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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43231/psn-pdf
    July 28, 2014 - Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. July 28, 2014 Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:10.1007/s00268-014-2564-5. https://p…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42404/psn-pdf
    October 08, 2013 - How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. October 8, 2013 George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;106(9):355-61. doi:10.1177/014107681347…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45406/psn-pdf
    November 01, 2016 - Errors and nonadherence in pediatric oral chemotherapy use. November 1, 2016 Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. https://psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use Medication errors and non…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43995/psn-pdf
    August 02, 2015 - Patient access to electronic health records during hospitalization. August 2, 2015 Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. https://psnet.ahrq.gov/issue/patient-access-electronic…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864383/psn-pdf
    March 13, 2024 - Cyberattack on UnitedHealth still impacting prescription access: "These are threats to life". March 13, 2024 Sganga N, Triay A. CBS Evening News. February 29, 2024. https://psnet.ahrq.gov/issue/cyberattack-unitedhealth-still-impacting-prescription-access-these-are-threats- life As health care becomes more technol…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46023/psn-pdf
    May 03, 2017 - Patient safety and leadership: do you walk the walk? May 3, 2017 Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. https://psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk Hospital leaders are increasingly encouraged t…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839814/psn-pdf
    January 01, 2023 - Influencing a culture of quality and safety through huddles. November 9, 2022 McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. https://psnet.ahrq.gov/issue/influencing-culture-quality-a…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72674/psn-pdf
    January 27, 2021 - The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021 Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j.jcjq.2020.11.007. https://psne…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42911/psn-pdf
    February 12, 2014 - Computerized physician order entry: promise, perils, and experience. February 12, 2014 Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-peril…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50940/psn-pdf
    February 26, 2020 - The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units. February 26, 2020 Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing students' performance in prevent…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34946/psn-pdf
    February 03, 2011 - Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. February 3, 2011 Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. https://psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therap…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42467/psn-pdf
    August 08, 2013 - Changes in language services use by US pediatricians. August 8, 2013 DeCamp LR, Kuo DZ, Flores G, et al. Changes in language services use by US pediatricians. Pediatrics. 2013;132(2):e396-406. doi:10.1542/peds.2012-2909. https://psnet.ahrq.gov/issue/changes-language-services-use-us-pediatricians Limited English pr…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46586/psn-pdf
    January 01, 2020 - Adverse event reporting: harnessing residents to improve patient safety. November 8, 2017 Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. https://psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-sa…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45682/psn-pdf
    November 01, 2017 - Changing smart pump vendors: lessons learned. November 1, 2017 Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned Changes in processes, devices, and technologies can increase ri…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50382/psn-pdf
    September 25, 2019 - The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment. September 25, 2019 Best JA, Kim S. The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. J Contin Educ Nurs. 2019;50(8):355-361. doi:10.3928/00220124-20190717-06. https://psnet.ahrq…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837509/psn-pdf
    June 22, 2022 - Scoping review of studies evaluating frailty and its association with medication harm. June 22, 2022 Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-00940-3. https://psnet.ahrq.gov/iss…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44410/psn-pdf
    August 12, 2015 - Workarounds in the workplace: a second look. August 12, 2015 Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. https://psnet.ahrq.gov/issue/workarounds-workplace-second-look Workarounds are prevalent in health care and create opport…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46208/psn-pdf
    July 12, 2017 - Improving patient safety by practicing in a just culture. July 12, 2017 Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture The importance of just culture is widel…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854252/psn-pdf
    October 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61054/psn-pdf
    October 21, 2020 - The optimal use of telehealth to deliver safe patient care. October 21, 2020 Quick Safety. October 6, 2020;55:1-4. https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to COVID-19 phys…
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