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5361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46476/psn-pdf
      October 04, 2017 - The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. October 4, 2017 Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nurs. 2017;26(17-18):2511-2526. doi…

5362. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45564/psn-pdf
      October 03, 2017 - Fostering transparency in outcomes, quality, safety, and costs. October 3, 2017 Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039. https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-a…

5363. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44967/psn-pdf
      March 16, 2016 - Wrong site surgery: a critical incident analysis of a near miss. March 16, 2016 Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1- 2):11-5. https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss Despite efforts to prevent wrong-s…

5364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45398/psn-pdf
      August 15, 2016 - Incorporating indications into medication ordering—time to enter the age of reason. August 15, 2016 Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp1603964. https://psnet.ahrq.gov/issue/inco…

5365. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43365/psn-pdf
      November 19, 2016 - Identifying facilitators and barriers for patient safety in a medicine label design system using patient simulation and interviews. November 19, 2016 Dieckmann P, Clemmensen MH, Sørensen TK, et al. Identifying Facilitators and Barriers for Patient Safety in a Medicine Label Design System Using Patient Simulation a…

5366. 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…

5367. 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…

5368. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41659/psn-pdf
      September 05, 2012 - Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? September 5, 2012 Brindley PG, Jones DB, Grantcharov T, et al. Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe trainin…

5369. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46398/psn-pdf
      June 25, 2018 - Challenges in health care simulation: are we learning anything new? June 25, 2018 Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891. https://psnet.ahrq.gov/issue/challenges-health-care-simulati…

5370. 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…

5371. 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…

5372. 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…

5373. 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…

5374. 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…

5375. 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…

5376. 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…

5377. 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.…

5378. 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.…

5379. 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…

5380. 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 …