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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61077/psn-pdf
    October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.  https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837675/psn-pdf
    July 13, 2022 - Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. July 13, 2022 Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):621-631. doi:10.1055/s-0042-1749598. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46761/psn-pdf
    February 14, 2018 - Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. February 14, 2018 Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the lite…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47693/psn-pdf
    January 23, 2019 - Solving alarm fatigue with smartphone technology. January 23, 2019 Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. https://psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology Alarm fatigue contributes to d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40263/psn-pdf
    March 02, 2011 - Trauma resuscitation errors and computer-assisted decision support. March 2, 2011 FitzGerald M, Cameron P, Mackenzie CF, et al. Trauma resuscitation errors and computer-assisted decision support. Arch Surg. 2011;146(2):218-25. doi:10.1001/archsurg.2010.333. https://psnet.ahrq.gov/issue/trauma-resuscitation-errors-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837073/psn-pdf
    May 11, 2022 - Clinical progress note: situation awareness for clinical deterioration in hospitalized children. May 11, 2022 Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:10.1002/jhm.2774. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47542/psn-pdf
    January 16, 2019 - Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. January 16, 2019 Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019. https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34907/psn-pdf
    August 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? August 3, 2009 Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92. https://psnet.ahrq.gov/issue…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45408/psn-pdf
    September 07, 2016 - Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. September 7, 2016 van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on the frequency of erroneously cru…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47224/psn-pdf
    June 27, 2018 - Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. June 27, 2018 Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018468. https://psnet.ahrq.gov/issue/managing-alarms-acute-care-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46072/psn-pdf
    November 08, 2017 - Repeat prescribing of medications: a system-centred risk management model for primary care organisations. November 8, 2017 Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46215/psn-pdf
    June 14, 2017 - The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. June 14, 2017 Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of tes…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852283/psn-pdf
    January 01, 2024 - Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. August 9, 2023 Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiat…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44730/psn-pdf
    December 08, 2015 - Why studying human behavior is a critical component of patient safety. December 8, 2015 Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47839/psn-pdf
    May 01, 2019 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. May 1, 2019 Garabedian PM, Wright A, Newbury I, et al. Comparison of a Prototype for Indications-Based Prescribing With 2 Commercial Prescribing Systems. JAMA Netw Open. 2019;2(3):e191514. doi:10.1001/jamanetworkopen…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45357/psn-pdf
    October 09, 2016 - Leading article: how can I optimise my role as a leader within the surgical team? October 9, 2016 Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j.bjoms.2016.05.035. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47848/psn-pdf
    May 08, 2019 - A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. May 8, 2019 Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconciliation at a Health System. Qual Manag…
  18. psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
    December 23, 2020 - said, the onus is not on the patient to prevent mistakes; rather, patients can play an active part in enhancing … March 14, 2022 Enhancing implementation of the I-PASS handoff tool using a provider handoff
  19. psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
    December 23, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit … Secondary to Home Parenteral Nutrition Error May 26, 2021 "Good catch, Kiddo"--enhancing
  20. psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
    April 24, 2024 - April 3, 2013 Enhancing healthcare process design with human factors engineering and … January 10, 2017 Enhancing healthcare process design with human factors engineering and

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