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9141. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. | PSNet
      psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients
      April 21, 2011 - Commentary Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Citation Text: Brown SD, Lehman CD, Truog RD, et al. Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology. 2012;262(2):381-386. doi:10…

9142. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. | PSNet
      psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
      September 21, 2011 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Oakbrook Terrace, IL: The Joint Commission; January 2010. Cop…

9143. Breaking the mould in patient safety. | PSNet
      psnet.ahrq.gov/issue/breaking-mould-patient-safety
      June 20, 2011 - Commentary Breaking the mould in patient safety. Citation Text: Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585. doi:10.1136/bmj.b2585. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

9144. 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 …

9145. 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…

9146. 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…

9147. Developing a medication patient safety program — infrastructure and strategy. | PSNet
      psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
      May 11, 2014 - Commentary Developing a medication patient safety program — infrastructure and strategy. Citation Text: Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149. Copy Citation Format: …

9148. The science of improvement. | PSNet
      psnet.ahrq.gov/issue/science-improvement
      August 04, 2021 - Commentary Classic The science of improvement. Citation Text: Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

9149. Patient safety issues in advanced practice nursing students' care settings. | PSNet
      psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
      April 10, 2013 - Study Patient safety issues in advanced practice nursing students' care settings. Citation Text: Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27. Copy Citatio…

9150. Improving medication reconciliation in hospitals. | PSNet
      psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
      October 25, 2017 - Commentary Improving medication reconciliation in hospitals. Citation Text: Improving medication reconciliation in hospitals. Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3. Copy Citation Save Save to your library Print Download PDF Sha…

9151. Patient-centered approach for improving prescription drug warning labels. | PSNet
      psnet.ahrq.gov/issue/patient-centered-approach-improving-prescription-drug-warning-labels
      January 05, 2012 - Study Patient-centered approach for improving prescription drug warning labels. Citation Text: Webb J, Davis TC, Bernadella P, et al. Patient-centered approach for improving prescription drug warning labels. Patient Educ Couns. 2008;72(3):443-9. doi:10.1016/j.pec.2008.05.019. Copy Ci…

9152. The long road to ensuring patient safety in NHS hospitals. | PSNet
      psnet.ahrq.gov/issue/long-road-ensuring-patient-safety-nhs-hospitals
      November 04, 2015 - Commentary The long road to ensuring patient safety in NHS hospitals. Citation Text: Dyer C. The long road to ensuring patient safety in NHS hospitals. BMJ. 2013;346:f3029. doi:10.1136/bmj.f3029. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

9153. Standardization of inpatient handoff communication. | PSNet
      psnet.ahrq.gov/issue/standardization-inpatient-handoff-communication
      April 26, 2023 - Organizational Policy/Guidelines Standardization of inpatient handoff communication. Citation Text: Jewell JA. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5):e20162681. doi:10.1542/peds.2016-2681. Copy Citation Format: DOI Google Scholar BibTeX …

9154. Error traps in acute pain management in children. | PSNet
      psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
      August 24, 2022 - Commentary Error traps in acute pain management in children. Citation Text: Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514. Copy Citation Format: DOI Google Scholar BibTeX En…

9155. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. | PSNet
      psnet.ahrq.gov/issue/iatrogenic-events-neonates-beneficial-effects-prevention-strategies-and-continuous-monitoring
      February 20, 2008 - Study Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Citation Text: Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics. 2010;126(6):e146…

9156. FDA urged to move faster to fix pulse oximeters for darker-skinned patients. | PSNet
      psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients
      September 21, 2016 - Newspaper/Magazine Article FDA urged to move faster to fix pulse oximeters for darker-skinned patients. Citation Text: FDA urged to move faster to fix pulse oximeters for darker-skinned patients. McFarling UL. STAT. February 2, 2024. Copy Citation Save Save to y…

9157. Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. | PSNet
      psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
      August 01, 2012 - Meeting/Conference Proceedings Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Citation Text: Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Agency for Healthcare Research and Quality. July 25, 2024. Copy Citation Save …

9158. 'Cyberloafing' in health care: a real risk to patient safety. | PSNet
      psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
      June 19, 2024 - Commentary 'Cyberloafing' in health care: a real risk to patient safety. Citation Text: Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560-562. doi:10.1016/j.jopan.2018.05.003. Copy Citation Format: DOI Google Scholar Pub…

9159. Health tech hazards: at-home medical devices, AI governance on ECRI's new list. | PSNet
      psnet.ahrq.gov/issue/health-tech-hazards-home-medical-devices-ai-governance-ecris-new-list
      November 23, 2016 - Newspaper/Magazine Article Health tech hazards: at-home medical devices, AI governance on ECRI's new list. Citation Text: Health tech hazards: at-home medical devices, AI governance on ECRI's new list. Miliard M. Healthcare IT News. February 1, 2024. Copy Citation Sav…

9160. Workarounds are routinely used by nurses—but are they ethical? | PSNet
      psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
      October 27, 2016 - Commentary Workarounds are routinely used by nurses—but are they ethical? Citation Text: Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7. Copy Citation Format: DOI Google Schol…