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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44943/psn-pdf
    April 15, 2016 - Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. April 15, 2016 Berthe-Aucejo A, Girard D, Lorrot M, et al. Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin. Arch Dis Child. 2016;1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47979/psn-pdf
    May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44080/psn-pdf
    September 27, 2017 - A descriptive study of nurse-reported missed care in neonatal intensive care units. September 27, 2017 Tubbs-Cooley HL, Pickler RH, Younger JB, et al. A descriptive study of nurse-reported missed care in neonatal intensive care units. J Adv Nurs. 2015;71(4):813-24. doi:10.1111/jan.12578. https://psnet.ahrq.gov/iss…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46938/psn-pdf
    April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse practitioners. April 25, 2018 Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03. https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44795/psn-pdf
    June 29, 2016 - Human factors in healthcare: welcome progress, but still scratching the surface. June 29, 2016 Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface. BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074. https://psnet.ahrq.gov/issue/human-factors-healthca…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47800/psn-pdf
    June 26, 2019 - Error and Uncertainty in Diagnostic Radiology. June 26, 2019 Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to uncer…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846761/psn-pdf
    September 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43980/psn-pdf
    March 18, 2015 - Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. March 18, 2015 Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/NHH.0000000000000195. https://psnet.ahr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42784/psn-pdf
    January 15, 2014 - A multi-disciplinary approach to medication safety and the implication for nursing education and practice. January 15, 2014 Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ Today. 2014;34(2):185-90. doi:10.101…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45271/psn-pdf
    August 10, 2016 - Patient identification and tube labelling—a call for harmonisation. August 10, 2016 van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015- 1089. https://psnet.ah…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838312/psn-pdf
    October 12, 2022 - Causes of adverse events in home mechanical ventilation: a nursing perspective. October 12, 2022 Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. https://psnet.ahrq.gov/issue/causes-a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45632/psn-pdf
    November 30, 2016 - Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. November 30, 2016 Kerner RL, Gallo K, Cassara M, et al. Simulation for Operational Readiness in a New Freestanding Emergency Department. Simul Healthc. 2016;11(5). doi:10.1097/sih.0000000000000180. https://psnet.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46548/psn-pdf
    April 16, 2018 - Nurses' communication of safety events to nursing home residents and families. April 16, 2018 Wagner LM, Driscoll L, Darlington JL, et al. Nurses' Communication of Safety Events to Nursing Home Residents and Families. J Gerontol Nurs. 2018;44(2):25-32. doi:10.3928/00989134-20171002-01. https://psnet.ahrq.gov/issue…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44439/psn-pdf
    September 16, 2015 - Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. September 16, 2015 Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to delivery and dosing errors in…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44118/psn-pdf
    May 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. May 19, 2018 Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. https://psnet.ahrq.gov/issue/inadequate-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44234/psn-pdf
    September 09, 2015 - Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. September 9, 2015 Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital d…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46934/psn-pdf
    March 14, 2018 - Engaging the front line: tapping into hospital-wide quality and safety initiatives. March 14, 2018 Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038. https://psn…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836726/psn-pdf
    March 09, 2022 - OpenNotes and patient safety: a perilous voyage into uncharted waters. March 9, 2022 Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2. https://psnet.ahrq.gov/issue/opennotes-and-patient-safety-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73170/psn-pdf
    April 21, 2021 - Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. April 21, 2021 Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS. Jt Comm J Qual Patient Saf. 2021;47(6):394-397. doi:10.1016/j.jcjq.2021.03.013. https://psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-in…