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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36933/psn-pdf
    September 09, 2011 - Retained foreign bodies after surgery. September 9, 2011 Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. https://psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery The authors performed a case contr…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41575/psn-pdf
    August 08, 2012 - Threats to patient safety in the primary care office: concerns of physicians and nurses. August 8, 2012 Schwappach DLB, Gehring K, Battaglia M, et al. Threats to patient safety in the primary care office: concerns of physicians and nurses. Swiss Med Wkly. 2012;142:w13601. doi:10.4414/smw.2012.13601. https://psnet.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39049/psn-pdf
    January 16, 2010 - Approaching the evidence basis for aviation-derived teamwork training in medicine. January 16, 2010 Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664. https://psnet.ahrq.gov/issue/approaching-evidence…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38755/psn-pdf
    July 01, 2009 - Review of Patient Safety for Children and Young People. July 1, 2009 London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071. https://psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40046/psn-pdf
    June 15, 2012 - Applying HFMEA to prevent chemotherapy errors. June 15, 2012 Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. https://psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors This study provides a practical ex…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34584/psn-pdf
    July 08, 2014 - Advocate Health Care: a systemwide approach to quality and safety. July 8, 2014 Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety Advocate is a l…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38024/psn-pdf
    August 27, 2008 - Promoting patient safety using an early warning scoring system. August 27, 2008 Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. https://psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system Imp…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33892/psn-pdf
    May 03, 2016 - Critical Incident Technique Bibliography—2001. May 3, 2016 Fivars G; Fitzpatrick R https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001 A research tool to identify critical requirements for performance in applied areas of psychology and behavioral science. This technique, used in anesthesia t…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39750/psn-pdf
    August 11, 2010 - Medication reconciliation in a community pharmacy setting. August 11, 2010 Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. https://psnet.ahrq.gov/issue/medication-reconciliation-community-p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39306/psn-pdf
    February 17, 2010 - Detection of patient risk by nurses: a theoretical framework. February 17, 2010 Despins LA, Scott-Cawiezell J, Rouder JN. Detection of patient risk by nurses: a theoretical framework. J Adv Nurs. 2010;66(2). doi:10.1111/j.1365-2648.2009.05215.x. https://psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretica…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39678/psn-pdf
    July 14, 2010 - Medication errors recovered by emergency department pharmacists. July 14, 2010 Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012. https://psnet.ahrq.gov/issue/medication-errors-rec…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36454/psn-pdf
    January 31, 2019 - Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition. January 31, 2019 Oakbrook, IL: Joint Commission Resources; 2018. ISBN: 9781635850611. https://psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition Nurses have an important role in ensurin…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39770/psn-pdf
    August 18, 2010 - Comparison of potential risk factors for medication errors with and without patient harm. August 18, 2010 Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8). doi:10.1002/pds.1977. https://ps…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42234/psn-pdf
    June 03, 2013 - Pharmacovigilance using clinical notes. June 3, 2013 LePendu P, Iyer S, Bauer-Mehren A, et al. Pharmacovigilance using clinical notes. Clin Pharmacol Ther. 2013;93(6):547-55. doi:10.1038/clpt.2013.47. https://psnet.ahrq.gov/issue/pharmacovigilance-using-clinical-notes This study reports on the use of natural langu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38809/psn-pdf
    November 14, 2011 - Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. November 14, 2011 The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009. https://psnet.ahrq.gov/issue/safety-first-top-your-boards-agenda-100-day-challenge-survey-report This publication summarizes the results…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35530/psn-pdf
    March 02, 2010 - Health care provider use of private sector internal error- reporting systems. March 2, 2010 Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12. https://psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-e…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35951/psn-pdf
    June 14, 2011 - Errors in thyroid gland fine-needle aspiration. June 14, 2011 Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4. https://psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration This AHRQ–funded study used roo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41912/psn-pdf
    December 12, 2012 - Speaking up and sharing information improves trainee neonatal resuscitations. December 12, 2012 Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. https://psnet.ahrq.gov/issue/speaking-an…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38754/psn-pdf
    August 17, 2011 - Intentionally harmful violations and patient safety: the example of Harold Shipman. August 17, 2011 Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. https://psnet.ahrq.gov/issue/intentionally-harm…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47472/psn-pdf
    October 24, 2018 - Patient Safety Certificate Course. October 24, 2018 American Board of Quality Assurance and Utilization Review Physicians; ABQAURP. https://psnet.ahrq.gov/issue/patient-safety-certificate-course This online course offers three modules designed to build awareness of key patient safety topics, including how to ident…

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