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Mistake-Proofing the Design of Health Care Processes. | PSNet

psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes

December 18, 2008 - Book/Report Mistake-Proofing the Design of Health Care Processes. Citation Text: Mistake-Proofing the Design of Health Care Processes. Grout JR. Rockville, MD: Agency for Healthcare Research and Quality; May 2007. AHRQ Publication No. 07-0020. Copy Citation Save S…

Piecing together medication administration. | PSNet

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April 02, 2009 - Newspaper/Magazine Article Piecing together medication administration. Citation Text: Piecing together medication administration. Anderson HJ. Health Data Management. May 1, 2009;17:22. Copy Citation Save Save to your library Print Download PDF …

AHRQ Safety Program for Surgery. | PSNet

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May 01, 2017 - Book/Report AHRQ Safety Program for Surgery. Citation Text: AHRQ Safety Program for Surgery. Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No. 16(18)-0004-1-EF. Copy Citation Save Save to your library Print Do…

World Patient Safety, Science & Technology Summit. | PSNet

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January 01, 2020 - Meeting/Conference Proceedings World Patient Safety, Science & Technology Summit. Citation Text: World Patient Safety, Science & Technology Summit. Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023. Copy Citation Save Save …

Algorithm that detects sepsis cut deaths by nearly 20 percent. | PSNet

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October 12, 2022 - Newspaper/Magazine Article Algorithm that detects sepsis cut deaths by nearly 20 percent. Citation Text: Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. Scientific American. August 1, 2022. Copy Citation Save Save to your library …

Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet

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February 13, 2019 - Newspaper/Magazine Article Raising the index of suspicion: red flags that represent credible threats to patient safety. Citation Text: Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…

Patient safety: through the eyes of your peers. | PSNet

psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers

August 11, 2021 - Commentary Patient safety: through the eyes of your peers. Citation Text: Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. | PSNet

psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief

April 20, 2022 - Book/Report Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. Citation Text: Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. …

The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. | PSNet

psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures

February 23, 2018 - Book/Report The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Citation Text: The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…

Guidance on Safe Medical Staffing: Report of a Working Party. | PSNet

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February 08, 2011 - Government Resource Guidance on Safe Medical Staffing: Report of a Working Party. Citation Text: Guidance on Safe Medical Staffing: Report of a Working Party. London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270. Copy Citation Save Save to your libra…

Investigators find hospital error caused mother’s death in Brooklyn. | PSNet

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February 01, 2023 - Newspaper/Magazine Article Investigators find hospital error caused mother’s death in Brooklyn. Citation Text: Investigators find hospital error caused mother’s death in Brooklyn. Goldstein J. New York Times. January 14, 2024. Copy Citation Save Save to your lib…

Learning from Investigations. | PSNet

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July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

Check your medical records for dangerous errors. | PSNet

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November 03, 2021 - Newspaper/Magazine Article Check your medical records for dangerous errors. Citation Text: Check your medical records for dangerous errors. Graham J. Kaiser Health News. November 21, 2018. Copy Citation Save Save to your library Print Download PDF …

Independent Review of Gross Negligence Manslaughter and Culpable Homicide. | PSNet

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July 08, 2019 - Book/Report Independent Review of Gross Negligence Manslaughter and Culpable Homicide. Citation Text: Independent Review of Gross Negligence Manslaughter and Culpable Homicide. Manchester, UK: General Medical Council; June 2019. Copy Citation Save Save to your lib…

The high cost of retained surgical items. | PSNet

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February 22, 2023 - Newspaper/Magazine Article The high cost of retained surgical items. Citation Text: The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023. Copy Citation Save Save to your library Print Download PDF Share …

Investigating Clinical Incidents in the NHS. | PSNet

psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs

February 04, 2015 - Book/Report Investigating Clinical Incidents in the NHS. Citation Text: Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. Cop…

Sterile compounding tragedy is a symptom of a broken system on many levels. | PSNet

psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels

February 13, 2019 - Newspaper/Magazine Article Sterile compounding tragedy is a symptom of a broken system on many levels. Citation Text: Sterile compounding tragedy is a symptom of a broken system on many levels. ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4. Copy C…

Error-prone conditions that lead to student nurse-related errors. | PSNet

psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors

October 31, 2012 - Newspaper/Magazine Article Error-prone conditions that lead to student nurse-related errors. Citation Text: Error-prone conditions that lead to student nurse-related errors. ISMP Medication Safety Alert! Acute care edition. October 18, 2007. Copy Citation Save Sav…

Diffusion of Innovations. 5th ed. | PSNet

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January 27, 2021 - Book/Report Classic Diffusion of Innovations. 5th ed. Citation Text: Diffusion of Innovations. 5th ed. Rogers EM. New York NY: Free Press; 2005. Copy Citation Save Save to your library Print Download PDF Share Fa…

The normalization of deviance: what are the perioperative risks? | PSNet

psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks

July 15, 2020 - Commentary The normalization of deviance: what are the perioperative risks? Citation Text: McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009. Copy Citation Format: DOI Google Scholar Pu…

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