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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35130/psn-pdf
    March 11, 2011 - A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. March 11, 2011 Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J Am Med Inform Assoc…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42838/psn-pdf
    January 08, 2014 - Management of arterial lines and blood sampling in intensive care: a threat to patient safety. January 8, 2014 Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111/anae.12389. https://psnet.ahrq.g…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45693/psn-pdf
    February 22, 2017 - Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. February 22, 2017 Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcomes. Hum Factors. 2016;58(8):118…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39860/psn-pdf
    September 01, 2017 - Interventions to improve hand hygiene compliance in patient care. September 1, 2017 Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4. https://psnet.ahrq.gov/issue/interventions-i…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45444/psn-pdf
    December 04, 2016 - Alarm fatigue: use of an evidence-based alarm management strategy. December 4, 2016 Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. https://psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy Reducing nuisance…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45854/psn-pdf
    July 12, 2017 - The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. July 12, 2017 Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and Evaluation of a Website to Reduce …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47786/psn-pdf
    June 26, 2019 - Creating a Safe Space: Psychological Health and Safety of Healthcare Workers. June 26, 2019 Canadian Patient Safety Institute: 2019. https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers Structured approaches to managing negative psychological consequences of medical e…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843094/psn-pdf
    January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43986/psn-pdf
    September 26, 2016 - The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. September 26, 2016 Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140-51. doi:10.1097/NAN.000000000…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866192/psn-pdf
    June 26, 2024 - A systemwide strategy to embed equity into patient safety event analysis. June 26, 2024 Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004. https://psnet.ahrq.gov/issue/system…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43053/psn-pdf
    May 26, 2014 - Evidence-based organization and patient safety strategies in European hospitals. May 26, 2014 Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu016. https://psnet.ahrq.gov/issue/ev…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73469/psn-pdf
    July 07, 2021 - Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. July 7, 2021 Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-e58. doi:10.1097/ncq.0000000000000564…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849615/psn-pdf
    May 31, 2023 - Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. May 31, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications- community-languages Gaps in patient…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42905/psn-pdf
    July 30, 2014 - The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. July 30, 2014 Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10.1136/bmjqs-2013-002446. https://p…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47119/psn-pdf
    September 19, 2018 - A usability and safety analysis of electronic health records: a multi-center study. September 19, 2018 Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi- center study. J Am Med Inform Assoc. 2018;25(9):1197-1201. doi:10.1093/jamia/ocy088. https://psnet.ahrq.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39102/psn-pdf
    January 04, 2010 - Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. January 4, 2010 Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40. doi:10.1097/SLA.0b013e3181bd54c2.…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44735/psn-pdf
    January 06, 2016 - Quality and patient safety teams in the perioperative setting. January 6, 2016 Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting Team effectivenes…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39270/psn-pdf
    February 03, 2010 - Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. February 3, 2010 Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry systems: a study based on diffusion of innovations theory. BMC Med Info…

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