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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46865/psn-pdf
    March 07, 2018 - Chasing the 6-sigma: drawing lessons from the cockpit culture. March 7, 2018 Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. https://psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36046/psn-pdf
    June 21, 2006 - The Future of Emergency Care in the United States Health System. June 21, 2006 Institute of Medicine. Washington DC; National Academies Press: 2007. https://psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system In September 2003, an Institute of Medicine (IOM) committee began a detailed examinatio…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42673/psn-pdf
    October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management. October 30, 2013 Hackl WO, Ammenwerth E, Marcilly R, et al. Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safe…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851885/psn-pdf
    January 01, 2024 - When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. August 2, 2023 Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence?driven nursing care on patient safety. Nurs Inq. 2024;31…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838312/psn-pdf
    October 12, 2022 - Causes of adverse events in home mechanical ventilation: a nursing perspective. October 12, 2022 Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. https://psnet.ahrq.gov/issue/causes-a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859353/psn-pdf
    December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47888/psn-pdf
    May 11, 2019 - Achieving dialysis safety: the critical role of higher- functioning teams. May 11, 2019 Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778. https://psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35417/psn-pdf
    February 15, 2010 - Errors in laboratory medicine: practical lessons to improve patient safety. February 15, 2010 Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47065/psn-pdf
    June 20, 2018 - The complexity, diversity, and science of primary care teams. June 20, 2018 Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams Teamwork is …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47130/psn-pdf
    October 10, 2018 - Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. October 10, 2018 Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. doi:10.1016/j.nedt.2018.08.024. http…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848087/psn-pdf
    August 02, 2019 - Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. August 2, 2019 Colman N, Doughty C, Arnold J, et al. Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. Adv Simul. 2019;4(1):19. doi:10.1186/s41077-019-0108-7. http…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45546/psn-pdf
    October 05, 2016 - Using standardized OR checklists and creating extended time-out checklists. October 5, 2016 Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. https://psnet.ahrq.gov/issue/using-standardized-or-checklists-and-cr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43585/psn-pdf
    July 16, 2015 - At risk care plans: a way to reduce readmissions and adverse events. July 16, 2015 Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34591/psn-pdf
    January 04, 2017 - John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. January 4, 2017 Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. Jt Comm J …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47753/psn-pdf
    April 24, 2019 - Teams of psychologists helping teams: the evolution of the science of team training. April 24, 2019 Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psychol. 2019;74(3):278-289. doi:10.1037/amp0000419. https://psnet.ahrq.gov/issue/teams…
  16. psnet.ahrq.gov/web-mm/what-was-those-platelets
    August 28, 2024 - What Was in Those Platelets? Citation Text: Yomtovian R. What Was in Those Platelets? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49566/psn-pdf
    July 01, 2008 - What Was in Those Platelets? July 1, 2008 Yomtovian R. What Was in Those Platelets? . PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/what-was-those-platelets The Case A 47-year-old woman was admitted to the hospital for complex spinal surgery. The surgery went well without complications, and postoperativel…
  18. psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
    February 20, 2019 - Emerging Safety Issues in Artificial Intelligence Robert Challen, MA, MBBS | July 1, 2019  View more articles from the same authors. Citation Text: Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. Rockville (MD): Agency for Healthcare…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33758/psn-pdf
    December 01, 2013 - In Conversation With… Hardeep Singh, MD, MPH December 1, 2013 In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph Editor's note: Hardeep Singh, MD, MPH, is Chief of the Health Policy, Quality and Informatics Program at the Hous…
  20. psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
    June 07, 2023 - Breathe Easy: Safe Tracheostomy Management Citation Text: Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar Bib…

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