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  1. 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-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60704/psn-pdf
    July 22, 2020 - Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. July 22, 2020 Anderson N, Thompson K, Andrews J, et al. Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID?19 era. J Med Radiat Sci. 2020;67(3):243-248. doi:10.1002/jmrs.406. …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
  4. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-delirium.pdf
    June 01, 2021 - Identifying Delirium: ABCs of Identification_4x6 AHRQ Pub. No. 17(21)-0029 June 2021 IDENTIFYING DELIRIUM ABCs OF IDENTIFICATION Acute/subacute • Altered mental status from baseline Behavioral disturbance • Restless, agitated, combative Changes in consciousness • Jittery, drowsy, difficult to aro…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853073/psn-pdf
    August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45563/psn-pdf
    October 19, 2016 - Using a change model to reduce the risk of surgical site infection. October 19, 2016 Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949- 955. https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection Surgical site infections can resul…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47982/psn-pdf
    July 31, 2019 - Walking the plank: an experimental paradigm to investigate safety voice. July 31, 2019 Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. https://psnet.ahrq.gov/issue/walking-plank-experimental-paradig…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45617/psn-pdf
    November 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. November 30, 2016 Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043. https://psnet.ahrq.gov/issue/walk…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60955/psn-pdf
    September 30, 2020 - The emergency department trigger tool: a novel approach to screening for quality and safety events. September 30, 2020 Griffey RT, Schneider RM, Todorov AA. The emergency department trigger tool: a novel approach to screening for quality and safety events. Ann Emerg Med. 2020;76(2):230-240. doi:10.1016/j.annemergm…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43926/psn-pdf
    April 22, 2015 - The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. April 22, 2015 Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. Intensive Cri…
  11. 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…
  12. 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…
  13. 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. …
  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/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…
  16. 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-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46146/psn-pdf
    June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. June 7, 2017 Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. https://psnet.ahrq.gov/issue/increasing-p…
  18. 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…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46518/psn-pdf
    October 29, 2017 - Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. October 29, 2017 Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Academic Primary Care Practice. Jt …
  20. 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…