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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47951/psn-pdf
    April 24, 2019 - Safe medication management at ambulatory surgery centers. April 24, 2019 Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635. https://psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers Safe medication use can be challengin…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38059/psn-pdf
    September 17, 2008 - Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. September 17, 2008 Quach J, Downey A, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. J Crit Care. …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44752/psn-pdf
    April 20, 2016 - Nontechnical skills in pediatric surgery: factors influencing operative performance. April 20, 2016 Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062. https://psnet.ahrq.gov/issue/nontechnical-skil…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44333/psn-pdf
    July 15, 2015 - One hospital's initiatives to encourage safe opioid use. July 15, 2015 Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use This commentar…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47632/psn-pdf
    April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60875/psn-pdf
    September 02, 2020 - Understanding context specificity: the effect of contextual factors on clinical reasoning. September 2, 2020 Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:10.1515/dx-2020-0016. https://…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46384/psn-pdf
    November 14, 2018 - Peggy Lillis Foundation. November 14, 2018 266 12th Street #6, Brooklyn, NY 11215. https://psnet.ahrq.gov/issue/peggy-lillis-foundation Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots foundation employs educational, policy, and advocacy strategies aimed at red…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60831/psn-pdf
    August 19, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. August 19, 2020 Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; August 2020. AHRQ Publication No. 20-0040-2-EF. https://psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37067/psn-pdf
    October 03, 2011 - Using an interactive voice response system to improve patient safety following hospital discharge. October 3, 2011 Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. https://psnet.ahrq.gov/issue/using-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41306/psn-pdf
    May 04, 2012 - Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. May 4, 2012 Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. Ann Emerg Med. 2012;59…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44731/psn-pdf
    December 02, 2015 - How to maximize patient safety when prescribing opioids. December 2, 2015 Kirpalani D. How to Maximize Patient Safety When Prescribing Opioids. PM R. 2015;7(11 Suppl):S225- S235. doi:10.1016/j.pmrj.2015.08.016. https://psnet.ahrq.gov/issue/how-maximize-patient-safety-when-prescribing-opioids Inappropriate opioid u…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46023/psn-pdf
    May 03, 2017 - Patient safety and leadership: do you walk the walk? May 3, 2017 Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. https://psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk Hospital leaders are increasingly encouraged t…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45531/psn-pdf
    December 14, 2016 - The role of safety culture in influencing provider perceptions of patient safety. December 14, 2016 Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. https://psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-percepti…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854834/psn-pdf
    January 01, 2024 - Bringing the equity lens to patient safety event reporting. October 25, 2023 Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-e…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41648/psn-pdf
    September 30, 2012 - Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. September 30, 2012 Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commission National Patient Safety Goal-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38511/psn-pdf
    March 25, 2009 - The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. March 25, 2009 Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009. https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-a…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47389/psn-pdf
    November 02, 2018 - What 'just culture' doesn't understand about just punishment. November 2, 2018 Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment T…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43347/psn-pdf
    September 03, 2014 - POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing. September 3, 2014 Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify …
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