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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866111/psn-pdf
    June 12, 2024 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. June 12, 2024 Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standardized flowsheet to document commu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41325/psn-pdf
    October 06, 2016 - How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. October 6, 2016 Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011-000442. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73371/psn-pdf
    June 09, 2021 - Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021 Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Ergonomics. …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44646/psn-pdf
    November 11, 2015 - The hidden costs of reconciling surgical sponge counts. November 11, 2015 Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002. https://psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-coun…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36279/psn-pdf
    May 27, 2011 - Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. May 27, 2011 Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders. Am J Manag Care. 2006;12(7):389…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866349/psn-pdf
    July 24, 2024 - A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. July 24, 2024 Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the reporting rate of patient safety inciden…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45473/psn-pdf
    April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315. doi:10.1093/jami…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50871/psn-pdf
    February 05, 2020 - Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma. February 5, 2020 Stengel D, Mutze S, Güthoff C, et al. Association of Low-Dose Whole-Body Computed Tomography With Missed Injury Diagnoses and Radiation Exposure in Pat…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74698/psn-pdf
    January 26, 2022 - How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. January 26, 2022 Etherington C, Kitto S, Burns JK, et al. How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. BMC Health Serv Res. 2021;21(1):1357. doi:10.1186/s129…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44699/psn-pdf
    December 16, 2015 - Suicide attempts after emergency room visits: the effect of patient safety goals. December 16, 2015 Robst J. Suicide Attempts After Emergency Room Visits: The Effect of Patient Safety Goals. Psych Q. 2015;86(4):497-504. doi:10.1007/s11126-015-9345-7. https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-ro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74126/psn-pdf
    December 01, 2021 - Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. December 1, 2021 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncont…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841771/psn-pdf
    December 21, 2022 - How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. December 21, 2022 Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative car…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41860/psn-pdf
    November 28, 2012 - Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. November 28, 2012 Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsyste…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60342/psn-pdf
    May 20, 2020 - Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. May 20, 2020 Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare wor…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837311/psn-pdf
    June 01, 2022 - Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. June 1, 2022 Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support a…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42882/psn-pdf
    November 23, 2016 - Structuring patient and family involvement in medical error event disclosure and analysis. November 23, 2016 Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42047/psn-pdf
    March 18, 2013 - Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. March 18, 2013 Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537. https://psnet.ahrq.gov…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44626/psn-pdf
    November 04, 2015 - "SWARMing" to improve patient care: a novel approach to root cause analysis. November 4, 2015 Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39598/psn-pdf
    September 20, 2011 - A July spike in fatal medication errors: a possible effect of new medical residents. September 20, 2011 Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. doi:10.1007/s11606-010-1356-3. https://psnet.ahrq.gov/issue/july-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60321/psn-pdf
    May 13, 2020 - Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. May 13, 2020 Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform physician onboarding practices. Jt Comm J Qual Patient Saf. 2020;46(6):314-320. doi:10.1016/j…