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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47055/psn-pdf
    May 23, 2018 - Surgical checklists save lives—but once in a while, they don't. Why? May 23, 2018 Mukherjee S. New York Times Magazine. May 9, 2018. https://psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why Checklists can coordinate action and communication to augment safety, but human and system factor…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39275/psn-pdf
    February 03, 2010 - Medical librarians supporting information systems project lifecycles toward improved patient safety. February 3, 2010 Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians possess expertise to navigate various s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60020/psn-pdf
    March 04, 2020 - The eNOTSS platform for surgeons’ nontechnical skills performance improvement. March 4, 2020 Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. https://psnet.ahrq.gov/issue/enotss-platform-s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44046/psn-pdf
    August 21, 2015 - Development of an instrument to measure the unintended consequences of EHRs. August 21, 2015 Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/0193945915576083. https://psnet.ahrq.gov/issue/devel…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41718/psn-pdf
    October 03, 2012 - Duty hours, quality of care, and patient safety: general surgery resident perceptions. October 3, 2012 Borman KR, Jones AT, Shea JA. Duty hours, quality of care, and patient safety: general surgery resident perceptions. J Am Coll Surg. 2012;215(1):70-7; discussion 77-9. doi:10.1016/j.jamcollsurg.2012.02.010. https…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39517/psn-pdf
    May 25, 2010 - A prospective controlled trial of the effect of a multi- faceted intervention on early recognition and intervention in deteriorating hospital patients. May 25, 2010 Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and inter…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866285/psn-pdf
    October 30, 2023 - Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. October 30, 2023 Washington DC: The White House; October 30, 2023. EO 14110. https://psnet.ahrq.gov/issue/executive-order-safe-secure-and-trustworthy-development-and-use-artificial- intelligence Artificial in…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35182/psn-pdf
    April 11, 2011 - Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. April 11, 2011 Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46650/psn-pdf
    July 12, 2018 - Towards a more patient-centered approach to medication safety. July 12, 2018 Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41975/psn-pdf
    February 01, 2013 - Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. February 1, 2013 Al-Qahtani S, Al-Dorzi HM, Tamim HM, et al. Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and m…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48006/psn-pdf
    May 15, 2019 - Limits on opioid prescribing leave patients with chronic pain vulnerable. May 15, 2019 Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188. https://psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vuln…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41952/psn-pdf
    January 16, 2013 - Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. January 16, 2013 Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Med Phys. 2012;39(11):6968-71. doi:…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74011/psn-pdf
    October 27, 2021 - Dashboards for visual display of patient safety data: a systematic review. October 27, 2021 Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. https://psnet.ahrq.gov/issue/dash…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35253/psn-pdf
    April 06, 2011 - Real time patient safety audits: improving safety every day. April 6, 2011 Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day This p…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836856/psn-pdf
    April 06, 2022 - To what extent are patients involved in researching safety in acute mental healthcare? April 6, 2022 Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x. https://psnet.ahr…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47810/psn-pdf
    March 13, 2019 - Debriefing in the OR: a quality improvement project. March 13, 2019 Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616. https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project Debriefing has emerged as a s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34797/psn-pdf
    October 06, 2015 - Adapting to new technologies in the operating room. October 6, 2015 Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593- 613. doi:10.1518/001872096778827224. https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room New technology continues to offer great ad…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47009/psn-pdf
    December 21, 2018 - Perceptions of rounding checklists in the intensive care unit: a qualitative study. December 21, 2018 Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218. https://psnet.ahrq.gov/issue/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73592/psn-pdf
    August 11, 2021 - Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. August 11, 2021 Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/aorn.13413. https://psnet.ahrq.gov/issu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45373/psn-pdf
    November 18, 2016 - Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. November 18, 2016 Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073. ht…

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