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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60617/psn-pdf
    June 24, 2020 - Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. June 24, 2020 Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative. J…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35635/psn-pdf
    June 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44512/psn-pdf
    September 23, 2015 - Increased mortality associated with weekend hospital admission: a case for expanded seven day services? September 23, 2015 Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596. doi:10.1136/bmj.h4596. https…
  5. 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…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72723/psn-pdf
    February 10, 2021 - The impact of critical incidents on nurses and midwives: a systematic review. February 10, 2021 Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. https://psnet.ahrq.gov/issue/impact-critical-in…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36558/psn-pdf
    May 27, 2011 - The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. May 27, 2011 Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34812/psn-pdf
    March 05, 2008 - The critical incident technique. March 5, 2008 FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. https://psnet.ahrq.gov/issue/critical-incident-technique This review details the background of a methodology aimed to record specific behaviors, rather than opinions or estimates, in evalu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46503/psn-pdf
    January 31, 2018 - Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. January 31, 2018 Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007. https://psnet.ahrq.gov/issue/c…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43971/psn-pdf
    April 25, 2016 - Why empathy may be the best risk management strategy. April 25, 2016 Hertz BT. Why empathy may be the best risk management strategy. Medical economics. 2015;92(3):40-4. https://psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy Communication and response strategies have been shown to improve how …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44521/psn-pdf
    July 03, 2016 - Crib of horrors: one hospital's approach to promoting a culture of safety. July 3, 2016 Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38241/psn-pdf
    January 15, 2009 - In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. January 15, 2009 Schoen C, Osborn R, How SKH, et al. In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. Health Aff (Millwood). 2009;28(1):w1-16. doi:10.1377/hl…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36789/psn-pdf
    June 16, 2008 - Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. June 16, 2008 Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46348/psn-pdf
    June 13, 2018 - The nexus of nursing leadership and a culture of safer patient care. June 13, 2018 Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980. https://psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-pa…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35736/psn-pdf
    May 27, 2011 - Video capture of clinical care to enhance patient safety. May 27, 2011 Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety This study describes th…
  16. 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…
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60564/psn-pdf
    June 03, 2020 - Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? June 3, 2020 ISMP Medication Safety Alert! Acute Care Edition. May 22, 2020;25(10). https://psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low- dose-alerts Smart infusion …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50423/psn-pdf
    September 04, 2019 - When a vital sign leads a country astray—the opioid epidemic. September 4, 2019 Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…