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5381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37679/psn-pdf
      June 12, 2008 - Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. June 12, 2008 Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin. Am J Obstet Gynecol. 2008;198(6):622.e1-7. doi:10.1016/j.ajog.2008.01.039. https…

5382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42984/psn-pdf
      February 26, 2014 - Delivering the truth: challenges and opportunities for error disclosure in obstetrics. February 26, 2014 Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3). doi:10.1097/aog.0000000000000130. https://psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-e…

5383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853980/psn-pdf
      September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. Specialty Pharmacy Continuum. September 15, 2023. https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency identification (RFID) devices are being used to improve processes in the…

5384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43165/psn-pdf
      May 07, 2014 - Disrespectful behaviors—part 1 and part 2. May 7, 2014 ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4. https://psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2 The first article of this series reports the results of a survey investigating disruptive beh…

5385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60805/psn-pdf
      August 12, 2020 - A blueprint for leadership during COVID-19. August 12, 2020 Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage. 2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f. https://psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19 These authors discuss the effect of the C…

5386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60553/psn-pdf
      June 03, 2020 - Using social and behavioural science to support COVID- 19 pandemic response. June 3, 2020 Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-471. doi:10.1038/s41562-020-0884-z. https://psnet.ahrq.gov/issue/using-social-an…

5387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42504/psn-pdf
      August 14, 2014 - The effect of an organizational network for patient safety on safety event reporting. August 14, 2014 Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/0163278713491267. https://psnet.ahrq.gov/iss…

5388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50909/psn-pdf
      February 19, 2020 - Time to take hearing loss seriously. February 19, 2020 Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003. https://psnet.ahrq.gov/issue/time-take-hearing-loss-seriously The authors of this narrative review…

5389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74734/psn-pdf
      January 19, 2024 - Disclosure of errors in surgical procedures. January 19, 2024 Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023. https://psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures Error disclosure is fundamental to addressing harm and psychological distress after medical error. This review highlights issues a…

5390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73447/psn-pdf
      June 30, 2021 - Errors in adult trauma resuscitation: a systematic review. June 30, 2021 Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. https://psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review Trauma …

5391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34737/psn-pdf
      November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems Failure. November 19, 2015 Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure This video, produced by the Partnership for Patient Safety and the Harvard …

5392. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - November 2, 2022 Communicating uncertainty: a narrative review and framework for future

5393. In Conversation with…Carolyn Clancy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
      September 01, 2005 - CC: I think that communicating and focusing on the use of evidence to improve practice is hard-wired

5394. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet
      psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
      June 19, 2024 - they presented the same general concepts about VTE prevention practices, including best practices for communicating

5395. Adolescent Diabetes: A Routine Visit? | PSNet
      psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
      November 18, 2016 - August 27, 2014 Challenges to nurses' efforts of retrieving, documenting, and communicating

5396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73202/psn-pdf
      April 28, 2021 - Eight recommendations for policies for communicating abnormal test results.

5397. In Conversation With… Vineet Arora, MD, MAPP | PSNet
      psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
      May 31, 2023 - People are often overreliant on the EHR for communicating information, particularly through in-baskets

5398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836840/psn-pdf
      April 22, 2021 - psnet.ahrq.gov//#8 https://psnet.ahrq.gov//#21 prevention practices, including best practices for communicating

5399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33791/psn-pdf
      September 01, 2015 - People are often overreliant on the EHR for communicating information, particularly through in-baskets

5400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33728/psn-pdf
      May 01, 2012 - usually that air traffic controller having access to the patient information, seeing a problem, and then communicating