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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47680/psn-pdf
    January 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851458/psn-pdf
    July 19, 2023 - Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023 Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conceptual framework of key theories, syste…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73317/psn-pdf
    May 26, 2021 - Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. May 26, 2021 Farhat A, Al?Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4):877-886. doi:10.1111/jcpt.13408. ht…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60873/psn-pdf
    September 02, 2020 - What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020 Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61059/psn-pdf
    October 28, 2020 - Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. October 28, 2020 Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60899/psn-pdf
    September 09, 2020 - Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. September 9, 2020 Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73074/psn-pdf
    March 24, 2021 - In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. March 24, 2021 Silver-Greenberg J, Gebeloff R. New York Times. March 13, 2021. https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and- rape-dont-dock-five…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867040/psn-pdf
    October 30, 2024 - Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. October 30, 2024 Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40079/psn-pdf
    December 18, 2014 - Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. December 18, 2014 Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 2010;126(6):1100-7. doi:10.1542/p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34829/psn-pdf
    April 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73081/psn-pdf
    March 31, 2021 - Health professionals' perspectives of safety issues in mental health services: a qualitative study. March 31, 2021 Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45493/psn-pdf
    December 07, 2016 - The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. December 7, 2016 Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
  14. psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - October 4, 2011 Why Current Breast Pathology Practices Must Be Evaluated.
  15. psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  16. psnet.ahrq.gov/issue/characteristics-and-predictors-missed-opportunities-lung-cancer-diagnosis-electronic-health
    January 19, 2012 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  17. psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - December 27, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  18. psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - April 9, 2013 Why Current Breast Pathology Practices Must Be Evaluated.
  19. psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
    May 05, 2010 - October 31, 2014 Why Current Breast Pathology Practices Must Be Evaluated.
  20. psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
    October 04, 2011 - June 18, 2013 Why Current Breast Pathology Practices Must Be Evaluated.

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