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9981. MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. | PSNet
      psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
      July 07, 2021 - Multi-use Website MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Citation Text: MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Oxford, UK: The National Perinatal Epidemiology U…

9982. Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
      May 13, 2009 - Book/Report Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Citation Text: Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…

9983. Understanding the root cause analysis process to increase safety event reporting. | PSNet
      psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
      August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

9984. Aviation tools to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
      June 19, 2024 - Commentary Aviation tools to improve patient safety. Citation Text: Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

9985. Creating safety culture on nursing units: human performance and organizational system factors that make a difference. | PSNet
      psnet.ahrq.gov/issue/creating-safety-culture-nursing-units-human-performance-and-organizational-system-factors
      May 29, 2013 - Study Creating safety culture on nursing units: human performance and organizational system factors that make a difference. Citation Text: Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000242978.40424.24. Co…

9986. 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-…

9987. 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…

9988. 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…

9989. 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 …

9990. 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 …

9991. 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…

9992. 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! …

9993. 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…

9994. 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…

9995. 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 …

9996. 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 …

9997. 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. …

9998. 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…

9999. 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…

10000. 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…