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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49646/psn-pdf
    February 01, 2012 - Poorly Advanced Directives February 1, 2012 Anderson WG. Poorly Advanced Directives. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/poorly-advanced-directives The Case Cared for at home by his wife and family, an 82-year-old man with multiple chronic medical conditions described his overall health as decli…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43918/psn-pdf
    September 27, 2017 - Medication-administration errors in an urban mental health hospital: a direct observation study. September 27, 2017 Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111/inm.12096. https://psnet.ahr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36788/psn-pdf
    August 26, 2011 - Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. August 26, 2011 Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. Pediatr Crit Care Me…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43625/psn-pdf
    October 29, 2014 - Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. October 29, 2014 Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Saf. 2014;23(11):918-29. doi:10.11…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44368/psn-pdf
    September 29, 2017 - A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 29, 2017 Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44028/psn-pdf
    April 01, 2015 - Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. April 1, 2015 Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44886/psn-pdf
    September 27, 2016 - Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? September 27, 2016 Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016;18(3):408-11. doi:10.1111/nhs.1226…
  8. psnet.ahrq.gov/web-mm/room-without-orders
    September 01, 2011 - SPOTLIGHT CASE A Room Without Orders Citation Text: Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37082/psn-pdf
    January 02, 2017 - Improving rapid response systems: progress, issues, and future directions. January 2, 2017 Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions. https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions The authors discuss …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42285/psn-pdf
    September 27, 2016 - Distractions and the anaesthetist: a qualitative study of context and direction of distraction. September 27, 2016 Jothiraj H, Howland-Harris J, Evley R, et al. Distractions and the anaesthetist: a qualitative study of context and direction of distraction. Br J Anaesth. 2013;111(3):477-82. doi:10.1093/bja/aet108. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41073/psn-pdf
    January 18, 2012 - Quality improvement in medical education: current state and future directions. January 18, 2012 Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x. https://psnet.ahrq.gov/issue/quality-im…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42434/psn-pdf
    September 29, 2017 - Building bridges: future directions for medical error disclosure research. September 29, 2017 Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017. https://psnet.ahrq.gov/issue/buildi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37462/psn-pdf
    January 06, 2017 - Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. January 6, 2017 Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56. doi:10.1016/…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41555/psn-pdf
    January 03, 2017 - Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities. January 3, 2017 Castle NG, Wagner LM, Sonon K, et al. Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities. Jt Comm J Qual Patient Saf. 2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42687/psn-pdf
    September 29, 2017 - Safety checklist compliance and a false sense of safety: new directions for research. September 29, 2017 Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168. https://psnet.ahrq.gov/issue/s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43183/psn-pdf
    May 14, 2014 - Physician: 'I almost killed a patient' because of an advance directive. May 14, 2014 Betbeze P. HealthLeaders Media. May 2, 2014. https://psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive Reporting on how misinterpretation of advance directives and living wills can detract from patie…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46422/psn-pdf
    November 29, 2017 - Framework for direct observation of performance and safety in healthcare. November 29, 2017 Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. https://psnet.ahrq.gov/issue/framewor…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43512/psn-pdf
    September 29, 2017 - Interruptions and multi-tasking: moving the research agenda in new directions. September 29, 2017 Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372. https://psnet.ahrq.gov/issue/interruptions-and-multi-tasking…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46793/psn-pdf
    February 28, 2018 - Patient safety movement: history and future directions. February 28, 2018 Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions The pati…

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