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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43460/psn-pdf
    April 25, 2016 - Safety organizing, emotional exhaustion, and turnover in hospital nursing units. April 25, 2016 Vogus TJ, Cooil B, Sitterding M, et al. Safety organizing, emotional exhaustion, and turnover in hospital nursing units. Med Care. 2014;52(10):870-6. doi:10.1097/MLR.0000000000000169. https://psnet.ahrq.gov/issue/safety…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42767/psn-pdf
    November 27, 2013 - Barcode medication administration work-arounds: a systematic review and implications for nurse executives. November 27, 2013 Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs Adm. 2013;43(10):530-535. doi:10.1…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40522/psn-pdf
    June 08, 2011 - Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. June 8, 2011 Shekelle PG, Pronovost PJ, Wachter RM, et al; PSP Technical Expert Panel. Rockville, MD: Agency for Healthcare Research and Quality; December 2010. AHRQ Publication No. 11-0006-EF. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41098/psn-pdf
    March 04, 2015 - Automated identification of extreme-risk events in clinical incident reports. March 4, 2015 Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. https://psnet.ahrq.gov/issue/automated-identification-extreme-risk-event…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42637/psn-pdf
    December 29, 2014 - Approaches for improving continuity of care in medication management: a systematic review. December 29, 2014 Spinewine A, Claeys C, Foulon V, et al. Approaches for improving continuity of care in medication management: a systematic review. Int J Qual Health Care. 2013;25(4):403-17. doi:10.1093/intqhc/mzt032. https…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42209/psn-pdf
    April 24, 2013 - Analysis of staff safety concerns. April 24, 2013 Davidson J, Lamontagne G, Burnell L, et al. Analysis of Staff Safety Concerns. J Nurs Care Qual. 2012;28(2). doi:10.1097/ncq.0b013e318277e874. https://psnet.ahrq.gov/issue/analysis-staff-safety-concerns This case study demonstrates how an organization used a safety…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44700/psn-pdf
    March 23, 2016 - Factors that drive team participation in surgical safety checks: a prospective study. March 23, 2016 Gillespie BM, Withers TK, Lavin J, et al. Factors that drive team participation in surgical safety checks: a prospective study. Patient Saf Surg. 2016;10:3. doi:10.1186/s13037-015-0090-5. https://psnet.ahrq.gov/iss…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35270/psn-pdf
    June 29, 2009 - Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration? June 29, 2009 Pugh MJV, Fincke BG, Bierman AS, et al. Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or Wrong Duration? J Am Geriatr Soc. 2005;…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42534/psn-pdf
    August 28, 2013 - Risk factors for hospital admissions associated with adverse drug events. August 28, 2013 Kongkaew C, Hann M, Mandal J, et al. Risk factors for hospital admissions associated with adverse drug events. Pharmacotherapy. 2013;33(8):827-37. doi:10.1002/phar.1287. https://psnet.ahrq.gov/issue/risk-factors-hospital-admi…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42121/psn-pdf
    June 18, 2013 - Developing a patient measure of safety (PMOS). June 18, 2013 Giles SJ, Lawton R, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf. 2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843. https://psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos Prior studies have shown that patients ca…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43247/psn-pdf
    August 02, 2015 - Characteristics of medical professional liability claims against internists. August 2, 2015 Mangalmurti SS, Harold JG, Parikh PD, et al. Characteristics of medical professional liability claims against internists. JAMA Intern Med. 2014;174(6):993-5. doi:10.1001/jamainternmed.2014.1116. https://psnet.ahrq.gov/issue…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36108/psn-pdf
    June 30, 2011 - Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. June 30, 2011 Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795- 2005: a literature review. J R Soc Med. 2006;99(6):309-314. https://psnet.ahrq.gov/issue/doctors-char…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39461/psn-pdf
    April 21, 2010 - Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. April 21, 2010 Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Health Care M…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35196/psn-pdf
    March 01, 2011 - A method for measuring system safety and latent errors associated with pediatric procedural sedation. March 1, 2011 Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2005;101(1):48-58, table of contents. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50457/psn-pdf
    October 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42327/psn-pdf
    June 05, 2013 - Development and testing of tools to detect ambulatory surgical adverse events. June 5, 2013 Mull HJ, Borzecki A, Hickson K, et al. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf. 2013;9(2):96-102. doi:10.1097/PTS.0b013e31827d1a88. https://psnet.ahrq.gov/issue/developme…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41410/psn-pdf
    May 23, 2012 - The World Health Organization '5 moments of hand hygiene': the scientific foundation. May 23, 2012 Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772. https://psnet.ahrq.go…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39177/psn-pdf
    May 04, 2010 - The impact of organisational and individual factors on team communication in surgery: a qualitative study. May 4, 2010 Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int J Nurs Stud. 2010;47(6):732-41. doi:10…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41799/psn-pdf
    December 29, 2014 - Types and patterns of safety concerns in home care: staff perspectives. December 29, 2014 Craven CK, Byrne K, Sims-Gould J, et al. Types and patterns of safety concerns in home care: staff perspectives. Int J Qual Health Care. 2012;24(5):525-31. doi:10.1093/intqhc/mzs047. https://psnet.ahrq.gov/issue/types-and-pat…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42236/psn-pdf
    May 01, 2013 - Nursing student medication errors: a case study using root cause analysis. May 1, 2013 Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. https://psnet.ahrq.gov/issue/nursing-student-…
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