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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36077/psn-pdf
    July 05, 2006 - Perinatal patient safety from the perspective of nurse executives: a round table discussion. July 5, 2006 Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J. https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion The authors summarize a discussion be…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39467/psn-pdf
    April 21, 2010 - Nursing handoffs: a systematic review of the literature. April 21, 2010 Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. https://psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35177/psn-pdf
    June 23, 2009 - Narrativizing errors of care: critical incident reporting in clinical practice. June 23, 2009 Iedema R, Flabouris A, Grant S, et al. Narrativizing errors of care: critical incident reporting in clinical practice. Soc Sci Med. 2006;62(1):134-44. https://psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incide…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42956/psn-pdf
    February 19, 2014 - Patient safety: it takes a team. February 19, 2014 Rosemont, IL: American Academy of Orthopaedic Surgeons. https://psnet.ahrq.gov/issue/patient-safety-it-takes-team Patient engagement is a promising strategy for error reduction and has become a priority of influential regulatory and governmental organizations. Thi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41600/psn-pdf
    August 15, 2012 - The role of nursing surveillance in keeping patients safe. August 15, 2012 Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377. https://psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe This commentary discusses…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39202/psn-pdf
    February 25, 2015 - Strengthening the core. Middle managers play a vital role in improving safety. February 25, 2015 Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. https://psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-r…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36571/psn-pdf
    January 05, 2017 - The Objective Structured Clinical Examination as an educational tool in patient safety. January 5, 2017 Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. https://psnet.ahrq.gov/issue/objective-structured-clinical-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40380/psn-pdf
    November 21, 2016 - Preventing sentinel events caused by family members. November 21, 2016 Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0. https://psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members This commentary discu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41617/psn-pdf
    August 22, 2012 - Medical devices and patient safety. August 22, 2012 Mattox E. Medical devices and patient safety. Crit Care Nurse. 2012;32(4):60-8. doi:10.4037/ccn2012925. https://psnet.ahrq.gov/issue/medical-devices-and-patient-safety This commentary discusses errors associated with medical device use in intensive care environmen…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41656/psn-pdf
    September 05, 2012 - ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health. September 5, 2012 Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c. https://psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43032/psn-pdf
    June 17, 2014 - EAU policy on live surgery events. June 17, 2014 Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87- 97. doi:10.1016/j.eururo.2014.01.028. https://psnet.ahrq.gov/issue/eau-policy-live-surgery-events The practice of live surgical procedures for educational purpo…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37819/psn-pdf
    April 14, 2010 - Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. April 14, 2010 Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2008. https://psnet.ahrq.gov/issue/standardizing-medica…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41639/psn-pdf
    September 27, 2016 - Physical environments that promote safe medication use. September 27, 2016 Grissinger M. Physical environments that promote safe medication use. PT. 2012;37(7):377-378. https://psnet.ahrq.gov/issue/physical-environments-promote-safe-medication-use This commentary discusses standards related to workspace design that…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37773/psn-pdf
    May 21, 2008 - Critical incident reporting system in emergency medicine. May 21, 2008 Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82. https://psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine This article expl…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42176/psn-pdf
    April 17, 2013 - Checklists improve experts' diagnostic decisions. April 17, 2013 Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080. https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions Checklists have recently be…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42331/psn-pdf
    June 05, 2013 - Using the ABCs of situational awareness for patient safety. June 5, 2013 Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety This commentary exa…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34621/psn-pdf
    September 27, 2017 - Human Factors and Medical Devices. September 27, 2017 Center for Devices and Radiological Health, US Food and Drug Administration. https://psnet.ahrq.gov/issue/human-factors-and-medical-devices Human factors engineering (HFE) helps improve human performance and reduce the risks associated with use error. The U.S. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34632/psn-pdf
    March 28, 2005 - Keeping Each Patient Safe. March 28, 2005 University of Pittsburgh Schools of the Health Sciences https://psnet.ahrq.gov/issue/keeping-each-patient-safe A collection of three educational modules that address key areas of concern in patient safety. These include protecting patients from hospital-acquired infection,…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35816/psn-pdf
    July 21, 2010 - Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. July 21, 2010 Sharma S, Smith AF, Rooksby J, et al. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. Anaesthesia. 2006;61(4):350-4. https://psnet.ahrq.gov/issue/i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39612/psn-pdf
    June 16, 2010 - National Action Plan to Improve Health Literacy. June 16, 2010 Washington, DC: United States Department of Health and Human Services; 2010.   https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy This report presents goals for improved health literacy in the United States and recommends pra…