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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40312/psn-pdf
    June 10, 2018 - Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. March 10, 2011;16:1-4. https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not- just-bedside Th…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42214/psn-pdf
    April 17, 2013 - This isn't my information! The impact of accurate identity management on patient safety. April 17, 2013 Garcia R. This isn't my information! The impact of accurate identity management on patient safety. Health management technology. 2013;34(3):10-1. https://psnet.ahrq.gov/issue/isnt-my-information-impact-accurate-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41543/psn-pdf
    January 18, 2013 - Research on nursing handoffs for medical and surgical settings: an integrative review. January 18, 2013 Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. https://psnet.ahrq.gov/issue/resea…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42145/psn-pdf
    March 27, 2013 - Trends in adverse events over time: why are we not improving? March 27, 2013 Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. https://psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving Th…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36383/psn-pdf
    March 03, 2011 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. March 3, 2011 Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. doi:10.1097/01.sla.0000234655.83517.5…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36692/psn-pdf
    January 18, 2011 - The objective medical emergency team activation criteria: a case-control study. January 18, 2011 Cretikos M, Chen J, Hillman K, et al. The objective medical emergency team activation criteria: a case- control study. Resuscitation. 2007;73(1):62-72. https://psnet.ahrq.gov/issue/objective-medical-emergency-team-acti…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42501/psn-pdf
    January 07, 2015 - Syndromic surveillance for health information system failures: a feasibility study. January 7, 2015 Ong M-S, Magrabi F, Coiera E. Syndromic surveillance for health information system failures: a feasibility study. J Am Med Inform Assoc. 2013;20(3):506-12. doi:10.1136/amiajnl-2012-001144. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38358/psn-pdf
    September 12, 2016 - Failure to rescue as a process measure to evaluate fetal safety during labor. September 12, 2016 Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. https://psnet.ahrq.gov/issue/failure-resc…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42384/psn-pdf
    December 18, 2013 - Pediatric emergency nurses self-reported medication safety practices. December 18, 2013 Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. https://psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-re…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43564/psn-pdf
    January 15, 2019 - Are hospitals in a med safety standard slump? January 15, 2019 Wild D. Pharmacy Practice News. September 8, 2014. https://psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump Highlighting how hospital compliance rates with Joint Commission medication–related standards have remained mostly unchanged from 20…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43089/psn-pdf
    April 02, 2014 - Save a brain, make a checklist. April 2, 2014 Hamblin J. The Atlantic. March 17, 2014. https://psnet.ahrq.gov/issue/save-brain-make-checklist Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as reduced complication rates, along with research that questioned…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47490/psn-pdf
    December 05, 2018 - Check your medical records for dangerous errors. December 5, 2018 Graham J. Kaiser Health News. November 21, 2018. https://psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors Patients can identify errors in their medical records that health care providers may not recognize. This news article highlight…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39824/psn-pdf
    December 06, 2010 - Team working in intensive care: current evidence and future endeavors. December 6, 2010 Richardson J, West MA, Cuthbertson BH. Team working in intensive care: current evidence and future endeavors. Curr Opin Crit Care. 2010;16(6):643-8. doi:10.1097/MCC.0b013e32833e9731. https://psnet.ahrq.gov/issue/team-working-in…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36667/psn-pdf
    April 14, 2011 - Effective healthcare teams require effective team members: defining teamwork competencies. April 14, 2011 Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17. https://psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-t…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42757/psn-pdf
    November 20, 2013 - Clinical ICT Systems in the Victorian Public Health Sector. November 20, 2013 Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013. https://psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector Following the implementation of a large clinical information communicati…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50662/psn-pdf
    November 13, 2019 - Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. November 13, 2019 Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction Outpatient safety is gaining traction as a focal point of analysis and …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35701/psn-pdf
    July 12, 2010 - Improving the accuracy of patient identification in the medication-use process. July 12, 2010 Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2. https://psnet.ahrq.gov/issue/improving-accuracy-patient-i…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41282/psn-pdf
    April 11, 2012 - Analysis of risk factors for adverse drug events in critically ill patients. April 11, 2012 Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473. https://psnet.ahrq.gov/issue/analy…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36993/psn-pdf
    September 15, 2011 - A transdisciplinary team acting on evidence through analyses of moot malpractice cases. September 15, 2011 Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5. https://psnet.ahrq.gov/issue/transdisciplinary-team-acting-evid…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60883/psn-pdf
    September 02, 2020 - When the misdiagnosis is child abuse. September 2, 2020 Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20. https://psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse Diagnostic decision-making is susceptible to cognitive biases and error in stressful situations. This feature article il…

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