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1881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47025/psn-pdf
      April 11, 2018 - Chemotherapy medication errors. April 11, 2018 Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. https://psnet.ahrq.gov/issue/chemotherapy-medication-errors Chemotherapy errors can result in serious patient harm. This revi…

1882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44487/psn-pdf
      September 23, 2015 - Patient safety and quality improvement: terminology. September 23, 2015 Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology To Err Is…

1883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47765/psn-pdf
      February 20, 2019 - Negative behaviours in health care: prevalence and strategies. February 20, 2019 Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. https://psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-an…

1884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836870/psn-pdf
      April 26, 2022 - A Conversation Among Stakeholders on Medical Malpractice. April 6, 2022 Collaborative for Accountability and Improvement. April 26, 2022. https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice Communication and resolution programs (CRP) can improve response to patients and families a…

1885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45788/psn-pdf
      March 01, 2017 - Latest Results From the "FIRST" Trial. March 1, 2017 J Am Coll Surg. 2017;224:103-159. https://psnet.ahrq.gov/issue/latest-results-first-trial The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program response to duty hour rules. This special issue features studies ex…

1886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50826/psn-pdf
      January 22, 2020 - Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations January 22, 2020 Feldman SS, Brazil V, Zengul FD, et al, eds. Health Syst (Basingstoke). 2019;8(3):153-227. https://psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-…

1887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41722/psn-pdf
      October 17, 2012 - Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. October 17, 2012 Veazey Brooks J, Bosk CL. Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity. Soc Sci Med. 2012;75(9). doi:10.1016/j.socscimed.2012.07.007. https:…

1888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72688/psn-pdf
      October 06, 2022 - Request for proposals for clinical quality measures to improve diagnosis. October 6, 2022 Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.  https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis A lack of consensus on measures for the effectiveness and ac…

1889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764408/psn-pdf
      March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …

1890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849338/psn-pdf
      May 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa…

1891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35770/psn-pdf
      January 02, 2017 - Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. January 2, 2017 Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journal on Quality and Patient Safety. …

1892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42525/psn-pdf
      November 20, 2013 - A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. November 20, 2013 National Advisory Group on the Safety of Patients in England. London, England: Crown Publishing; August 2013. https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england An intern…

1893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43818/psn-pdf
      January 21, 2015 - A report on 15 years of clinical negligence claims in rhinology. January 21, 2015 Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118. https://psnet.ahrq.gov/issue/report-15-years-clinical-negligence-c…

1894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42929/psn-pdf
      February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath? February 5, 2014 Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath This commentary discusses how health ca…

1895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42236/psn-pdf
      May 01, 2013 - Nursing student medication errors: a case study using root cause analysis. May 1, 2013 Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. https://psnet.ahrq.gov/issue/nursing-student-…

1896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35039/psn-pdf
      February 24, 2019 - Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. February 24, 2019 Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Patient Saf. 2005;31(6):330-8. ht…

1897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863766/psn-pdf
      March 06, 2024 - Legacy: a Black Physician Reckons with Racism in Medicine. March 6, 2024 Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287. https://psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine The history of systemic racism is emerging to motivate health care equity and safety efforts. This memo…

1898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38418/psn-pdf
      February 18, 2009 - Using snowball sampling method with nurses to understand medication administration errors. February 18, 2009 Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1365-2702.2007.02048.x. https://p…

1899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40198/psn-pdf
      February 09, 2011 - Measures and measurement of high-performance work systems in health care settings: propositions for improvement. February 9, 2011 Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…

1900. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet
      psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
      September 09, 2015 - March 18, 2020 Examining causes and prevention strategies of adverse events in deceased