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9641. The Objective Structured Clinical Examination as an educational tool in patient safety. | PSNet
      psnet.ahrq.gov/issue/objective-structured-clinical-examination-educational-tool-patient-safety
      May 01, 2014 - Study The Objective Structured Clinical Examination as an educational tool in patient safety. Citation Text: Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. Copy Citation Format:…

9642. The 2021 John M. Eisenberg Patient Safety and Quality Awards. | PSNet
      psnet.ahrq.gov/issue/2021-john-m-eisenberg-patient-safety-and-quality-awards
      August 02, 2023 - Award Recipient The 2021 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: The 2021 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2022;48(8):365-424. Copy Citation Save Save to your library Print Dow…

9643. Gossypiboma: tales of lost sponges and lessons learned. | PSNet
      psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
      March 24, 2021 - Study Gossypiboma: tales of lost sponges and lessons learned. Citation Text: McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9644. Reduction in pediatric identification band errors: a quality collaborative. | PSNet
      psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
      March 14, 2022 - Study Reduction in pediatric identification band errors: a quality collaborative. Citation Text: Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. Copy Cit…

9645. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. | PSNet
      psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
      June 07, 2023 - Newspaper/Magazine Article NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Citation Text: Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. December 25, 2019; Copy Citation Format: Goo…

9646. Are apologies a way to reduce malpractice risks?. | PSNet
      psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
      October 23, 2018 - Commentary Are apologies a way to reduce malpractice risks?. Citation Text: Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772. Copy Citation Format: DOI Google Sch…

9647. Implementation of patient safety rounds in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
      October 19, 2022 - Commentary Implementation of patient safety rounds in a children's hospital. Citation Text: Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41. Copy Citation F…

9648. Creating a culture of safety in the emergency department: the value of teamwork training. | PSNet
      psnet.ahrq.gov/issue/creating-culture-safety-emergency-department-value-teamwork-training
      October 14, 2020 - Study Creating a culture of safety in the emergency department: the value of teamwork training. Citation Text: Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e318…

9649. Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? | PSNet
      psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-same-hospital
      April 07, 2021 - Book/Report Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? Citation Text: Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? Gangopadhyaya A. Washington DC; Urban Institute: July 2021. …

9650. Public Health Notification from FDA: Vail Products Enclosed Bed Systems. | PSNet
      psnet.ahrq.gov/issue/public-health-notification-fda-vail-products-enclosed-bed-systems
      December 16, 2020 - Press Release/Announcement Public Health Notification from FDA: Vail Products Enclosed Bed Systems. Citation Text: Public Health Notification from FDA: Vail Products Enclosed Bed Systems. MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; December 4, 2007. Copy …

9651. Decreasing 30-day readmission rates. | PSNet
      psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
      July 19, 2018 - Commentary Decreasing 30-day readmission rates. Citation Text: Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

9652. Top 10 patient safety issues: what more can we do? | PSNet
      psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
      May 08, 2013 - Commentary Top 10 patient safety issues: what more can we do? Citation Text: Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012. Copy Citation Format: DOI Google Scholar PubMed…

9653. Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. | PSNet
      psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
      August 17, 2022 - Webinar Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Citation Text: Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Institute for Safe Medication Practic…

9654. Availability of Spanish prescription labels. | PSNet
      psnet.ahrq.gov/issue/availability-spanish-prescription-labels
      December 18, 2014 - Study Availability of Spanish prescription labels. Citation Text: Sharif I, Lo S, Ozuah PO. Availability of Spanish prescription labels. J Health Care Poor Underserved. 2006;17(1):65-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

9655. Commonly used, easily confused: let's eliminate hyper and hypo. | PSNet
      psnet.ahrq.gov/issue/commonly-used-easily-confused-lets-eliminate-hyper-and-hypo
      April 18, 2018 - Commentary Commonly used, easily confused: let's eliminate hyper and hypo. Citation Text: Frankel A, Vecchio P. Commonly used, easily confused: let's eliminate hyper and hypo. BMJ. 2010;341:c5867. doi:10.1136/bmj.c5867. Copy Citation Format: DOI Google Scholar PubMed BibT…

9656. Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. | PSNet
      psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical-cases
      January 22, 2016 - Study Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. Citation Text: Stone S, Bernstein M. Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. Neurosurgery. 2007;60(6):1075-80; discussion 1080-2. Copy Cit…

9657. ASPEN parenteral nutrition safety consensus recommendations: translation into practice. | PSNet
      psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
      February 17, 2015 - Commentary ASPEN parenteral nutrition safety consensus recommendations: translation into practice. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.…

9658. British nurse was found guilty of killing seven babies. Did she do it? | PSNet
      psnet.ahrq.gov/issue/british-nurse-was-found-guilty-killing-seven-babies-did-she-do-it
      July 28, 2021 - Newspaper/Magazine Article British nurse was found guilty of killing seven babies. Did she do it? Citation Text: British nurse was found guilty of killing seven babies. Did she do it? Aviv R. New Yorker. May 20, 2024. Copy Citation Save Save to your library …

9659. Understanding human factors in patient safety when prescribing. | PSNet
      psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing
      June 15, 2022 - Newspaper/Magazine Article Understanding human factors in patient safety when prescribing. Citation Text: Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). Copy Citation Format: DOI Google Sch…

9660. Educational interventions to reduce prescribing errors. | PSNet
      psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
      October 19, 2022 - Study Educational interventions to reduce prescribing errors. Citation Text: Conroy S, North C, Fox T, et al. Educational interventions to reduce prescribing errors. Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761. Copy Citation Format: DOI Google Scholar Pu…