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1901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45842/psn-pdf
      April 12, 2017 - Time-out and checklists: a survey of rural and urban operating room personnel. April 12, 2017 Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. https://psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operati…

1902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39844/psn-pdf
      November 02, 2010 - Safety through redundancy: a case study of in-hospital patient transfers. November 2, 2010 Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. https://psnet.ahrq.gov/issue/safety-through-redundancy-case-stu…

1903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47791/psn-pdf
      March 20, 2019 - Essential activities for electronic health record safety: a qualitative study. March 20, 2019 Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. https://psnet.ahrq.gov/issue/esse…

1904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40164/psn-pdf
      February 15, 2011 - Patient risk factors for medical injury: a case–control study. February 15, 2011 Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. https://psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-ca…

1905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38637/psn-pdf
      September 24, 2016 - Work interruptions and their contribution to medication administration errors: an evidence review. September 24, 2016 Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs. 2009;6(2):70-86. doi:10.1111…

1906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43011/psn-pdf
      May 20, 2014 - Early warnings, weak signals and learning from healthcare disasters. May 20, 2014 Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685. https://psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters …

1907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74708/psn-pdf
      January 26, 2022 - COVID Risk In Hospitals. January 26, 2022 Weber L, Jewett C. Kaiser Health News. 2021-2022. https://psnet.ahrq.gov/issue/covid-risk-hospitals The infectious nature of COVID continues to impact the safety of hospitalized patients. This article series examines factors contributing to hospital-acquired COVID-19 infec…

1908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73898/psn-pdf
      September 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations.  September 29, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations In-depth failure investigations provide improvement insights for individuals and or…

1909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866696/psn-pdf
      September 11, 2024 - The Impact of Complications on Surgeons. September 11, 2024 The Impact of Complications on Surgeons. Modi PK, Singer EA, eds. Urol Oncol. 2024;42(10):295-320. doi:10.1016/j.urolonc.2024.05.016. https://psnet.ahrq.gov/issue/impact-complications-surgeons Complications and medical errors can result in psychological d…

1910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74045/psn-pdf
      November 03, 2021 - ‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. November 3, 2021 Graham J. Kaiser Health News. October 20, 2021. https://psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias Implicit biases permeate decision making and can impede safe and e…

1911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35255/psn-pdf
      April 06, 2011 - Safety Climate Survey: reliability of results from a multicenter ICU survey. April 6, 2011 Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316. https://psnet.ahrq.gov/issue/safety-climate-survey-reliability…

1912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841490/psn-pdf
      December 14, 2022 - Prevent administration of ear drops into the eyes. December 14, 2022 ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3. https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…

1913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38357/psn-pdf
      January 21, 2009 - The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. January 21, 2009 Smits M, Christiaans-Dingelhoff I, Wagner C, et al. The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. BMC Health Serv Res. 2008;8:230. doi:10.1186/1472…

1914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839328/psn-pdf
      November 02, 2022 - Quality and Safety. November 2, 2022 Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. https://psnet.ahrq.gov/issue/quality-and-safety-1 Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to lower-income countries around the world support safe pedia…

1915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42173/psn-pdf
      April 24, 2013 - Hand hygiene and healthcare system change within multi- modal promotion: a narrative review. April 24, 2013 Allegranzi B, Sax H, Pittet D. Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. J Hosp Infect. 2013;83 Suppl 1:S3-10. doi:10.1016/S0195-6701(13)60003-1. https://psn…

1916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838258/psn-pdf
      October 05, 2022 - Solutions from Professional Regulation and Beyond. October 5, 2022 Safer Care for All. London, England:  Professional Standards Authority for Health and Social Care; 2022. https://psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond Dedicated leadership is an important component to examine and ad…

1917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74145/psn-pdf
      January 01, 2022 - Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. December 1, 2021 Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158. https://psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully Critical care diagnosis is complicated by factors such as stress, patient a…

1918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36488/psn-pdf
      January 07, 2011 - Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era. January 7, 2011 Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6. https://psnet.ahrq.gov/issue/horus-meets-nig…

1919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60569/psn-pdf
      June 10, 2020 - Workplace team resilience: a systematic review and conceptual development. June 10, 2020 Hartwig A, Clarke S, Johnson S, et al. Workplace team resilience: s systematic review and conceptual development. Org Psychol Rev. 2020;10(3-4):169-200. doi:10.1177/2041386620919476. https://psnet.ahrq.gov/issue/workplace-team…

1920. 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