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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864352/psn-pdf
    March 13, 2024 - Creating a just culture in the perioperative setting. March 13, 2024 Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting Fear of retaliation by leaders or colleague…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45832/psn-pdf
    April 05, 2017 - Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. April 5, 2017 Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. https://psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety This report summarizes a wide…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846162/psn-pdf
    July 01, 2020 - The effect of virtual nursing and missed nursing care. July 1, 2020 Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care The COVID-19…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43440/psn-pdf
    August 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46468/psn-pdf
    December 13, 2017 - The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. December 13, 2017 Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:10.1016/j.annemergmed.2017.03.0…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41559/psn-pdf
    August 01, 2012 - Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' August 1, 2012 Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/bmjqs-2011-000766. https://psnet.ahr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39741/psn-pdf
    October 13, 2010 - Disclosure and reporting of surgical complications: a double-edged sword? October 13, 2010 Stahel PF, Flierl MA, Smith WR, et al. Disclosure and reporting of surgical complications: a double-edged sword? Am J Med Qual. 2010;25(5):398-401. doi:10.1177/1062860610370989. https://psnet.ahrq.gov/issue/disclosure-and-re…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837077/psn-pdf
    May 11, 2022 - At US hospitals, a drug mix-up is just a few keystrokes away. May 11, 2022 Kelman B. Kaiser Health News. April 29, 2022. https://psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away Technological solutions harbor unique risks that can result in patient harm. This article shares a response to report…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39060/psn-pdf
    October 28, 2009 - Impact of duty-hour restriction on resident inpatient teaching. October 28, 2009 Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448. https://psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teac…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866437/psn-pdf
    August 07, 2024 - Wake Up Safe in the USA & international patient safety. August 7, 2024 Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. https://psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety Patient safety organizati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44574/psn-pdf
    October 21, 2015 - Patient safety and quality improvement: reducing risk of harm. October 21, 2015 Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm T…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42468/psn-pdf
    August 07, 2013 - A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. August 7, 2013 Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of volunt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839814/psn-pdf
    January 01, 2023 - Influencing a culture of quality and safety through huddles. November 9, 2022 McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. https://psnet.ahrq.gov/issue/influencing-culture-quality-a…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48104/psn-pdf
    August 28, 2019 - The computer will see you now. August 28, 2019 Whitaker P. New Statesman. August 2, 2019;148:38-43. https://psnet.ahrq.gov/issue/computer-will-see-you-now Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making. Exploring the strengths and weaknesses of artificial inte…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72535/psn-pdf
    December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42844/psn-pdf
    May 29, 2014 - Does the concept of safety culture help or hinder systems thinking in safety? May 29, 2014 Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033. https://psnet.ahrq.gov/issue/does-concept-safety-cult…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45257/psn-pdf
    July 27, 2016 - Exploring approaches to patient safety: the case of spinal manipulation therapy. July 27, 2016 Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. https://psnet.ahrq.gov/issue/exploring-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46483/psn-pdf
    October 04, 2017 - Fall Prevention in Hospitals Training Program. October 4, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training program pro…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42540/psn-pdf
    September 04, 2013 - A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low- income countries. September 4, 2013 Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countrie…

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