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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74166/psn-pdf
    March 14, 2022 - Preventing home medication administration errors. March 14, 2022 Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors Children with comp…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34655/psn-pdf
    May 21, 2019 - Organizational culture as a source of high reliability. May 21, 2019 Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability The author proposes that, as organizations a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45916/psn-pdf
    March 08, 2017 - Feeling unsafe in the healthcare setting: patients' perspectives. March 8, 2017 Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. https://psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39868/psn-pdf
    February 04, 2011 - Review: bringing patient safety to the forefront through structured computerisation during clinical handover. February 4, 2011 Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin Nurs. 2011;20(1-2):184-9. doi:10.111…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43658/psn-pdf
    December 19, 2014 - Liability impact of the hospitalist model of care. December 19, 2014 Schaffer A, Puopolo AL, Raman S, et al. Liability impact of the hospitalist model of care. J Hosp Med. 2014;9(12):750-5. doi:10.1002/jhm.2244. https://psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care This review of closed malpractice …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43654/psn-pdf
    April 02, 2015 - Nursing bedside clinical handover—an integrated review of issues and tools. April 2, 2015 Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. https://psnet.ahrq.gov/issue/nursing-bedside-cl…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45885/psn-pdf
    May 03, 2017 - E-collection: Safety and Error Prevention in Health. May 3, 2017 https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health The increasing implementation of health information technology has introduced both benefits and challenges to patient safety. Articles in this series explore the impacts of t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47904/psn-pdf
    April 24, 2019 - Air pressure: human factors are the key to a safer flight environment. April 24, 2019 Erich J. EMS World. April 2019;48:26-31. https://psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment Air transport service combines risks associated with both aviation and prehospital trauma care. Thi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48135/psn-pdf
    August 28, 2019 - What causes prescribing errors in children? Scoping review. August 28, 2019 Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. https://psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-rev…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43057/psn-pdf
    January 01, 2015 - Health care huddles: managing complexity to achieve high reliability. December 12, 2014 Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. https://psnet.ahrq.gov/issue/health-care-h…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44144/psn-pdf
    May 27, 2015 - Maintaining safety in the dialysis facility. May 27, 2015 Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. https://psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility Failure to consider human factors and poor communication can contri…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38055/psn-pdf
    January 12, 2009 - Improving patient safety: patient-focused, high-reliability team training. January 12, 2009 McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. https://psnet.ahrq.gov/issue/improving-p…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72861/psn-pdf
    March 17, 2021 - Keeping patients on track with preventative care during pandemic. March 17, 2021 Quick Safety. March 2021;58:1-2. https://psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic The potential exposure to COVID-19 continues to negatively influence patient care seeking activity. This article r…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34902/psn-pdf
    February 27, 2009 - Hospital rules-based system: the next generation of medical informatics for patient safety. February 27, 2009 Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. https://psnet.ahrq.gov/issue/hospit…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837907/psn-pdf
    August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48167/psn-pdf
    August 28, 2019 - ASHP guidelines on perioperative pharmacy services. August 28, 2019 Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services Pharm…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43541/psn-pdf
    August 28, 2017 - A step toward high reliability: implementation of a daily safety brief in a children's hospital. August 28, 2017 Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. doi:10.1097/PTS.0000000000000131. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838929/psn-pdf
    October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42720/psn-pdf
    November 13, 2013 - Workplace bullying in the OR: results of a descriptive study. November 13, 2013 Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015. https://psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study …