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  1. 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:/…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43789/psn-pdf
    August 05, 2015 - Do cell phones belong in the operating room? August 5, 2015 Luthra S. Kaiser Health News. July 14, 2015. https://psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room Distractions can lead to care and process omissions. Reporting on the prevalence of mobile technology in the operating room and how it can hinde…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37259/psn-pdf
    March 23, 2011 - Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. March 23, 2011 Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Qual Saf Health Care. 2007;16…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72535/psn-pdf
    December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47645/psn-pdf
    April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46787/psn-pdf
    October 15, 2018 - Institute for Safe Medication Practices International Mentorship Program. October 15, 2018 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program Structured interaction with a wide variety of experts and environments enables medica…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43440/psn-pdf
    August 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42962/psn-pdf
    September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. September 7, 2016 Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14- 194. https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848827/psn-pdf
    May 10, 2023 - TQIP Mortality Reporting System Case Reports. May 10, 2023 ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports Anonymous case reporting provides opportunities to examine unexpected patient harm instances to pin…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74848/psn-pdf
    February 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46080/psn-pdf
    August 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854252/psn-pdf
    October 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61054/psn-pdf
    October 21, 2020 - The optimal use of telehealth to deliver safe patient care. October 21, 2020 Quick Safety. October 6, 2020;55:1-4. https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to COVID-19 phys…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46460/psn-pdf
    January 17, 2018 - Association between organisational and workplace cultures, and patient outcomes: systematic review. January 17, 2018 Braithwaite J, Herkes J, Ludlow K, et al. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017;7(11). doi:10.1136/bmjopen-2017-017708. h…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838031/psn-pdf
    September 13, 2022 - Addressing the Loss of Trust in Safety Culture. September 7, 2022 Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022.  https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture Trust in patient safety processes encourages reporting of concerns, learning from error, and develop…
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