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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60983/psn-pdf
    October 07, 2020 - A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. October 7, 2020 Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;10(9):758-766. doi:10.1542/hpeds.…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44204/psn-pdf
    June 17, 2015 - Effectiveness of interventions to improve patient handover in surgery: a systematic review. June 17, 2015 Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017. https://psnet.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41080/psn-pdf
    May 29, 2012 - Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. May 29, 2012 Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. Ann Surg Oncol. 201…
  4. 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…
  5. 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/…
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44088/psn-pdf
    May 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38143/psn-pdf
    February 18, 2011 - A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. February 18, 2011 Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42382/psn-pdf
    July 16, 2014 - Huddling for high reliability and situation awareness. July 16, 2014 Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness Se…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35356/psn-pdf
    May 27, 2011 - Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. May 27, 2011 Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412 https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837517/psn-pdf
    June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…
  13. 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…
  14. 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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45846/psn-pdf
    January 07, 2019 - Medication safety in the operating room: literature and expert-based recommendations. January 7, 2019 Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert- based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew379. https://psnet.ahrq.gov/issu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862613/psn-pdf
    February 14, 2024 - Standardizing medication reconciliation in a pediatric emergency department. February 14, 2024 Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. https://psnet.ahrq.gov/issue/st…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38274/psn-pdf
    March 31, 2009 - Time motion study in a pediatric emergency department before and after computer physician order entry. March 31, 2009 Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4):462-468.e1. doi:10.1016/j.annemerg…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861285/psn-pdf
    January 24, 2024 - Analysis of a medication safety intervention in the pediatric emergency department. January 24, 2024 Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jamanetworkopen.2023.51629. https:…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50782/psn-pdf
    January 08, 2020 - What can patient safety teach us about clinician burnout? January 8, 2020 Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med. 2019;171(12):933-934. doi:10.7326/m19-2397. https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout This commentary discu…
  20. 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…

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