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  1. 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 …

  2. Disclosing unanticipated outcomes to patients: the art and practice. | PSNet

    psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
    July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …

  3. Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. | PSNet

    psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system
    December 22, 2010 - Study Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. Citation Text: Yule S, Flin R, Maran N, et al. Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. World J Sur…

  4. Tubing safety in the obstetric setting: preventing medication errors. | PSNet

    psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
    November 04, 2020 - Commentary Tubing safety in the obstetric setting: preventing medication errors. Citation Text: Broussard BS. Tubing safety in the obstetric setting: preventing medication errors. Nurs Womens Health. 2009;13(2):155-158. doi:10.1111/j.1751-486X.2009.01407.x. Copy Citation Format: …

  5. Suicide in the medical setting. | PSNet

    psnet.ahrq.gov/issue/suicide-medical-setting
    April 24, 2018 - Review Suicide in the medical setting. Citation Text: Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  6. Instrument readiness: an important link to patient safety. | PSNet

    psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
    January 05, 2011 - Commentary Instrument readiness: an important link to patient safety. Citation Text: McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  7. Attending work hour restrictions: is it time? | PSNet

    psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
    November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  8. Long-term solution to malpractice crises: reduce harm to patients. | PSNet

    psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
    September 12, 2018 - Commentary Long-term solution to malpractice crises: reduce harm to patients. Citation Text: Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31. Copy Citation Format: Google Scholar PubMed BibTeX E…

  9. Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. | PSNet

    psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
    March 30, 2016 - Newspaper/Magazine Article Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Citation Text: Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23. Copy Citation Save Save to…

  10. 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…

  11. How safe is my intensive care unit? Methods for monitoring and measurement. | PSNet

    psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
    February 01, 2013 - Review How safe is my intensive care unit? Methods for monitoring and measurement. Citation Text: Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. Copy Citation For…

  12. Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. | PSNet

    psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
    March 13, 2019 - Newspaper/Magazine Article Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Citation Text: Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017. Copy Citation S…

  13. Insulin dosing error in a patient with severe hyperkalemia. | PSNet

    psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
    May 06, 2020 - Commentary Insulin dosing error in a patient with severe hyperkalemia. Citation Text: Hewitt B, Barnard C, Bilimoria KY. Insulin Dosing Error in a Patient With Severe Hyperkalemia. JAMA. 2017;318(24):2485-2486. doi:10.1001/jama.2017.7964. Copy Citation Format: DOI Google Sc…

  14. Identification errors in pathology and laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
    October 19, 2022 - Commentary Identification errors in pathology and laboratory medicine. Citation Text: Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  15. Learning from patient safety incidents: creating participative risk regulation in healthcare. | PSNet

    psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
    February 28, 2024 - Commentary Learning from patient safety incidents: creating participative risk regulation in healthcare. Citation Text: Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452. …

  16. Trends in adverse events over time: why are we not improving? | PSNet

    psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
    October 02, 2019 - Commentary Trends in adverse events over time: why are we not improving? Citation Text: Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. Copy Citation Format: DOI Google Sc…

  17. Otolaryngologists' responses to errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
    October 27, 2010 - Study Otolaryngologists' responses to errors and adverse events. Citation Text: Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  18. Deconstructing intraoperative communication failures. | PSNet

    psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
    July 25, 2012 - Study Deconstructing intraoperative communication failures. Citation Text: Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029. Copy Citation Format: DOI Google Scholar PubM…

  19. Cardiac arrest during anesthesia. | PSNet

    psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
    January 19, 2011 - Review Cardiac arrest during anesthesia. Citation Text: Zuercher M, Ummenhofer W. Cardiac arrest during anesthesia. Curr Opin Crit Care. 2008;14(3):269-74. doi:10.1097/MCC.0b013e3282f948cd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  20. Omission of high-alert medications: a hidden danger. | PSNet

    psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
    January 11, 2017 - Newspaper/Magazine Article Omission of high-alert medications: a hidden danger. Citation Text: Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. Copy Citation Save Save to your libra…
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