
      May 11, 2016 - Book/Report Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. Citation Text: Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Resear…

9919. Why empathy may be the best risk management strategy. | PSNet
      psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy
      August 09, 2017 - Newspaper/Magazine Article Why empathy may be the best risk management strategy. Citation Text: Hertz BT. Why empathy may be the best risk management strategy. Medical economics. 2015;92(3):40-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

9920. Accuracies of diagnostic methods for acute appendicitis. | PSNet
      psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
      September 06, 2017 - Study Accuracies of diagnostic methods for acute appendicitis. Citation Text: Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…