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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43662/psn-pdf
    November 05, 2014 - A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. November 5, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5. https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly- fr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60939/psn-pdf
    September 23, 2020 - Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements. September 23, 2020 Finn KM, Halvorsen AJ, Chaudhry S, et al. Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements. J Gen …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48119/psn-pdf
    August 07, 2019 - Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. August 7, 2019 Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inp…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40079/psn-pdf
    December 18, 2014 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. December 18, 2014 Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36254/psn-pdf
    February 02, 2011 - Extended work duration and the risk of self-reported percutaneous injuries in interns. February 2, 2011 Ayas N, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA. 2006;296(9):1055-62. https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40743/psn-pdf
    February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy. December 23, 2016 Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019). https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues …
  7. 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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36675/psn-pdf
    January 18, 2011 - Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. January 18, 2011 Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60844/psn-pdf
    August 26, 2020 - Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. August 26, 2020 Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fell…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838252/psn-pdf
    October 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73955/psn-pdf
    October 13, 2021 - The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. October 13, 2021 Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. Adv Health Sci Educ Theory …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39745/psn-pdf
    September 09, 2010 - Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations. September 9, 2010 Wagner MJ, Wolf S, Promes S, et al. Duty hours in emergency medicine: balancing patient …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867014/psn-pdf
    October 23, 2024 - Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. October 23, 2024 Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. https://psnet.ahrq.gov/issue/secondary-analys…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46561/psn-pdf
    November 22, 2017 - Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. November 22, 2017 Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza season. Am J Infect Control. 2017…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837741/psn-pdf
    July 27, 2022 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. July 27, 2022 Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. J Patient Saf. 20…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47755/psn-pdf
    July 24, 2019 - Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. July 24, 2019 Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu. 2019;8(2):118-122. doi:10.1007/s…
  17. www.uspreventiveservicestaskforce.org/home/getfilebytoken/_dWYJfcG72H8QZsMWsPgcq
    Figure. Primary Care Interventions to Support Breastfeeding: Clinical Summary Figure. Primary Care Interventions to Support Breastfeeding: Clinical Summary Population Pregnant women, new mothers, and their children Recommendation Provide interventions during pregnancy and after birth to support breastf…
  18. digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/GroundRulesForConductingaRiskAssessment.pdf
    January 01, 2010 - Ground rules for conducting a proactive risk assessment Ground Rules for Conducting a Risk Assessment • Clearly define the process. (For example, “followup for high risk diabetics.”) • Limit the scope. (For example, “diabetics with poor compliance.”) • Ensure that the process selected is relevant to the health …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867687/psn-pdf
    March 05, 2025 - Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. March 5, 2025 Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospe…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60045/psn-pdf
    March 18, 2020 - Making Healthcare Safer III. March 18, 2020 Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. https://psnet.ahrq.gov/issue/making-healthcare-safer-iii This newly issued follow up to the seminal AHRQ Making Health Care Safer rep…