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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73474/psn-pdf
    July 07, 2021 - Resident and family engagement in medication management in aged care facilities: a systematic review. July 7, 2021 Manias E, Bucknall T, Hutchinson AM, et al. Resident and family engagement in medication management in aged care facilities: a systematic review. Expert Opin Drug Saf. 2021:1-19. doi:10.1080/14740338.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34657/psn-pdf
    June 14, 2011 - Multidisciplinary approaches to reducing error and risk in a patient care setting. June 14, 2011 Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002;14(4):359-67, viii. https://psnet.ahrq.gov/issue/multidisciplinary-ap…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73416/psn-pdf
    June 23, 2021 - An observational study of postoperative handoff standardization failures. June 23, 2021 Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. https://psnet.ahrq.gov/issue/observational-study…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867530/psn-pdf
    January 15, 2025 - Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. January 15, 2025 Lee E, De Gagne J C, Randall P S, et al. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. J Adv Nurs. 2024;Epub Nov 4. doi:10.1111/jan.16592. https://psnet.ahrq.gov/issue/ex…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867436/psn-pdf
    January 08, 2025 - The role of AI in detecting and mitigating human errors in safety-critical industries: a review. January 8, 2025 Gursel E, Madadi M, Coble JB, et al. The role of AI in detecting and mitigating human errors in safety- critical industries: a review. Reliability Eng System Saf. 2025;256:110682. doi:10.1016/j.ress.2024…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867683/psn-pdf
    March 05, 2025 - Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. March 5, 2025 Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine- related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117. doi:10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45989/psn-pdf
    June 07, 2017 - Radiologic safety events within a pediatric emergency medicine network. June 7, 2017 Blumberg SM, Mahajan P, O?Connell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. https://psnet.ahrq.gov/issue/radiologic-s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853974/psn-pdf
    January 01, 2024 - Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. September 27, 2023 Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. J Adv Nu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74750/psn-pdf
    February 09, 2022 - Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes: a stepped-wedge, cluster-randomised multicentre trial. February 9, 2022 Emond YEJJM, Calsbeek H, Peters YAS, et al. Increased adherence to perioperative safety guidelines associated with improved patient safety…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45939/psn-pdf
    March 01, 2017 - Examining the Copy and Paste Function in the Use of Electronic Health Records. March 1, 2017 Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce; January 19, 2017. NIST Interagency/Internal Report (NISTIR)-8166. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60559/psn-pdf
    June 03, 2020 - Omissions of care in nursing home settings: a narrative review. June 3, 2020 Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. https://psnet.ahrq.gov/issue/omissions-care-nursing-home-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43847/psn-pdf
    January 28, 2015 - Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. January 28, 2015 Salazar MJB, Minkoff H, Bayya J, et al. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. J Am Coll Surg. 2014;219(5):1001-7. doi:10.1016/j.jamcollsurg.201…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45087/psn-pdf
    May 04, 2016 - Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. May 4, 2016 Ruiz M, Bottle A, Aylin PP. Exploring the impact of consultants’ experience on hospital mortality by day of the week: a retrospective analysis of hospital e…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40215/psn-pdf
    February 10, 2015 - Performance-based payment incentives increase burden and blame for hospital nurses. February 10, 2015 Kurtzman ET, O'Leary D, Sheingold BH, et al. Performance-based payment incentives increase burden and blame for hospital nurses. Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377/hlthaff.2010.0573. https://ps…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43805/psn-pdf
    February 11, 2015 - Understanding the nature of medication errors in an ICU with a computerized physician order entry system. February 11, 2015 Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One. 2014;9(12):e114243. doi:10.1371/journal.pon…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47024/psn-pdf
    November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865340/psn-pdf
    March 27, 2024 - Risk management and patient safety in the artificial intelligence era: a systematic review. March 27, 2024 Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:10.3390/healthcare12050549. https:…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47628/psn-pdf
    March 13, 2019 - Prescribing in 2019: what are the safety concerns? March 13, 2019 Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. https://psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns Medication errors present challenges to …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45857/psn-pdf
    July 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. July 11, 2017 Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
  20. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Conclusions Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. D…