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2121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42962/psn-pdf
      September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. September 7, 2016 Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14- 194. https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…

2122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47339/psn-pdf
      October 24, 2018 - Benefactor or burden: exploring the professional identity of safety professionals. October 24, 2018 Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005. https://psnet.ahrq.gov/issue/benefactor-o…

2123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46614/psn-pdf
      November 29, 2017 - Interventions to improve hand hygiene compliance in the ICU: a systematic review. November 29, 2017 Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. https://psnet.ahrq.gov/issue/interventions-improve-hand…

2124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855103/psn-pdf
      November 08, 2023 - Adverse Events. November 8, 2023 United States Office of the Inspector General: 2010-2023. https://psnet.ahrq.gov/issue/adverse-events-0 Large-scale data analysis provides insights to generate evidence-based improvement action. This collection of reports provides access to investigations of the impact of heal…

2125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73639/psn-pdf
      August 25, 2021 - The Safety of Maternity Services in England. August 25, 2021 Fourth Report of Session 2021–22. House of Commons Health Committee. London, England: The Stationery Office; July 6, 2021. Publication HC 19.  https://psnet.ahrq.gov/issue/safety-maternity-services-england High-profile failures motivate examination …

2126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73691/psn-pdf
      September 08, 2021 - Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021 ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5.  https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm Error reporting is an essen…

2127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866072/psn-pdf
      June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…

2128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851461/psn-pdf
      July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them …

2129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844556/psn-pdf
      February 15, 2023 - Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023 Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022. https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults T…

2130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42751/psn-pdf
      November 20, 2013 - What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. November 20, 2013 Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. Acta Obste…

2131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60263/psn-pdf
      April 22, 2020 - Rationing protective gear means checking on coronavirus patients less often. This can be deadly. April 22, 2020 Kaplan J, Presser L, Miller M. ProPublica. April 10, 2020. https://psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can- be-deadly Increased complexity and p…

2132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72711/psn-pdf
      February 03, 2021 - Never Events Analysis of HSIB's National Investigations Report. February 3, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.   https://psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report Never events provide organizations with motivation to analyze a…

2133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836920/psn-pdf
      April 13, 2022 - Family support role in hospital rapid response teams: a scoping review. April 13, 2022 Howlett O, Gleeson R, Jackson L, et al. Family support role in hospital rapid response teams: a scoping review. JBI Evid Synth. 2022;20(8):2001-2024. doi:10.11124/jbies-21-00189. https://psnet.ahrq.gov/issue/family-support-role-…

2134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47642/psn-pdf
      April 07, 2019 - Identification of warning signs during selection of surgical trainees. April 7, 2019 Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002. https://psnet.ahrq.gov/issue/identification…

2135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840492/psn-pdf
      November 30, 2022 - Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. November 30, 2022 Eldeib D. ProPublica. November 13, 2022. https://psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen- mothers Pregnancy is recognized as a high-risk condition …

2136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34871/psn-pdf
      February 09, 2011 - Educational levels of hospital nurses and surgical patient mortality. February 9, 2011 Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003;290(12):1617-1623. https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-morta…

2137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46080/psn-pdf
      August 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…

2138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47299/psn-pdf
      March 20, 2019 - Unintentionally retained guidewires: a descriptive study of 73 sentinel events. March 20, 2019 Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.003. https://psnet.ahrq.gov/issue/…

2139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45135/psn-pdf
      September 27, 2017 - Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. September 27, 2017 Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470. https://psnet.ahrq.gov/issu…

2140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50940/psn-pdf
      February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…