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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47030/psn-pdf
    June 06, 2018 - Creating a safer operating room: groups, team dynamics and crew resource management principles. June 6, 2018 Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pediatr Surg. 2018;27(2):107-113. doi:10.1053/j.sempedsurg.2018.02.008. https://p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35361/psn-pdf
    July 16, 2009 - Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. July 16, 2009 Wu HW, Nishimi RY, Page-Lopez CM, et al. Washington DC: National Quality Forum; 2005. https://psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health- literacy In the 2…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47864/psn-pdf
    April 08, 2019 - Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? April 8, 2019 Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. https://psnet.ahrq.gov/issue/healthcar…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74078/psn-pdf
    November 17, 2021 - Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. November 17, 2021 Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. Safety Sci. 2021;143:105417. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39645/psn-pdf
    August 03, 2010 - Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. August 3, 2010 Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. Am J Med Qual…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44726/psn-pdf
    January 07, 2016 - The impact of resident duty hour and supervision changes: a review. January 7, 2016 Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061. https://psnet.ahrq.gov/issue/impact-resident-duty-hour-and-supervi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47783/psn-pdf
    April 10, 2019 - An IDEA: safety training to improve critical thinking by individuals and teams. April 10, 2019 Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687. https://psnet.ahrq.gov/issue/idea-s…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45643/psn-pdf
    November 30, 2016 - Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. November 30, 2016 Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospita…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46844/psn-pdf
    March 07, 2018 - Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. March 7, 2018 Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience. Health Aff (Millwood). 2018;37(2):205-212. doi:10.1377/hlthaff.2017.1144. https…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838183/psn-pdf
    September 28, 2022 - Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. September 28, 2022 Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215. doi:10.1093/ajc…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838310/psn-pdf
    October 12, 2022 - Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45783/psn-pdf
    March 25, 2017 - Year-end resident clinic handoffs: narrative review and recommendations for improvement. March 25, 2017 Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79. doi:10.1016/j.jcjq.2016.11.006. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47541/psn-pdf
    March 04, 2019 - Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. March 4, 2019 Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46793/psn-pdf
    February 28, 2018 - Patient safety movement: history and future directions. February 28, 2018 Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions The pati…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73565/psn-pdf
    August 04, 2021 - Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021 Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44681/psn-pdf
    April 13, 2016 - Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. April 13, 2016 Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444-451. doi:10.1016/j.ajog.2015.10.0…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72785/psn-pdf
    July 22, 2024 - Using Innovative Digital Healthcare Solutions to Improve Quality at the Point of Care (R21/R33 - Clinical Trial Optional). July 22, 2024 Rockville, MD: Agency for Healthcare Research and Quality; July 19, 2024. PA-24-266.  https://psnet.ahrq.gov/issue/using-innovative-digital-healthcare-solutions-improve-qual…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50555/psn-pdf
    October 16, 2019 - Improving critical incident reporting in primary care through education and involvement. October 16, 2019 Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556. https://psnet…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73353/psn-pdf
    June 02, 2021 - Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. June 2, 2021 Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e3182878113. https://psnet.ahrq.gov/…

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