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5561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39369/psn-pdf
      March 17, 2010 - Paediatric nurses' understanding of the process and procedure of double-checking medications. March 17, 2010 Dickinson A, McCall E, Twomey B, et al. Paediatric nurses' understanding of the process and procedure of double-checking medications. J Clin Nurs. 2010;19(5-6). doi:10.1111/j.1365-2702.2009.03130.x. https:/…

5562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39516/psn-pdf
      June 27, 2011 - Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. June 27, 2011 De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. Int…

5563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40377/psn-pdf
      April 20, 2011 - Lessons learned: use of event reporting by nurses to improve patient safety and quality. April 20, 2011 Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010.12.005. https://psnet.ahrq.gov/iss…

5564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39881/psn-pdf
      November 02, 2010 - Automated detection of harm in healthcare with information technology: a systematic review. November 2, 2010 Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e11. doi:10.1136/qshc.2009.033027. …

5565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38846/psn-pdf
      August 05, 2009 - Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures. August 5, 2009 Landro L. https://psnet.ahrq.gov/issue/seeking-safer-surgery-some-states-crack-down-doctors-who-perform- unregulated-outpatient This article discusses growing legal oversight on outpatient surg…

5566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42139/psn-pdf
      March 27, 2013 - Personalised performance feedback reduces narcotic prescription errors in a NICU. March 27, 2013 Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. https://psnet.ahrq.gov/issue/personal…

5567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43934/psn-pdf
      September 27, 2017 - Communication elements supporting patient safety in psychiatric inpatient care. September 27, 2017 Kanerva A, Kivinen T, Lammintakanen J. Communication elements supporting patient safety in psychiatric inpatient care. J Psychiatr Ment Health Nurs. 2015;22(5):298-305. doi:10.1111/jpm.12187. https://psnet.ahrq.gov/i…

5568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38305/psn-pdf
      January 15, 2009 - High-alert medications in the pediatric intensive care unit. January 15, 2009 Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. https://psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-c…

5569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42316/psn-pdf
      June 19, 2013 - Duty-hours monitoring revisited: self-report may not be adequate. June 19, 2013 Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003. https://psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-sel…

5570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43522/psn-pdf
      October 15, 2014 - A model of disruptive surgeon behavior in the perioperative environment. October 15, 2014 Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. https://psnet.ahrq.gov/issue/model-disruptive-surgeon-beh…

5571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39954/psn-pdf
      November 26, 2014 - Incidence of adverse drug events and medication errors in Japan: the JADE Study. November 26, 2014 Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pds.3331. https://psnet.ahrq.gov…

5572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39886/psn-pdf
      April 17, 2013 - Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. April 17, 2013 Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10.1097/MLR.0b013e3181eb31bd. https://…

5573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35700/psn-pdf
      February 15, 2010 - Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. February 15, 2010 Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005;129(10):1262-1267. https://psne…

5574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37338/psn-pdf
      January 02, 2017 - Using the rapid response system to provide better oversight of patient care processes. January 2, 2017 Moore MS, Howard SK, Lighthall GK. Using the rapid response system to provide better oversight of patient care processes. Jt Comm J Qual Patient Saf. 2007;33(11):695-8, 645. https://psnet.ahrq.gov/issue/using-rap…

5575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37920/psn-pdf
      May 24, 2015 - Functional health literacy and understanding of medications at discharge. May 24, 2015 Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. https://psnet.ahrq.gov/issue/functional-health-literacy-and-und…

5576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865984/psn-pdf
      May 29, 2024 - The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain

5577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60889/psn-pdf
      January 01, 2021 - Expert consensus on currently accepted measures of harm. September 9, 2020 Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measu…

5578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36691/psn-pdf
      January 18, 2011 - The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. January 18, 2011 Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;96(12):1255-1259. https://psnet.ah…

5579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836864/psn-pdf
      April 06, 2022 - Improving the specificity of drug-drug interaction alerts: can it be done? April 6, 2022 Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. https://psnet.ahrq.gov/issue/improving-specif…

5580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42562/psn-pdf
      June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. June 9, 2015 Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…