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8681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46731/psn-pdf
      July 25, 2018 - When bullying affects patient safety. July 25, 2018 When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294. https://psnet.ahrq.gov/issue/when-bullying-affects-patient-safety Bullying has been recognized as an important factor to consider in health care work environments. Describing…

8682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47650/psn-pdf
      January 30, 2019 - The impact of technology on safe medicines use and pharmacy practice in the US. January 30, 2019 Schneider PJ. The Impact of Technology on Safe Medicines Use and Pharmacy Practice in the US. Front Pharmacol. 2018;9:1361. doi:10.3389/fphar.2018.01361. https://psnet.ahrq.gov/issue/impact-technology-safe-medicines-us…

8683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72583/psn-pdf
      December 16, 2020 - Wear face masks with no metal during MRI exams. December 16, 2020 FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. https://psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams Magnetic resonance imaging (MRI) requires patient prep…

8684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43458/psn-pdf
      August 27, 2014 - Validation of a teamwork perceptions measure to increase patient safety. August 27, 2014 Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. https://psnet.ahrq.gov/issue/validation-teamwork…

8685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35724/psn-pdf
      May 26, 2010 - A prospective study of patient safety in the operating room. May 26, 2010 Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173. https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room This study used a multidisci…

8686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46659/psn-pdf
      December 06, 2017 - Focus On: Health Care Policy and Quality. December 6, 2017 AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334. https://psnet.ahrq.gov/issue/focus-health-care-policy-and-quality Radiologists play a critical role in safe diagnostic imaging and communication of test results. Articles in this special issue explore cl…

8687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838909/psn-pdf
      October 26, 2022 - Designing safety interventions for specific contexts: results from a literature review. October 26, 2022 Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.2022.105906. https://psnet.ahrq.go…

8688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44816/psn-pdf
      June 29, 2016 - Paralyzed by errors, this Xbox designer is taking on hospital safety. June 29, 2016 Aleccia J. https://psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports …

8689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46301/psn-pdf
      October 11, 2017 - Care transitions know-how not just for clinicians. October 11, 2017 Ready T. HealthLeaders Media. September 26, 2017. https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians Transitions are an error-prone process. This news article reports that organizational leadership should be engaged in enha…

8690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60163/psn-pdf
      March 25, 2020 - Broken, fragmented health-care system failed daughter who died by suicide. March 25, 2020 Klowak M. CBC News. March 9, 2020. https://psnet.ahrq.gov/issue/broken-fragmented-health-care-system-failed-daughter-who-died-suicide System weaknesses are often at the root of never events. This news story discusses the suic…

8691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43000/psn-pdf
      March 05, 2014 - Elective surgical patients' narratives of hospitalization: the co-construction of safety. March 5, 2014 DOHERTY CAROLE, Saunders MNK. Elective surgical patients' narratives of hospitalization: the co- construction of safety. Soc Sci Med. 2013;98:29-36. doi:10.1016/j.socscimed.2013.08.014. https://psnet.ahrq.gov/is…

8692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41296/psn-pdf
      April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at…

8693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851059/psn-pdf
      June 28, 2023 - Causes for medical errors in obstetrics and gynaecology. June 28, 2023 Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology R…

8694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866530/psn-pdf
      August 14, 2024 - Healthcare Simulation in Nursing Practice. August 14, 2024 Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510. https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice Simulation is an established method to examine nursing process resilience and develop non-techni…

8695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44998/psn-pdf
      April 20, 2016 - High reliability: excellent care every time. April 20, 2016 Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. https://psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time Achieving high reliability has attracted attention as a goal in health care. This article provides an…

8696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43171/psn-pdf
      May 14, 2014 - Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. May 14, 2014 Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493. https://psnet.ahrq.gov/issue/fool-me-twice-dela…

8697. 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…

8698. 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…

8699. 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…

8700. 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…