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3141. 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…

3142. 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…

3143. 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…

3144. 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…

3145. 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…

3146. 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…

3147. 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…

3148. Vision Rehabilitation: Care and Benefit Plan Models: Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/index.html
      October 01, 2002 - Vision Rehabilitation: Care and Benefit Plan Models: Literature Review This literature review explores factors related to the adoption of vision rehabilitation strategies in different service delivery and financing models. The scientific evidence on effectiveness of rehabilitation services for patients with vis…

3149. 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…

3150. 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…

3151. 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…

3152. 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…

3153. 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…

3154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73149/psn-pdf
      April 14, 2021 - Recognizing the importance of whistleblowers in healthcare. April 14, 2021 O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56. doi:10.1097/01.nurse.0000736912.14380.65. https://psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare Individuals wh…

3155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37760/psn-pdf
      May 14, 2008 - The role of continuous quality improvement and psychological safety in predicting work-arounds. May 14, 2008 Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. doi:10.1097/01.HMR.0000304505.04932.62.…

3156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46800/psn-pdf
      May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…

3157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73327/psn-pdf
      January 25, 2022 - ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings The perioperative setting is a high-risk area for medication errors, should they occur. This asses…

3158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863224/psn-pdf
      February 28, 2024 - Special Section: IEA Health Care 2021. February 28, 2024 Hum Factors. 2024;66(3):633-769. https://psnet.ahrq.gov/issue/special-section-iea-health-care-2021 The ergonomics community has an established interest in medical error reduction. The 2021 International Ergonomics Association conference examined applications…

3159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35181/psn-pdf
      June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…

3160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46233/psn-pdf
      September 24, 2017 - Cutting-edge efforts in surgical patient safety. September 24, 2017 Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719- 720. doi:10.1001/jamasurg.2017.0858. https://psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety Implementation science examines me…