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5341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45125/psn-pdf
      January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. January 26, 2023 Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute for Safe Medication Practices; January 2023. https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…

5342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45199/psn-pdf
      June 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn…

5343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39032/psn-pdf
      September 19, 2016 - The natural history of recovery for the healthcare provider "second victim" after adverse patient events. September 19, 2016 Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Health Care. 2009;18(5):325-330. d…

5344. Drug errors are dangerous but preventable. | PSNet
      psnet.ahrq.gov/issue/drug-errors-are-dangerous-preventable
      March 27, 2024 - Newspaper/Magazine Article Drug errors are dangerous but preventable. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 8, 2010 This newspaper article describes steps p…

5345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74080/psn-pdf
      January 01, 2022 - The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021 Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center.…

5346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838625/psn-pdf
      October 19, 2022 - Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. October 19, 2022 Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Crit Care Nurse. 2022;42(5):…

5347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44949/psn-pdf
      February 01, 2019 - Detecting and treating suicide ideation in all settings. December 23, 2016 Detecting and treating suicide ideation in all settings. Sentinel event alert. 2016;(56):1-7. https://psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings The Joint Commission publishes sentinel event alerts to emphasize…

5348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61125/psn-pdf
      November 11, 2020 - The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to- rescue. November 11, 2020 Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deteri…

5349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61091/psn-pdf
      November 04, 2020 - Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. November 4, 2020 Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4):e000843. doi:10.1136/bmjoq-2019…

5350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37878/psn-pdf
      February 03, 2011 - Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.  February 3, 2011 van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification inducing potentially hazardous incide…

5351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836823/psn-pdf
      March 30, 2022 - Five-year audit of adherence to an anaesthesia pre- induction checklist. March 30, 2022 Fuchs A, Frick S, Huber M, et al. Five?year audit of adherence to an anaesthesia pre?induction checklist. Anaesthesia. 2022;77(7):751-762. doi:10.1111/anae.15704. https://psnet.ahrq.gov/issue/five-year-audit-adherence-anaesthes…

5352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45784/psn-pdf
      April 03, 2017 - Processes for identifying and reviewing adverse events and near misses at an academic medical center. April 3, 2017 Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2017;43(1):5-15. doi:10.1016/j…

5353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866202/psn-pdf
      July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. June 26, 2024 Agency for Healthcare Research and Quality. July 24, 2024. https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers- and-improve Medication errors a…

5354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836915/psn-pdf
      April 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. April 13, 2022 Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record workaround…

5355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837698/psn-pdf
      July 20, 2022 - White patients’ physical responses to healthcare treatments are influenced by provider race and gender. July 20, 2022 Howe LC, Hardebeck EJ, Eberhardt JL, et al. White patients’ physical responses to healthcare treatments are influenced by provider race and gender. Proc Natl Acad Sci USA. 2022;119(27):e2007717119. …

5356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60836/psn-pdf
      August 26, 2020 - Factors associated with workarounds in barcode-assisted medication administration in hospitals. August 26, 2020 Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode?assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. doi:10.1111/jocn.15217. https://p…

5357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73562/psn-pdf
      August 04, 2021 - Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National Reporting and Learning System. August 4, 2021 Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National R…

5358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43765/psn-pdf
      February 04, 2015 - Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. February 4, 2015 Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors between graduating nursing students and working registere…

5359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74695/psn-pdf
      January 26, 2022 - Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022 Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departm…

5360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47399/psn-pdf
      November 14, 2018 - Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. November 14, 2018 Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patient Safety Competency Requirements Ac…