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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39976/psn-pdf
    November 17, 2010 - A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. November 17, 2010 Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:10.1097/ACM.0b013e3181ed455b. h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47638/psn-pdf
    February 06, 2019 - Decreasing surgical site infections by developing a high reliability culture. February 6, 2019 Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44841/psn-pdf
    February 03, 2016 - Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. February 3, 2016 Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016. https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical- dev…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866355/psn-pdf
    July 24, 2024 - Frequency and preventability of adverse drug events in the outpatient setting. July 24, 2024 Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098. https://psnet.ahrq.gov/issue/frequency-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40063/psn-pdf
    March 04, 2011 - Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. March 4, 2011 Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and pat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43257/psn-pdf
    August 14, 2014 - Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. August 14, 2014 Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int J Qual Health Care. 2014;26(4):4…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46086/psn-pdf
    August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. August 30, 2017 Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678. https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second- edition The Cr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46172/psn-pdf
    June 21, 2017 - Flying lessons for clinicians: developing system 2 practice. June 21, 2017 Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73209/psn-pdf
    May 05, 2021 - Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. May 5, 2021 Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch stud…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60280/psn-pdf
    April 29, 2020 - Missed, rationed or unfinished nursing care: a scoping review of patient outcomes. April 29, 2020 Kalánková D, Kirwan M, Bartoní?ková D, et al. Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.12978. https://psnet.ahrq.gov/issue…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60769/psn-pdf
    August 05, 2020 - FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder. August 5, 2020 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. July 23, 2020. https://psnet.ahrq.gov/issue/fda-recommends-health-c…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50801/psn-pdf
    January 15, 2020 - Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. January 15, 2020 Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ Qual Saf. 2020;29(8):645-654. …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847729/psn-pdf
    April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing errors. April 19, 2023 Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. https://psnet.ahrq.gov/issue/stamp-5-year-project…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44528/psn-pdf
    January 22, 2016 - Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. January 22, 2016 Vorwerk J, King L. Consumer participation in early detection of the deteriorating patient and call activation to rapid response systems: a literature review. J…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47549/psn-pdf
    March 04, 2019 - Interventions against bullying of prelicensure students and nursing professionals: an integrative review. March 4, 2019 Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing professionals: An integrative review. Nurs Forum. 2019;54(1):84-90. doi:10.1111/nuf.12301…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42982/psn-pdf
    March 13, 2014 - Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. March 13, 2014 Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.3928/01484834-20140211-03. https://psnet…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43727/psn-pdf
    January 28, 2015 - Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. January 28, 2015 Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to m…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44891/psn-pdf
    July 03, 2016 - Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. July 3, 2016 François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences associated with the implementation of patient …

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