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  1. 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://…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50716/psn-pdf
    December 04, 2019 - Organisation for Economic Co-operation and Development: Health at a Glance 2019. December 4, 2019 Paris, France: OECD Publishing: 2019. https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019 This report documents the overall state of health care, based on an internationa…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74214/psn-pdf
    December 29, 2020 - Racial and ethnic disparities in the treatment of chronic pain. December 29, 2020 Morales ME, Yong RJ. Racial and ethnic disparities in the treatment of chronic pain. Pain Med. 2020;22(1):75-90. doi:10.1093/pm/pnaa427. https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain This literatu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41356/psn-pdf
    May 29, 2012 - Safety in the home healthcare sector: development of a new household safety checklist. May 29, 2012 Gershon RRM, Dailey M, Magda LA, et al. Safety in the home healthcare sector: development of a new household safety checklist. J Patient Saf. 2012;8(2):51-9. doi:10.1097/PTS.0b013e31824a4ad6. https://psnet.ahrq.gov/…
  5. 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;…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73149/psn-pdf
    April 14, 2021 - Recognizing the importance of whistleblowers in healthcare. April 14, 2021 O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56. doi:10.1097/01.nurse.0000736912.14380.65. https://psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare Individuals wh…
  8. 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:/…
  9. 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. …
  10. 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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73327/psn-pdf
    January 25, 2022 - ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings The perioperative setting is a high-risk area for medication errors, should they occur. This asses…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38812/psn-pdf
    April 12, 2011 - Management of test results in family medicine offices. April 12, 2011 Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices This study evaluated co…
  13. 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…
  14. 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…
  15. 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. …
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42995/psn-pdf
    September 12, 2016 - Failure events in transition of care for surgical patients. September 12, 2016 Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. https://psnet.ahrq.gov/issue/failure-events-transition-care-su…

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