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9921. Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. | PSNet
      psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
      April 20, 2022 - Book/Report Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. Citation Text: Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.  National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…

9922. Influencing leadership perceptions of patient safety through just culture training. | PSNet
      psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
      September 24, 2010 - Commentary Influencing leadership perceptions of patient safety through just culture training. Citation Text: Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…

9923. Nursing home error and level of staff credentials. | PSNet
      psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
      September 24, 2010 - Study Nursing home error and level of staff credentials. Citation Text: Scott-Cawiezell J, Pepper GA, Madsen RW, et al. Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

9924. Assessing and monitoring override medications in automated dispensing devices. | PSNet
      psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
      May 06, 2009 - Study Assessing and monitoring override medications in automated dispensing devices. Citation Text: Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. Copy Citation F…

9925. Safely implementing health information and converging technologies. | PSNet
      psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
      May 14, 2018 - Sentinel Event Alerts Safely implementing health information and converging technologies. Citation Text: Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

9926. Whistleblowing and patient safety: the patient's or the profession's interests at stake. | PSNet
      psnet.ahrq.gov/issue/whistleblowing-and-patient-safety-patients-or-professions-interests-stake
      June 10, 2020 - Commentary Whistleblowing and patient safety: the patient's or the profession's interests at stake. Citation Text: Bolsin S, Pal R, Wilmshurst P, et al. Whistleblowing and patient safety: the patient's or the profession's interests at stake? J R Soc Med. 2011;104(7):278-82. doi:10.1258/…

9927. Unintended exposure in radiotherapy: identification of prominent causes. | PSNet
      psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
      May 01, 2003 - Study Unintended exposure in radiotherapy: identification of prominent causes. Citation Text: Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044. Copy Citation Format: …

9928. Detection of patient risk by nurses: a theoretical framework. | PSNet
      psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
      September 24, 2010 - Commentary Detection of patient risk by nurses: a theoretical framework. Citation Text: Despins LA, Scott-Cawiezell J, Rouder JN. Detection of patient risk by nurses: a theoretical framework. J Adv Nurs. 2010;66(2). doi:10.1111/j.1365-2648.2009.05215.x. Copy Citation Format: …

9929. Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. | PSNet
      psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
      May 02, 2018 - Newspaper/Magazine Article Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. Citation Text: Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. ISMP Medication Safety Alert! …

9930. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
      psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
      March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…

9931. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet
      psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
      December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…

9932. Diagnostic error and clinical reasoning. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning
      February 06, 2013 - Review Diagnostic error and clinical reasoning. Citation Text: Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100. doi:10.1111/j.1365-2923.2009.03507.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

9933. Improving patient safety by practicing in a just culture. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
      June 14, 2017 - Commentary Improving patient safety by practicing in a just culture. Citation Text: Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

9934. Do No Harm: Stories of Life, Death, and Brain Surgery. | PSNet
      psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
      January 07, 2019 - Book/Report Do No Harm: Stories of Life, Death, and Brain Surgery. Citation Text: Do No Harm: Stories of Life, Death, and Brain Surgery. Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810. Copy Citation Save Save to your library Print D…

9935. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet
      psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
      April 27, 2022 - Newspaper/Magazine Article Nurses: Guilty verdict for dosing mistake could cost lives. Citation Text: Nurses: Guilty verdict for dosing mistake could cost lives. Loller T. Associated Press. March 30, 2022. Copy Citation Save Save to your library …

9936. The (slowly) vanishing prescription pad. | PSNet
      psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
      April 08, 2019 - Commentary The (slowly) vanishing prescription pad. Citation Text: Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

9937. Missed injuries in trauma patients: a literature review. | PSNet
      psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
      April 01, 2009 - Review Missed injuries in trauma patients: a literature review. Citation Text: Pfeifer R, Pape H-C. Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20. doi:10.1186/1754-9493-2-20. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

9938. Handoffs: transitions of care for children in the emergency department. | PSNet
      psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
      July 03, 2016 - Organizational Policy/Guidelines Handoffs: transitions of care for children in the emergency department. Citation Text: Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…

9939. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. | PSNet
      psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
      December 21, 2016 - Study Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. Citation Text: Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-26…

9940. Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet
      psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
      February 28, 2024 - Commentary Remembering to learn: the overlooked role of remembrance in safety improvement. Citation Text: Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. Copy Citation Format:…