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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73386/psn-pdf
    June 16, 2021 - Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. June 16, 2021 Debesay J, Kartzow AH, Fougner M. Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. Nurs Inq. 2021;29(1):e12421. doi:10.1111/nin.12421. https://psnet.a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36199/psn-pdf
    March 28, 2011 - Time of day effects on the incidence of anesthetic adverse events. March 28, 2011 Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63. https://psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47747/psn-pdf
    March 13, 2019 - A piece of my mind. Hard times and hard stops. March 13, 2019 Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. https://psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops Implementing new information systems can have unintended consequences on processes. This…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866698/psn-pdf
    September 11, 2024 - Can we ensure medication safety with the use of speech recognition software? September 11, 2024 Can we ensure medication safety with the use of speech recognition software? ISMP Medication Safety Alert! Acute Care. August 22, 2024;29(17):1-3. https://psnet.ahrq.gov/issue/can-we-ensure-medication-safety-use-speech-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47367/psn-pdf
    October 15, 2018 - Themed Issue on Innovations in Medication Safety. October 15, 2018 Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2154. https://psnet.ahrq.gov/issue/themed-issue-i…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72600/psn-pdf
    December 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60950/psn-pdf
    September 23, 2020 - An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. September 23, 2020 Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. J Law Med Eth…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46861/psn-pdf
    February 28, 2018 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. February 28, 2018 Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-ove…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44455/psn-pdf
    September 02, 2015 - Finding antecedents of psychological safety: a step toward quality improvement. September 2, 2015 Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084. https://psnet.ahrq.gov/issue/finding-antecedents-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47638/psn-pdf
    February 06, 2019 - Decreasing surgical site infections by developing a high reliability culture. February 6, 2019 Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. https://psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-hi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46475/psn-pdf
    April 16, 2018 - Incident reporting behaviours following the Francis report: a cross-sectional survey. April 16, 2018 Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849. https://psnet.ahrq.gov/issue/incident-reporting-behav…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72531/psn-pdf
    January 01, 2021 - Factors influencing physician responsiveness to nurse- initiated communication: a qualitative study. December 2, 2020 Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):747-754. doi:10.1136/bmjqs-2020…
  13. www.ahrq.gov/patient-safety/reports/healthaffairs.html
    March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …
  14. www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.html
    January 01, 2015 - Creating a Culture of Safety ESRD Toolkit The Creating a Culture of Safety module of the ESRD Toolkit discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm in dialysis centers. Presentation Slides ( PPTX, 20 M B) Facilitator …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47879/psn-pdf
    June 05, 2019 - The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. June 5, 2019 Halperin O, Bronshtein O. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. Nurse Educ Pract. 2019;36:34-39. doi:…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854830/psn-pdf
    January 01, 2024 - The effect of evidence in crisis learning: based on a perspective integration framework. October 25, 2023 Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1468-5973.12506. https://psnet.ahrq.g…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837060/psn-pdf
    May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022 Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. J…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73316/psn-pdf
    May 26, 2021 - Racial bias among emergency providers: strategies to mitigate its adverse effects. May 26, 2021 Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352. https://psnet.ahrq.go…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44217/psn-pdf
    November 10, 2015 - Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting. November 10, 2015 Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45343/psn-pdf
    August 10, 2016 - Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. August 10, 2016 Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus Nurs. 2016;39(4):235-48. doi:10.…