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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48105/psn-pdf
    July 10, 2019 - Teaching medical students to recognise and report errors. July 10, 2019 Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. https://psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors This…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43933/psn-pdf
    March 04, 2015 - How informatics nurses use bar code technology to reduce medication errors. March 4, 2015 Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. https://psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-t…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44716/psn-pdf
    April 15, 2016 - An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. April 15, 2016 Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43311/psn-pdf
    July 02, 2014 - Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. July 2, 2014 ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5. https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating- undue-risk This newsletter article …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866408/psn-pdf
    July 31, 2024 - Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. July 31, 2024 Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualit…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848089/psn-pdf
    April 26, 2023 - Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. April 26, 2023 Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Aesthetic Plast Surg. 2023;47(3):123…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47793/psn-pdf
    June 12, 2019 - Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. June 12, 2019 Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853073/psn-pdf
    August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…
  9. psnet.ahrq.gov/web-mm/failure-latch
    November 27, 2012 - Failure to Latch Citation Text: Rodriguez M, Mannel R, Frye DR. Failure to Latch. 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 Endnote tag…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860050/psn-pdf
    January 04, 2024 - Radiology Missed an Intracranial Bleed in a Lethargic Infant. January 4, 2024 Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant The Case A 2-month-old full-term male infant was b…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47143/psn-pdf
    January 30, 2019 - E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. January 30, 2019 Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety. Int J Health Care Qual. 2019;31(8):639-646. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860385/psn-pdf
    January 10, 2024 - Factors affecting medical residents' decisions to work after call. January 10, 2024 Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175. https://psnet.ahrq.gov/issue/factors-affecting-medical-re…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74861/psn-pdf
    February 23, 2022 - A concept analysis of psychological safety: further understanding for application to health care. February 23, 2022 Ito A, Sato K, Yumoto Y, et al. A concept analysis of psychological safety: further understanding for application to health care. Nurs Open. 2021;9(1):467-489. doi:10.1002/nop2.1086. https://psnet.ah…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45578/psn-pdf
    January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. January 23, 2017 Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45920/psn-pdf
    May 05, 2017 - Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. May 5, 2017 Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. International Journal for Quality in Health…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863222/psn-pdf
    February 28, 2024 - Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? February 28, 2024 Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidity and mortality meeting standar…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836773/psn-pdf
    March 23, 2022 - Association between operative autonomy of surgical residents and patient outcomes. March 23, 2022 Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444. https://psnet.ahrq.gov/issue/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46291/psn-pdf
    July 26, 2017 - Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. July 26, 2017 van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration erro…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867180/psn-pdf
    November 20, 2024 - Medical error: using storytelling and reflection to impact error response factors in family medicine residents. November 20, 2024 Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med Educ Curric Dev. 2024;11:238212…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848038/psn-pdf
    April 26, 2023 - Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. April 26, 2023 Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation sett…

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