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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60622/psn-pdf
    January 01, 2021 - Managing teamwork in the face of pandemic: evidence- based tips. June 24, 2020 Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence- based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447. https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72507/psn-pdf
    November 25, 2020 - In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. November 25, 2020 Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1097/sih.0000000000000504. htt…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74065/psn-pdf
    November 10, 2021 - AHRQ announces interest in research on digital healthcare safety. November 10, 2021 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication No. NOT-HS-22-004. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety Digital in…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38831/psn-pdf
    August 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned. August 5, 2009 Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform Nurs. 2009;27(4):206-14. doi:10.1097…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40884/psn-pdf
    October 26, 2011 - Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. October 26, 2011 Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. EMS world. 2011;40(9):57-64. h…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41241/psn-pdf
    June 15, 2012 - Using root cause analysis to reduce falls with injury in the psychiatric unit. June 15, 2012 Lee A, Mills PD, Watts B. Using root cause analysis to reduce falls with injury in the psychiatric unit. Gen Hosp Psychiatry. 2012;34(3):304-11. doi:10.1016/j.genhosppsych.2011.12.007. https://psnet.ahrq.gov/issue/using-ro…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42915/psn-pdf
    January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. February 5, 2014 McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553- 7250(14)40026-6. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47945/psn-pdf
    August 28, 2019 - Individual and team-based medical error disclosure: dialectical tensions among health care providers. August 28, 2019 Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;29(8):1096-1108. doi:10.1177/1049…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43294/psn-pdf
    April 25, 2016 - The right and wrong way to talk to patients about adverse events. April 25, 2016 Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5. https://psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events Apology laws have been explor…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46216/psn-pdf
    July 12, 2017 - Physician satisfaction with transition from CPOE to paper-based prescription. July 12, 2017 Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007. https://psnet.ahrq.gov/issue/phys…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47850/psn-pdf
    March 27, 2019 - Medicines-related harm in the elderly post-hospital discharge. March 27, 2019 Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34. https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge Geriatric patients are particularly vulnerable to medication-related harm. This articl…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44675/psn-pdf
    July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60230/psn-pdf
    April 15, 2020 - Optimizing patient safety in clinical trials by improving transitions of care. April 15, 2020 Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001. https://psnet.ahrq.gov/issue/op…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44650/psn-pdf
    November 11, 2015 - 'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit. November 11, 2015 Wassenaar A, van den Boogaard M, van der Hooft T, et al. 'Providing good and comfortable care by building a bond of trust': nurses vie…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43931/psn-pdf
    March 04, 2015 - Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. March 4, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 23, 2015. https://psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp- duode…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42598/psn-pdf
    September 18, 2013 - Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? September 18, 2013 Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52. doi:10.1097/MCC.0b013e328364d53…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47338/psn-pdf
    September 19, 2018 - Avoidable sepsis infections send thousands of seniors to gruesome deaths. September 19, 2018 Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018. https://psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths Sepsis is a serious condition that can …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46978/psn-pdf
    April 04, 2018 - Using the patient safety huddle as a tool for high reliability. April 4, 2018 Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. https://psnet.ahrq.gov/issue/using-patient-safety-huddle-t…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43385/psn-pdf
    August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu…
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