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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47060/psn-pdfApril 25, 2018 - Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. April 25, 2018 Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. BMJ… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46019/psn-pdfApril 26, 2017 - Certified registered nurse anesthetist perceptions of factors impacting patient safety. April 26, 2017 McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69. https://psnet.ahrq.gov/issue/certified-registered-nu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846153/psn-pdfMarch 15, 2023 - Surgical fire in the United States: 2000-2020. March 15, 2023 Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. https://psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020 Surgical fires, while rare, can res… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39348/psn-pdfMarch 10, 2010 - How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. March 10, 2010 Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf Health Care. 2010;19(1):74-8. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74204/psn-pdfJanuary 01, 2022 - Perceptions of nurses who are second victims in a hospital setting. December 22, 2021 Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603. https://psnet.ahrq.gov/issue/perceptions-nurses-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47213/psn-pdfJune 20, 2018 - Are second victims getting the help they need? June 20, 2018 Headley M. Patient Saf Qual Healthc. May/June 2018. https://psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need Clinicians can experience emotional stress, guilt, and insecurity after making a mistake. Organizations are increasingly building p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39064/psn-pdfOctober 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. October 28, 2009 Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of communication and handoff failur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44802/psn-pdfApril 01, 2021 - Overall Hospital Quality Star Ratings. April 1, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview Hospital rating programs have received significant public attention, but concerns have been raised regarding their usefulness. This website prov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60626/psn-pdfJune 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38996/psn-pdfMarch 04, 2011 - Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. March 4, 2011 Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. J Am Med Inform Assoc. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72850/psn-pdfMarch 17, 2021 - Nurse sensemaking for responding to patient and family safety concerns. March 17, 2021 Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. https://psnet.ahrq.gov/issue/nurse-sensemaking-respo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837517/psn-pdfJune 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48006/psn-pdfMay 15, 2019 - Limits on opioid prescribing leave patients with chronic pain vulnerable. May 15, 2019 Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188. https://psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vuln… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34730/psn-pdfOctober 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47546/psn-pdfNovember 14, 2018 - Why doctors hate their computers. November 14, 2018 Gawande A. New Yorker. November 12, 2018. https://psnet.ahrq.gov/issue/why-doctors-hate-their-computers In this magazine article, Atul Gawande describes a range of frustrations physicians experience as digitization becomes more widespread in health care. He elabo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866255/psn-pdfJuly 10, 2024 - Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. July 10, 2024 Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024. https://psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say Cybersecurity is increasingly see… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74836/psn-pdfFebruary 16, 2022 - Outcomes-based nurse staffing during times of crisis and beyond. February 16, 2022 Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm. 2022;52(2):91-98. doi:10.1097/nna.0000000000001114. https://psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40101/psn-pdfJanuary 17, 2012 - Lessons learned from implementation of a computerized application for pending tests at hospital discharge. January 17, 2012 Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011;6(1):16-21. doi:10.1002/jhm.794. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44918/psn-pdfApril 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45188/psn-pdfJune 01, 2016 - Reporting and second-order problem solving can turn short-term fixes into long-term remedies. June 1, 2016 ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4. https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long- term-remedies Workarounds are pr…
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