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  1. 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-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50623/psn-pdf
    November 06, 2019 - Adverse Events in Anesthesia: An Integrative Review. November 6, 2019 Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005. https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review This integrative …

  3. 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…

  4. 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.…

  5. 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…

  6. 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…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42687/psn-pdf
    September 29, 2017 - Safety checklist compliance and a false sense of safety: new directions for research. September 29, 2017 Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168. https://psnet.ahrq.gov/issue/s…

  8. 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…

  9. 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…

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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…

  19. 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…

  20. 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 …
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