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3721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864386/psn-pdf
      March 13, 2024 - Time for prefilled syringes - everywhere. March 13, 2024 Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181. https://psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere Simplifying complex processes is a strategy to engineer safety into heal…

3722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37881/psn-pdf
      July 02, 2008 - Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. July 2, 2008 Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885-900. https://psnet.ahrq.gov/issue/si…

3723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43985/psn-pdf
      December 06, 2017 - Development of a medication safety and quality survey for small rural hospitals. December 6, 2017 Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154. https://psnet.ahrq.go…

3724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36016/psn-pdf
      September 27, 2016 - Strategies used by nurses to recover medical errors in an academic emergency department setting. September 27, 2016 Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-7. https://psnet.ahrq.gov/iss…

3725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35982/psn-pdf
      September 17, 2010 - Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). September 17, 2010 Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486-9. https://psnet.ahrq.gov/issu…

3726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48128/psn-pdf
      August 28, 2019 - Burnout in healthcare: the case for organisational change. August 28, 2019 Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774. https://psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change Burnout has be…

3727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36935/psn-pdf
      September 01, 2011 - When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? September 1, 2011 Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…

3728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38734/psn-pdf
      July 01, 2009 - Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. July 1, 2009 Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;133(6):933-7. doi:10.1043/1543-2165- …

3729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36075/psn-pdf
      September 28, 2010 - Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. September 28, 2010 Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoas…

3730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73991/psn-pdf
      October 20, 2021 - Digital Clinical Safety Strategy October 20, 2021 NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021. https://psnet.ahrq.gov/issue/digital-clinical-safety-strategy Digital clinical technologies hold promise for care improvement while contributing to potential failures due to th…

3731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45842/psn-pdf
      April 12, 2017 - Time-out and checklists: a survey of rural and urban operating room personnel. April 12, 2017 Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. https://psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operati…

3732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40487/psn-pdf
      June 01, 2011 - Developing and testing a tool to measure nurse/physician communication in the intensive care unit. June 1, 2011 Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b013e31820dbe02. https://psnet.ahrq.gov…

3733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45849/psn-pdf
      February 22, 2017 - Monitoring teamwork: a narrative review. February 22, 2017 Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744. https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review Anesthesiology was an early adopter of teamwork as a safety improvement st…

3734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46997/psn-pdf
      July 25, 2018 - Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. July 25, 2018 Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018. https://psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review Accountability for errors and or…

3735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851658/psn-pdf
      July 26, 2023 - The spectrum of hospitalization-associated harm in the elderly. July 26, 2023 Schattner A. The spectrum of hospitalization-associated harm in the elderly. Eur J Intern Med. 2023;115(Sept):29-33. doi:10.1016/j.ejim.2023.05.025. https://psnet.ahrq.gov/issue/spectrum-hospitalization-associated-harm-elderly Older pat…

3736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46332/psn-pdf
      September 24, 2017 - Sharing the process of diagnostic decision making. September 24, 2017 Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making Improving diagnosis has …

3737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45938/psn-pdf
      September 29, 2017 - Is excessive resource utilization an adverse event? September 29, 2017 Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698. https://psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event Overuse of therapies, medication…

3738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45185/psn-pdf
      August 03, 2016 - Final Report of the Commission on Care. August 3, 2016 Washington, DC: Commission on Care; June 2016. https://psnet.ahrq.gov/issue/final-report-commission-care The Veterans Affairs health system has recently faced challenges associated with access and quality. Providing an assessment of the current and future stat…

3739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40098/psn-pdf
      December 18, 2014 - Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. December 18, 2014 Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…

3740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73989/psn-pdf
      October 20, 2021 - How is safety climate measured? A review and evaluation. October 20, 2021 Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413. https://psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation Assessing s…