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3741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44024/psn-pdf
      October 13, 2015 - Cultivating a culture of medication safety in prelicensure nursing students. October 13, 2015 Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. https://psnet.ahrq.gov/issue/cultivatin…

3742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45010/psn-pdf
      March 30, 2016 - Most dangerous time at the hospital? It may be when you leave. March 30, 2016 Khullar D. New York Times. March 17, 2016. https://psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave Preventing readmissions after hospital discharge is a national policy priority. This newspaper article discuss…

3743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47810/psn-pdf
      March 13, 2019 - Debriefing in the OR: a quality improvement project. March 13, 2019 Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616. https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project Debriefing has emerged as a s…

3744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60020/psn-pdf
      March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills performance improvement. March 4, 2020 Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. https://psnet.ahrq.gov/issue/enotss-platform-s…

3745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47641/psn-pdf
      March 20, 2019 - Guided reflection interventions show no effect on diagnostic accuracy in medical students. March 20, 2019 Lambe KA, Hevey D, Kelly BD. Guided Reflection Interventions Show No Effect on Diagnostic Accuracy in Medical Students. Front Psychol. 2018;9:2297. doi:10.3389/fpsyg.2018.02297. https://psnet.ahrq.gov/issue/gu…

3746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46268/psn-pdf
      September 27, 2017 - Learning from incidents in health care: critique from a Safety-II perspective. September 27, 2017 Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121. https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective Studying what works well to design safer systems is gaining tra…

3747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43618/psn-pdf
      October 22, 2014 - FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. October 22, 2014 Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operat…

3748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43184/psn-pdf
      May 14, 2014 - Often overlooked problems with handoffs: from the intensive care unit to the operating room. May 14, 2014 Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.0000000000000075. https://psnet.ahrq.g…

3749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44667/psn-pdf
      March 15, 2016 - Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. March 15, 2016 Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi:10.1002/jhm.2505. https://psnet.a…

3750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46148/psn-pdf
      May 31, 2017 - Implementation of a structured hospital-wide morbidity and mortality rounds model. May 31, 2017 Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-2016-005459. https://psnet.ahrq.gov/is…

3751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43456/psn-pdf
      October 03, 2017 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. October 3, 2017 HR 3230, 113th Congress: 2014. https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act- 2014 The Veterans Affairs (VA) health system has both achieved success and str…

3752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44330/psn-pdf
      September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop Summary. September 2, 2015 Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544. https://psnet.…

3753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43876/psn-pdf
      September 09, 2015 - Improving medication administration safety in a community hospital setting using Lean methodology. September 9, 2015 Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/NCQ.0000000000000112. https://psnet.…

3754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44674/psn-pdf
      December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst…

3755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867700/psn-pdf
      March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 2023. https://psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections Eliminatin…

3756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44055/psn-pdf
      April 15, 2015 - Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. April 15, 2015 Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15- 0021. https://psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats Simulation …

3757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43343/psn-pdf
      December 04, 2016 - Parents' perspective on safety in neonatal intensive care: a mixed-methods study. December 4, 2016 Lyndon A, Jacobson CH, Fagan KM, et al. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. doi:10.1136/bmjqs-2014-003009. https://psnet.ahrq.gov/issue/…

3758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47611/psn-pdf
      January 23, 2019 - Drug and opioid-involved overdose deaths- United States, 2013-2017. January 23, 2019 Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. https://psnet.ahrq.gov/issue/drug-and-opioi…

3759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45259/psn-pdf
      July 13, 2016 - Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. July 13, 2016 Geneva, Switzerland: World Health Organization; 2016. ISBN: 9789241510349. https://psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support- hea…

3760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47653/psn-pdf
      January 16, 2019 - Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. January 16, 2019 Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Res Social Adm Pharm…