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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45457/psn-pdf
    September 01, 2016 - Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. September 1, 2016 Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):358-66. doi:10.1016/j.nwh.2016.…
  2. psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
    January 24, 2018 - Primary Workaround, Secondary Complication Citation Text: Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar B…
  3. psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
    June 01, 2018 - Managing Ascites: Hazards of Fluid Removal Citation Text: Moore K. Managing Ascites: Hazards of Fluid Removal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 …
  4. psnet.ahrq.gov/web-mm/missing-point-eye-injury
    March 01, 2005 - Missing the Point—Eye Injury Citation Text: Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …
  5. psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
    February 01, 2014 - Wrong-Time Error With High-Alert Medication Citation Text: Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44011/psn-pdf
    May 06, 2015 - Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. May 6, 2015 Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Adv Health Sc…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36837/psn-pdf
    December 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. December 3, 2018 Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. doi:10.2307/41166166. https://psnet.ahrq.gov/issue/hospitals-cultures-en…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48071/psn-pdf
    June 12, 2019 - Doctors were alarmed: would I have my children have surgery here? June 12, 2019 Gabler E. New York Times. May 31, 2019. https://psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here Pediatric cardiac surgery is highly technical and risky. This newspaper article reports on a poorly p…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74182/psn-pdf
    December 15, 2021 - Honesty and transparency, indispensable to the clinical mission--Parts I-III. December 15, 2021 Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.otc.2021.07.016. https://psnet.ahrq.…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866447/psn-pdf
    August 07, 2024 - Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. August 7, 2024 Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; https://psnet.ahrq.gov/issue/older-adults-are-often-misdiagnos…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46601/psn-pdf
    January 25, 2018 - Night-time communication at Stanford University Hospital: perceptions, reality and solutions. January 25, 2018 Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727. https://psnet.ah…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46654/psn-pdf
    December 13, 2017 - Organisational paradoxes in speaking up for safety: implications for the interprofessional field. December 13, 2017 Rowland P. Organisational paradoxes in speaking up for safety: Implications for the interprofessional field. J Interprof Care. 2017;31(5):553-556. doi:10.1080/13561820.2017.1321305. https://psnet.ahr…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36515/psn-pdf
    May 27, 2011 - Nurses' perceptions of causes of medication errors and barriers to reporting. May 27, 2011 Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-e…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73135/psn-pdf
    April 14, 2021 - Debrief it all: a tool for inclusion of Safety-II. April 14, 2021 Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii Debriefing is a c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837962/psn-pdf
    August 31, 2022 - Positive approaches to safety: learning from what we do well. August 31, 2022 Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. https://psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well Safet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46335/psn-pdf
    December 19, 2017 - Prescription opioid analgesics commonly unused after surgery: a systematic review. December 19, 2017 Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831. https://psnet.ahrq.gov/issue/prescription-op…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843327/psn-pdf
    February 01, 2023 - Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence. February 1, 2023 Abrams R, Conolly A, Rowland E, et al. Speaking up during the COVID?19 pandemic: nurses' experiences of organizational disregard and silence. J Adv Nurs. 2023;79(6):2189-2199. doi:10.1111/jan.1552…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73217/psn-pdf
    May 05, 2021 - Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021 Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837594/psn-pdf
    June 29, 2022 - Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. June 29, 2022 Farrell C?JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood cou…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50889/psn-pdf
    February 12, 2020 - Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. February 12, 2020 Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Amb…

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