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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45895/psn-pdf
    February 22, 2017 - Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing Use…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40381/psn-pdf
    May 25, 2011 - Medication errors in the homes of children with chronic conditions. May 25, 2011 Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46485/psn-pdf
    October 18, 2017 - Medical team training improves team performance: AOA critical issues. October 18, 2017 Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. https://psnet.ahrq.gov/issue/medical-team-t…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45029/psn-pdf
    April 20, 2016 - Threats to safety during sedation outside of the operating room and the death of Michael Jackson. April 20, 2016 Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47. doi:10.1097/ACO.0000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45763/psn-pdf
    December 19, 2017 - Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. December 19, 2017 Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195. doi:10.1016/j.s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35726/psn-pdf
    February 09, 2011 - Sleep deprivation and clinical performance. February 9, 2011 Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7. https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance This review discusses evidence for the role sleep deprivation plays on performance in…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34639/psn-pdf
    March 02, 2011 - Preventable deaths: who, how often, and why? March 2, 2011 Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why One of the first studies to examine the link between quality of care and hospital deat…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45622/psn-pdf
    December 07, 2016 - National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. December 7, 2016 D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-717. doi:10.1016/j.jogn.2016.07.001.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60341/psn-pdf
    May 20, 2020 - Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. May 20, 2020 Restrepo D, Armstrong KA, Metlay JP. Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. Ann Intern Med. 2020;172(11):747-751. doi:10.7326/m19-3692. https://psnet.ahrq.gov/issue/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837314/psn-pdf
    June 01, 2022 - CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. June 1, 2022 Clark C. MedPage Today. May 20, 2022. https://psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says- c…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45041/psn-pdf
    September 28, 2016 - Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: a systematic review and suggested taxonomy. September 28, 2016 Bhamidipati S, Elliott DJ, Justice EM, et al. Structure and outcomes of interdisciplinary rounds in hospitalized medicine patients: A systematic review and suggested …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848378/psn-pdf
    May 04, 2023 - Ensuring competency and safety when onboarding newly hired professional staff. May 3, 2023 ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3. https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional- staff Psychological sa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48071/psn-pdf
    June 12, 2019 - Doctors were alarmed: would I have my children have surgery here? June 12, 2019 Gabler E. New York Times. May 31, 2019. https://psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here Pediatric cardiac surgery is highly technical and risky. This newspaper article reports on a poorly p…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46654/psn-pdf
    December 13, 2017 - Organisational paradoxes in speaking up for safety: implications for the interprofessional field. December 13, 2017 Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305. https://psnet.ahr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859354/psn-pdf
    December 20, 2023 - Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. December 20, 2023 Cenziper D, Sallah MD, Korsh M. ProPublica. December 7, 2023. https://psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power- protect-them Systemic regulato…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41042/psn-pdf
    September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10- Year Review. September 29, 2017 Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011. https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review Although traditionally the majority of patient safe…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837313/psn-pdf
    June 01, 2022 - Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022 ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5. https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60927/psn-pdf
    September 16, 2020 - Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. September 16, 2020 O'Donnell J. USA Today. September 8, 2020 https://psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors- may-slip-through Management and clinical functio…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852797/psn-pdf
    August 23, 2023 - Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. August 23, 2023 Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Anaesth. 2023;131(2):397-406. doi:10…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837674/psn-pdf
    July 13, 2022 - Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. July 13, 2022 Madigan C, Way KA, Johnstone K, et al. Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice. J Safety Res. 2022…