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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45124/psn-pdf
    June 22, 2016 - The impact of surgical safety checklists on theatre departments: a critical review of the literature. June 22, 2016 Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71. https://psnet.ahrq.gov/issue/impact-surgical-safety…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45886/psn-pdf
    July 05, 2017 - Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. July 5, 2017 Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt Comm J Qual Patient Saf. 2017;43(6…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836917/psn-pdf
    April 13, 2022 - Error and cognitive bias in diagnostic radiology. April 13, 2022 Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320. https://psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology Diagnostic errors …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867136/psn-pdf
    November 13, 2024 - Detecting clinical medication errors with AI enabled wearable cameras. November 13, 2024 Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. https://psnet.ahrq.gov/issue/detecting-clinical-medication…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46808/psn-pdf
    February 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been a le…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34812/psn-pdf
    March 05, 2008 - The critical incident technique. March 5, 2008 FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. https://psnet.ahrq.gov/issue/critical-incident-technique This review details the background of a methodology aimed to record specific behaviors, rather than opinions or estimates, in evalu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72584/psn-pdf
    December 16, 2020 - Hidden medication loss when using a primary administration set for small-volume intermittent infusions. December 16, 2020 ISMP Medication Safety Alert! Acute care edition. December 3, 2020;25(24). https://psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume- intermittent …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46216/psn-pdf
    July 12, 2017 - Physician satisfaction with transition from CPOE to paper-based prescription. July 12, 2017 Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007. https://psnet.ahrq.gov/issue/phys…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45212/psn-pdf
    November 23, 2016 - The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. November 23, 2016 Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in Hospital: A Systematic Review. …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45520/psn-pdf
    October 05, 2016 - Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. October 5, 2016 Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):31994. doi:10.3402/jchimp.v6.31994. http…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42264/psn-pdf
    May 25, 2022 - Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; May 18, 2022. https://psnet.ahrq.gov/issue/safe…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852448/psn-pdf
    January 01, 2024 - A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. August 16, 2023 Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. J Interp…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43931/psn-pdf
    March 04, 2015 - Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. March 4, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 23, 2015. https://psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp- duode…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46760/psn-pdf
    January 24, 2018 - Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. January 24, 2018 Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. B…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43625/psn-pdf
    October 29, 2014 - Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. October 29, 2014 Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Saf. 2014;23(11):918-29. doi:10.11…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845657/psn-pdf
    March 08, 2023 - Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). March 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality. February 15, 2023. RFA-HS-23-002. https://psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-base…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851652/psn-pdf
    July 26, 2023 - Breast cancer missed at screening; hindsight or mistakes? July 26, 2023 Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. https://psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72606/psn-pdf
    December 23, 2020 - Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 2020. https://psnet.ahrq.gov/issue/best-practices-d…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44538/psn-pdf
    October 21, 2015 - Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. October 21, 2015 Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e830-7. doi:10.1542/peds.2015-1502.…

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