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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44055/psn-pdf
    April 15, 2015 - Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. April 15, 2015 Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15- 0021. https://psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats Simulation …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73429/psn-pdf
    June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. June 23, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings Wrong site/wrong patent surgery is a persisten…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46551/psn-pdf
    October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44860/psn-pdf
    June 29, 2016 - Performance measures in neurosurgical patient care: differing applications of patient safety indicators. June 29, 2016 Moghavem N, McDonald KM, Ratliff JK, et al. Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators. Med Care. 2016;54(4):359-64. doi:10.1097/MLR.00…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849608/psn-pdf
    May 31, 2023 - Understanding and preventing vaccination errors. May 31, 2023 Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. https://psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors Vaccine errors can …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45272/psn-pdf
    October 12, 2016 - Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. October 12, 2016 Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. doi:10.1111/jocn.13352. https://p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46697/psn-pdf
    January 10, 2018 - Primary care providers' perspectives on errors of omission. January 10, 2018 Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. https://psnet.ahrq.gov/issue/primary-care-providers-perspectives…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838025/psn-pdf
    September 07, 2022 - Opportunities to mine EHRs for malpractice risk management and patient safety. September 7, 2022 Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/25160435221097422. https://psnet.ahrq.gov…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45618/psn-pdf
    April 24, 2018 - Electronic detection of delayed test result follow-up in patients with hypothyroidism. April 24, 2018 Meyer AND, Murphy DR, Al-Mutairi A, et al. Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. J Gen Intern Med. 2017;32(7). doi:10.1007/s11606-017-3988-z. https://psnet.ahrq.gov…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44988/psn-pdf
    September 20, 2016 - The promise of big data: improving patient safety and nursing practice. September 20, 2016 Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux). 2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09. https://psnet.ahrq.gov/issue/promise-big-data-improving…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866406/psn-pdf
    July 31, 2024 - Impact of a daily huddle on safety in perioperative services. July 31, 2024 Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. https://psnet.ahrq.gov/issue/impact-daily-huddle-s…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42206/psn-pdf
    April 24, 2013 - Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. April 24, 2013 March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). doi:10.1136/bmjopen-2013-002549. ht…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42931/psn-pdf
    April 20, 2014 - Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. April 20, 2014 Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf. 2014;40(2):77-82. https://psnet.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60841/psn-pdf
    January 01, 2022 - The use of anatomical side markers in general radiology: a systematic review of the current literature. August 26, 2020 Chung L, Kumar S, Oldfield J, et al. The use of anatomical side markers in general radiology: a systematic review of the current literature. J Patient Saf. 2022;18(1):e115-e123. doi:10.1097/pts.00…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44637/psn-pdf
    January 22, 2016 - The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. January 22, 2016 Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Care Med. 2016;17(1):67-72. doi:10…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39840/psn-pdf
    September 15, 2010 - Wrong-site craniotomy: analysis of 35 cases and systems for prevention. September 15, 2010 Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. https://psnet.ahrq.gov/issue/wrong-site-craniotomy-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47122/psn-pdf
    June 13, 2018 - Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. June 13, 2018 Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007. https://psne…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34676/psn-pdf
    December 23, 2008 - Driving improvement in patient care: lessons from Toyota. December 23, 2008 Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota Representatives from University of Pit…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44956/psn-pdf
    March 09, 2016 - Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. March 9, 2016 Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43298/psn-pdf
    June 25, 2014 - Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. June 25, 2014 Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspect Health Inf Manag. 2014;11:1g. htt…
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