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  1. 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…

  2. 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…

  3. 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…

  4. Prescription drug time guarantees and their impact on patient safety in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/prescription-drug-time-guarantees-and-their-impact-patient-safety-community-pharmacies
    June 10, 2018 - Newspaper/Magazine Article Prescription drug time guarantees and their impact on patient safety in community pharmacies. Citation Text: Prescription drug time guarantees and their impact on patient safety in community pharmacies. ISMP Medication Safety Alert! Acute care edition! Septembe…

  5. 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…

  6. 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 …

  7. 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 …

  8. 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…

  9. Misidentification of alphanumeric symbols. | PSNet

    psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols
    March 26, 2014 - Newspaper/Magazine Article Misidentification of alphanumeric symbols. Citation Text: Misidentification of alphanumeric symbols. ISMP Medication Safety Alert! Acute care edition. June 5, 2014;19:1-2,4-5. Copy Citation Save Save to your library Print Downl…

  10. Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. | PSNet

    psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
    November 02, 2016 - Book/Report Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Citation Text: Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. …

  11. Our stubborn quest for diagnostic certainty. | PSNet

    psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
    June 21, 2016 - Commentary Our stubborn quest for diagnostic certainty. Citation Text: Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  12. Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. | PSNet

    psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting
    April 22, 2020 - Newspaper/Magazine Article Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. Citation Text: Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. Hopkins E, Kohler J. ProPublica. April 3, …

  13. 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…

  14. 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 …

  15. 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…

  16. Human Error. | PSNet

    psnet.ahrq.gov/issue/human-error
    March 06, 2005 - Book/Report Classic Human Error. Citation Text: Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  17. Just a Cup of Tea – an Introduction to the SEIPS Framework. | PSNet

    psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
    January 31, 2018 - Audiovisual Presentation Just a Cup of Tea – an Introduction to the SEIPS Framework. Citation Text: Just a Cup of Tea – an Introduction to the SEIPS Framework. Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023. Copy Citation …

  18. Advances in Patient Safety: New Directions and Alternative Approaches. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
    August 01, 2012 - Book/Report Classic Advances in Patient Safety: New Directions and Alternative Approaches. Citation Text: Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publicatio…

  19. Understanding Patient Safety, Third Edition. | PSNet

    psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
    November 03, 2015 - Book/Report Classic Understanding Patient Safety, Third Edition. Citation Text: Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. Copy Citation Save Save t…

  20. Department of Defense Health Care Quality. | PSNet

    psnet.ahrq.gov/issue/department-defense-health-care-quality
    February 11, 2025 - Book/Report Department of Defense Health Care Quality. Citation Text: Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011. Copy Citation Save Save to your library Print…
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