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  1. Progress with preventing name confusion errors. | PSNet

    psnet.ahrq.gov/issue/progress-preventing-name-confusion-errors
    May 07, 2018 - Newspaper/Magazine Article Progress with preventing name confusion errors. Citation Text: Progress with preventing name confusion errors. ISMP Medication Safety Alert! Acute Care Edition. August 9, 2007;12:1-3. Copy Citation Save Save to your library Print …

  2. Oral medications inadvertently given via the intravenous route. | PSNet

    psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
    December 19, 2016 - Government Resource Oral medications inadvertently given via the intravenous route. Citation Text: Oral medications inadvertently given via the intravenous route. Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91. Copy Citation Save …

  3. ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. | PSNet

    psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
    June 10, 2018 - Newspaper/Magazine Article ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. Citation Text: ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. ISMP Medication Safety Alert! Acute Care Editi…

  4. Benefits and risks of including patients on RCA teams. | PSNet

    psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
    May 02, 2018 - Newspaper/Magazine Article Benefits and risks of including patients on RCA teams. Citation Text: Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3. Copy Citation Save Save to your library …

  5. Inpatient Quality Indicators. | PSNet

    psnet.ahrq.gov/issue/inpatient-quality-indicators
    December 22, 2014 - Multi-use Website Inpatient Quality Indicators. Citation Text: Inpatient Quality Indicators. Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center. Copy Citation Save Save to your library …

  6. Common Formats for Event Reporting. | PSNet

    psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
    September 06, 2011 - Measurement Tool/Indicator Common Formats for Event Reporting. Citation Text: Common Formats for Event Reporting. National Quality Forum. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  7. Reminder: pay attention to the appearance of your medicines. | PSNet

    psnet.ahrq.gov/issue/reminder-pay-attention-appearance-your-medicines
    September 09, 2015 - Newspaper/Magazine Article Reminder: pay attention to the appearance of your medicines. Citation Text: Reminder: pay attention to the appearance of your medicines. ISMP Canada. SafeMedicationUse Newsletter. December 2, 2014;5:1-2. Copy Citation Save Save to your…

  8. Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. | PSNet

    psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
    September 08, 2010 - Book/Report Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. Citation Text: Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN 978…

  9. 10 Medication Safety Tips for Hospitalized Patients. | PSNet

    psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
    February 06, 2019 - Fact Sheet/FAQs 10 Medication Safety Tips for Hospitalized Patients. Citation Text: 10 Medication Safety Tips for Hospitalized Patients. Horsham, PA: Institute for Safe Medication Practices; 2019. Copy Citation Save Save to your library Print Download PD…

  10. A deadly epidural, delivered by a doctor with a history of mistakes. | PSNet

    psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
    January 24, 2024 - Newspaper/Magazine Article A deadly epidural, delivered by a doctor with a history of mistakes. Citation Text: A deadly epidural, delivered by a doctor with a history of mistakes. Goldstein J. New York Times. January 23, 2023. Copy Citation Save Save to your lib…

  11. Never events: Utah hospitals saw nearly 60 serious errors in 2007. | PSNet

    psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007
    July 08, 2009 - Newspaper/Magazine Article Never events: Utah hospitals saw nearly 60 serious errors in 2007. Citation Text: Never events: Utah hospitals saw nearly 60 serious errors in 2007. May H. Salt Lake Tribune. August 18, 2008. Copy Citation Save Save to your library…

  12. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet

    psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
    November 25, 2015 - Book/Report The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Citation Text: The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. Copy Cita…

  13. Fluorouracil Incident Root Cause Analysis Report. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. Citation Text: Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. Copy Citation Save Save to your library Print Download …

  14. National Action Plan to Improve Health Literacy. | PSNet

    psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
    October 21, 2016 - Book/Report National Action Plan to Improve Health Literacy. Citation Text: National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.   Copy Citation Save Save to your library Pri…

  15. Accidental overdoses involving fluorouracil infusions. | PSNet

    psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
    July 08, 2015 - Newspaper/Magazine Article Accidental overdoses involving fluorouracil infusions. Citation Text: Accidental overdoses involving fluorouracil infusions. ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5. Copy Citation Save Save to your library …

  16. Learning from Disasters: A Management Approach. Third ed. | PSNet

    psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
    June 18, 2013 - Book/Report Learning from Disasters: A Management Approach. Third ed. Citation Text: Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029. Copy Citation Save Save to yo…

  17. Association for Professionals in Infection Control and Epidemiology. | PSNet

    psnet.ahrq.gov/issue/association-professionals-infection-control-and-epidemiology
    November 06, 2013 - Multi-use Website Association for Professionals in Infection Control and Epidemiology. Citation Text: Association for Professionals in Infection Control and Epidemiology. 1400 Crystal Drive, Suite 900, Arlington, VA 22202. 202-789-1890 info@apic.org Copy Citation Save …

  18. Small patients, big consequences in medical errors. | PSNet

    psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
    February 09, 2011 - Newspaper/Magazine Article Small patients, big consequences in medical errors. Citation Text: Small patients, big consequences in medical errors. Tarkan L. New York Times. September 14, 2008;Health section:7. Copy Citation Save Save to your library Pri…

  19. Fatal drug mix-up exposes hospital flaws. | PSNet

    psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
    March 02, 2016 - Newspaper/Magazine Article Fatal drug mix-up exposes hospital flaws. Citation Text: Fatal drug mix-up exposes hospital flaws. Davies T. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

  20. Coding for Success: Simple Technology for Safer Patient Care. | PSNet

    psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
    July 01, 2020 - Book/Report Coding for Success: Simple Technology for Safer Patient Care. Citation Text: Coding for Success: Simple Technology for Safer Patient Care. Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007. Copy Citation Save Sav…
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