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Showing results for "unit".

  1. Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error | PSNet

    psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
    February 10, 2021 - Newspaper/Magazine Article Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error Citation Text: Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. …

  2. Medication errors: the year in review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-year-review
    May 02, 2018 - Newspaper/Magazine Article Medication errors: the year in review. Citation Text: Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019. Copy Citation Save Save to your library Print Down…

  3. 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…

  4. To err is human, to apologize is hard. | PSNet

    psnet.ahrq.gov/issue/err-human-apologize-hard
    September 28, 2022 - Commentary To err is human, to apologize is hard. Citation Text: Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  5. Challenges and opportunities of patient safety event reporting. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
    June 23, 2021 - Commentary Challenges and opportunities of patient safety event reporting. Citation Text: Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014. Copy Citation Format: DOI Google Scholar B…

  6. Quest for the ideal: a redesign of the medication use system. | PSNet

    psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
    September 16, 2020 - Commentary Quest for the ideal: a redesign of the medication use system. Citation Text: Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. Copy Citation Format: Google Scholar PubMed BibTeX En…

  7. Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. | PSNet

    psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
    March 29, 2023 - Newspaper/Magazine Article Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Citation Text: Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…

  8. Physician liability in the age of data reliance and errors. | PSNet

    psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
    March 18, 2020 - Commentary Physician liability in the age of data reliance and errors. Citation Text: Physician liability in the age of data reliance and errors. Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. Copy Citation Save Save to your library Print…

  9. Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet

    psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
    February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …

  10. Tackling implicit bias in health care. | PSNet

    psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
    December 01, 2021 - Commentary Tackling implicit bias in health care. Citation Text: Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  11. Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. | PSNet

    psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
    November 01, 2023 - Newspaper/Magazine Article Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. Citation Text: Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. O'Neill E. Health Shots. National Public Radio. December 2, 2023. …

  12. Patient safety: some progress and many challenges. | PSNet

    psnet.ahrq.gov/issue/patient-safety-some-progress-and-many-challenges
    June 22, 2009 - Commentary Patient safety: some progress and many challenges. Citation Text: Gluck PA. Patient safety: some progress and many challenges. Obstet Gynecol. 2012;120(5):1149-1159. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  13. The misery of a doctor's first days. | PSNet

    psnet.ahrq.gov/issue/misery-doctors-first-days
    December 02, 2015 - Newspaper/Magazine Article The misery of a doctor's first days. Citation Text: The misery of a doctor's first days. Hester JL. The Atlantic. October 1, 2015. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  14. Physical environments that promote safe medication use. | PSNet

    psnet.ahrq.gov/issue/physical-environments-promote-safe-medication-use
    December 19, 2018 - Commentary Physical environments that promote safe medication use. Citation Text: Grissinger M. Physical environments that promote safe medication use. PT. 2012;37(7):377-378. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  15. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-8
    October 18, 2017 - Special or Theme Issue Patient Safety. Citation Text: Bagian JP. Health care and patient safety: The failure of traditional approaches - how human factors and ergonomics can and MUST help. Human Factors and Ergonomics in Manufacturing & Service Industries. 2011;22(1). doi:10.1002/hfm.2…

  16. Operating room briefings. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings
    January 02, 2017 - Commentary Operating room briefings. Citation Text: Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  17. Watson: Beyond Jeopardy! | PSNet

    psnet.ahrq.gov/issue/watson-beyond-jeopardy
    April 06, 2022 - Commentary Watson: Beyond Jeopardy! Citation Text: Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  18. Nurses' role in medication safety. | PSNet

    psnet.ahrq.gov/issue/nurses-role-medication-safety
    June 26, 2024 - Review Nurses' role in medication safety. Citation Text: Choo J, Hutchinson A, Bucknall T. Nurses' role in medication safety. J Nurs Manag. 2010;18(7):853-61. doi:10.1111/j.1365-2834.2010.01164.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  19. Is it time to move beyond errors in clinical reasoning and discuss accuracy? | PSNet

    psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
    September 26, 2016 - Commentary Is it time to move beyond errors in clinical reasoning and discuss accuracy? Citation Text: Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. Copy Citatio…

  20. FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet

    psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
    June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…
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