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  1. The new patient safety officer: a lifeline for patients, a life jacket for CEOs. | PSNet

    psnet.ahrq.gov/issue/new-patient-safety-officer-lifeline-patients-life-jacket-ceos
    September 12, 2012 - Commentary The new patient safety officer: a lifeline for patients, a life jacket for CEOs. Citation Text: Denham CR. The New Patient Safety Officer. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318036bae9. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  2. Canada continues to lag behind other OECD countries on measures of patient safety | PSNet

    psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
    March 26, 2014 - Fact Sheet/FAQs Canada continues to lag behind other OECD countries on measures of patient safety Citation Text: Canada continues to lag behind other OECD countries on measures of patient safety Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Informat…

  3. Noise: a distraction, interruption, and safety hazard. | PSNet

    psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
    February 01, 2014 - Commentary Noise: a distraction, interruption, and safety hazard. Citation Text: Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  4. Distractions, interruptions, and patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
    February 01, 2014 - Commentary Distractions, interruptions, and patient safety. Citation Text: Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. JCAHO's National Patient Safety Goals 2006. | PSNet

    psnet.ahrq.gov/issue/jcahos-national-patient-safety-goals-2006
    December 17, 2008 - Commentary JCAHO's National Patient Safety Goals 2006. Citation Text: Catalano K. JCAHO'S National Patient Safety Goals 2006. J Perianesth Nurs. 2006;21(1):6-11. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Remote CPOE error—a situation that's more than remotely possible. | PSNet

    psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
    May 07, 2018 - Newspaper/Magazine Article Remote CPOE error—a situation that's more than remotely possible. Citation Text: Remote CPOE error—a situation that's more than remotely possible. ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3. Copy Citation Save …

  7. How the coronavirus is delaying life-altering surgeries. | PSNet

    psnet.ahrq.gov/issue/how-coronavirus-delaying-life-altering-surgeries
    May 20, 2020 - Audiovisual How the coronavirus is delaying life-altering surgeries. Citation Text: How the coronavirus is delaying life-altering surgeries. Booker C, Kargbo C. PBS News Hour. April 26, 2020. Copy Citation Save Save to your library Print Download PDF …

  8. More than half a million heart surgery patients at risk of a dangerous infection. | PSNet

    psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
    April 22, 2015 - Newspaper/Magazine Article More than half a million heart surgery patients at risk of a dangerous infection. Citation Text: More than half a million heart surgery patients at risk of a dangerous infection. Sun LH. Copy Citation Save Save to your library Prin…

  9. Adverse Drug Events in US Hospitals, 2004. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2004
    April 27, 2011 - Book/Report Adverse Drug Events in US Hospitals, 2004. Citation Text: Adverse Drug Events in US Hospitals, 2004. Elixhauser A, Owens P. HCUP Statistical Brief #29. Rockville, MD: Agency for Healthcare Research and Quality; April 2007. Copy Citation Save Save t…

  10. 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…

  11. 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…

  12. 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…

  13. 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 …

  14. 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 …

  15. 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…

  16. 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…

  17. 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…

  18. 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 …

  19. 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…

  20. 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 …
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