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  1. Awareness of patient safety grows with increased outpatient surgeries. | PSNet

    psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
    June 17, 2014 - Newspaper/Magazine Article Awareness of patient safety grows with increased outpatient surgeries. Citation Text: Awareness of patient safety grows with increased outpatient surgeries. Aston G. Hosp Health Netw. September 9, 2014. Copy Citation Save Save to your li…

  2. Medical error and moral luck. | PSNet

    psnet.ahrq.gov/issue/medical-error-and-moral-luck
    October 02, 2024 - Commentary Medical error and moral luck. Citation Text: Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  3. A mismatch made in America. | PSNet

    psnet.ahrq.gov/issue/mismatch-made-america
    December 31, 2018 - Newspaper/Magazine Article A mismatch made in America. Citation Text: A mismatch made in America. Butcher L. Managed Care. June 2019;28:37-39. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  4. Feds stop public disclosure of many serious hospital errors. | PSNet

    psnet.ahrq.gov/issue/feds-stop-public-disclosure-many-serious-hospital-errors
    September 17, 2014 - Newspaper/Magazine Article Feds stop public disclosure of many serious hospital errors. Citation Text: Feds stop public disclosure of many serious hospital errors. O'Donnell J. Copy Citation Save Save to your library Print Download PDF Share …

  5. An interview with Audrey Nelson. Interviewed by Steven Berman. | PSNet

    psnet.ahrq.gov/issue/interview-audrey-nelson-interviewed-steven-berman
    January 19, 2022 - Commentary An interview with Audrey Nelson. Interviewed by Steven Berman. Citation Text: Nelson AL. An interview with Audrey Nelson. Interviewed by Steven Berman. Jt Comm J Qual Patient Saf. 2005;31(12):665-670. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  6. A mislabeling event with batched drugs: the unintended consequences of practice changes. | PSNet

    psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
    May 07, 2014 - Newspaper/Magazine Article A mislabeling event with batched drugs: the unintended consequences of practice changes. Citation Text: A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…

  7. Challenge Competition: Impact of Patient Safety Tools. | PSNet

    psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
    December 24, 2008 - Grant Recipient Challenge Competition: Impact of Patient Safety Tools. Citation Text: Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023. Copy Citation Save Save to your library Print…

  8. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

  9. The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. | PSNet

    psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
    August 06, 2016 - Book/Report Classic The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Citation Text: The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023. Copy Citation …

  10. Potassium may no longer be stocked on patient care units, but serious threats still exist! | PSNet

    psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-exist
    May 02, 2018 - Newspaper/Magazine Article Potassium may no longer be stocked on patient care units, but serious threats still exist! Citation Text: Potassium may no longer be stocked on patient care units, but serious threats still exist! ISMP Medication Safety Alert! Acute care edition. October 4, 200…

  11. Special Issue on Resilience Engineering and High Reliability Organizations. | PSNet

    psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
    July 22, 2019 - Special or Theme Issue Special Issue on Resilience Engineering and High Reliability Organizations. Citation Text: Special Issue on Resilience Engineering and High Reliability Organizations. Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533. Copy Citation Save …

  12. Transparency and public reporting are essential for a safe health care system. | PSNet

    psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system
    March 05, 2010 - Newspaper/Magazine Article Transparency and public reporting are essential for a safe health care system. Citation Text: Transparency and public reporting are essential for a safe health care system. Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010. …

  13. TeamSTEPPS for Diagnosis Improvement. | PSNet

    psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
    July 17, 2024 - Toolkit TeamSTEPPS for Diagnosis Improvement. Citation Text: TeamSTEPPS for Diagnosis Improvement. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your librar…

  14. Common Program Requirements. The Learning and Working Environment (Duty Hours). | PSNet

    psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
    November 18, 2020 - Multi-use Website Common Program Requirements. The Learning and Working Environment (Duty Hours). Citation Text: Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education. Copy Citation Save …

  15. Opioid Stewardship. | PSNet

    psnet.ahrq.gov/issue/opioid-stewardship
    February 06, 2019 - Special or Theme Issue Opioid Stewardship. Citation Text: Opioid Stewardship. Ochsner J. 2018;18(1):20-45. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

  16. IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. | PSNet

    psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
    January 09, 2019 - Measurement Tool/Indicator Classic IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Citation Text: IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…

  17. Clinician support: five years of lessons learned. | PSNet

    psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
    March 20, 2017 - Newspaper/Magazine Article Clinician support: five years of lessons learned. Citation Text: Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31. Copy Citation Save Save to your li…

  18. Contemporary View of Medication-Related Harm. A New Paradigm. | PSNet

    psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
    July 20, 2012 - Tools/Toolkit Contemporary View of Medication-Related Harm. A New Paradigm. Citation Text: Contemporary View of Medication-Related Harm. A New Paradigm. National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP. Copy Citation Save Save t…

  19. Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. | PSNet

    psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
    August 23, 2007 - Newspaper/Magazine Article Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Citation Text: Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…

  20. Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. | PSNet

    psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
    February 17, 2021 - Book/Report Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Citation Text: Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…
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