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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46438/psn-pdf
    September 20, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop. September 20, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017. ISBN: 9780309461856. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop Patient h…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72761/psn-pdf
    February 17, 2021 - Using ventilator splitters during the COVID-19 pandemic-- letter to health care providers. February 17, 2021 Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration; February 9. 2021. https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47933/psn-pdf
    August 07, 2019 - Just culture: it's more than policy. August 7, 2019 Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae. https://psnet.ahrq.gov/issue/just-culture-its-more-policy This survey study examined the relationship between just culture—a cultur…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47644/psn-pdf
    February 13, 2019 - Using computerized virtual cases to explore diagnostic error in practicing physicians. February 13, 2019 Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515/dx-2017-0044. https://psnet.a…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60851/psn-pdf
    August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43126/psn-pdf
    April 23, 2014 - Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. April 23, 2014 Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. https://psnet.ahrq.gov/issue/safe-and-appropriate-use-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853249/psn-pdf
    September 06, 2023 - How does robotic-assisted surgery change OR safety culture? September 6, 2023 How does robotic-assisted surgery change OR safety culture? AMA J Ethics. 2023;25(8):E615-E623. doi:10.1001/amajethics.2023.615. https://psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture The safety culture …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838191/psn-pdf
    September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46143/psn-pdf
    June 14, 2017 - Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. June 14, 2017 Dublin, Ireland: Health Information and Quality Authority; May 2017. https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital- tullamore-coun…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45749/psn-pdf
    January 11, 2017 - Instrument count sheets and set reviews as patient safety tools. January 11, 2017 Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588- 592. doi:10.1016/j.aorn.2016.10.007. https://psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools Inaccu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43672/psn-pdf
    November 12, 2014 - Is a tired doctor a safe doctor? November 12, 2014 Goldman B. "White Coat, Black Art." CBC Radio. October 31, 2014. https://psnet.ahrq.gov/issue/tired-doctor-safe-doctor This radio segment explores whether sleep deprivation affects the safety of care delivery. Panelists discuss sleep deprivation in health care, th…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45567/psn-pdf
    October 12, 2016 - Insulin Pens Devices. October 12, 2016 Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47. https://psnet.ahrq.gov/issue/insulin-pens-devices As a high-alert medication, insulin has the potential to result in serious patient harm if administered incorrectly. Articles in this special issue discuss recommendations de…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46714/psn-pdf
    January 10, 2018 - A system-based approach to managing patient safety in ambulatory care (and beyond). January 10, 2018 Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017. https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond Systems-based improvements are ke…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43406/psn-pdf
    August 06, 2014 - A comparison of the effects of different typographical methods on the recognizability of printed drug names. August 6, 2014 Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of printed drug names. Drug Saf. 2014;37(5):351-9. doi:10.1007/s40264-014-0156-9. https:/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39903/psn-pdf
    January 19, 2011 - Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. January 19, 2011 Baker DP, Amodeo AM, Krokos KJ, et al. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf Health Care. 2010;19(6):e49. doi:1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42911/psn-pdf
    February 12, 2014 - Computerized physician order entry: promise, perils, and experience. February 12, 2014 Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-peril…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40758/psn-pdf
    September 07, 2011 - A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. September 7, 2011 Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Int Nurs Rev. 20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43321/psn-pdf
    August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43249/psn-pdf
    June 18, 2014 - Automated and electronically assisted hand hygiene monitoring systems: a systematic review. June 18, 2014 Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. doi:10.1016/j.ajic.2014.01.002. ht…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864864/psn-pdf
    March 20, 2024 - Systemic failures in health care oversight. March 20, 2024 Campbell JL. Ga L Rev. 2024;58(2):737-802. https://psnet.ahrq.gov/issue/systemic-failures-health-care-oversight Questions exist as to why practitioners with known performance issues continue to practice and affect patient safety. This article suggests a sh…