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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46372/psn-pdfSeptember 13, 2017 - Impact of a successful speaking up program on health- care worker hand hygiene behavior. September 13, 2017 Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene- behavior Improving hand hygiene in health care f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851645/psn-pdfJuly 26, 2023 - Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. July 26, 2023 Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Am J Med. 2023;136(9):927-936. doi:10.1016/j.amjmed.2023.05.013. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44616/psn-pdfNovember 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46300/psn-pdfAugust 16, 2017 - Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. August 16, 2017 Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Glob Health. 2017;7(1):011001. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851350/psn-pdfJuly 12, 2023 - A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. July 12, 2023 Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug- orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621. doi:10.108… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866314/psn-pdfJuly 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. July 17, 2024 Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Am J Clin Pathol.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867180/psn-pdfNovember 20, 2024 - Medical error: using storytelling and reflection to impact error response factors in family medicine residents. November 20, 2024 Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med Educ Curric Dev. 2024;11:238212… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72798/psn-pdfMarch 03, 2021 - Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. March 3, 2021 Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observationa… -
psnet.ahrq.gov/issue/centre-patient-safety-and-service-qualityAugust 01, 2024 - Multi-use Website Centre for Patient Safety and Service Quality. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 17, 2009 This research program was established to explo…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73464/psn-pdfJuly 07, 2021 - Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. https://psnet.ahrq.gov/issue/errors-breast-im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867234/psn-pdfDecember 04, 2024 - Survey results reveal tubing misconnections are common and underreported—Parts I and II. December 4, 2024 Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4. https://psnet.ahrq.gov/issue/survey-resu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855092/psn-pdfNovember 08, 2023 - Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. November 8, 2023 Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74086/psn-pdfNovember 17, 2021 - Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. J Patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853242/psn-pdfSeptember 06, 2023 - Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. September 6, 2023 Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73916/psn-pdfJanuary 01, 2022 - Use of heuristics during the clinical decision process from family care physicians in real conditions. October 6, 2021 Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46559/psn-pdfDecember 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866107/psn-pdfJune 12, 2024 - Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. June 12, 2024 Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.1097/pts.0000000000001223. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46291/psn-pdfJuly 26, 2017 - Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. July 26, 2017 van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50432/psn-pdfSeptember 04, 2019 - Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. September 4, 2019 Washington, DC: Department of Veterans Affairs, Office of Inspector General. August 22, 2019. Report No. 19-07429-195. https://psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45699/psn-pdfDecember 21, 2016 - Towards a new paradigm in laboratory medicine: the five rights. December 21, 2016 Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights Error…
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