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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46097/psn-pdf
    August 09, 2017 - Administering and monitoring high-alert medications in acute care. August 9, 2017 Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854256/psn-pdf
    October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. October 4, 2023 Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711. https://psne…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46784/psn-pdf
    January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). January 11, 2023 Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266. https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37911/psn-pdf
    July 16, 2008 - Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of- hospital care: an ethnographic view.  July 16, 2008 Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse Events and Near-misses in Out-of-hos…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45161/psn-pdf
    September 19, 2016 - Design of an evidence-based "second victim" curriculum for nurse anesthetists. September 19, 2016 Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists. AANA J. 2016;84(2):107-113. https://psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anes…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37981/psn-pdf
    June 16, 2011 - Nurses' perceptions of error communication and reporting in the intensive care unit. June 16, 2011 Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48. https://psnet.ahrq.gov/issue/nurses…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47976/psn-pdf
    July 20, 2019 - Reducing avoidable medication-related harm: what will it take? July 20, 2019 Tetteh EK. Reducing avoidable medication-related harm: What will it take? Res Social Adm Pharm. 2019;15(7):827-840. doi:10.1016/j.sapharm.2019.04.002. https://psnet.ahrq.gov/issue/reducing-avoidable-medication-related-harm-what-will-it-ta…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43139/psn-pdf
    April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86- 110. doi:10.1097/AIA.0000000000000017. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delive…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36265/psn-pdf
    April 21, 2015 - "Health courts" and accountability for patient safety. April 21, 2015 Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q. 2006;84(3):459-92. https://psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety This article provides an overview of "hea…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47931/psn-pdf
    January 01, 2020 - Managing risk in hazardous conditions: improvisation is not enough. July 24, 2019 Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. https://psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation…
  11. www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Plan To Help Incorporate the Role of Champions for Resident Physicians Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiolo…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35038/psn-pdf
    January 02, 2017 - Using Six Sigma to reduce medication errors in a home- delivery pharmacy service. January 2, 2017 Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. https://psnet.ahrq.gov/issue/using-six-sigma-redu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46694/psn-pdf
    December 20, 2017 - False dawns and new horizons in patient safety research and practice. December 20, 2017 Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115. https://psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patie…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44735/psn-pdf
    January 06, 2016 - Quality and patient safety teams in the perioperative setting. January 6, 2016 Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting Team effectivenes…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45331/psn-pdf
    August 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46317/psn-pdf
    October 11, 2017 - A communication training program to encourage speaking-up behavior in surgical oncology. October 11, 2017 D'Agostino TA, Bialer PA, Walters CB, et al. A Communication Training Program to Encourage Speaking- Up Behavior in Surgical Oncology. AORN J. 2017;106(4):295-305. doi:10.1016/j.aorn.2017.08.003. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38333/psn-pdf
    January 14, 2009 - Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470. https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues The Tax Relief and Hea…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841488/psn-pdf
    December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled Substances. December 14, 2022 Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246. https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46693/psn-pdf
    December 20, 2017 - Coupling policymaking with evaluation—the case of the opioid crisis. December 20, 2017 Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74164/psn-pdf
    March 20, 2013 - Racial differences in antibiotic prescribing by primary care pediatricians. March 20, 2013 Gerber JS, Prasad PA, Localio AR, et al. Racial differences in antibiotic prescribing by primary care pediatricians. Pediatrics. 2013;131(4):677-684. doi:10.1542/peds.2012-2500. https://psnet.ahrq.gov/issue/racial-difference…