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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842432/psn-pdf
    January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40567/psn-pdf
    July 06, 2012 - Patients' and health care professionals' attitudes towards the PINK patient safety video. July 6, 2012 Davis R, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK patient safety video. J Eval Clin Pract. 2012;18(4):848-53. doi:10.1111/j.1365-2753.2011.01688.x. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45637/psn-pdf
    February 17, 2017 - Opportunities to enhance laboratory professionals' role on the diagnostic team. February 17, 2017 Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048. https://psnet.ahrq.gov/issue/opportuniti…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863764/psn-pdf
    March 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43778/psn-pdf
    April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph, but call him Joe. April 22, 2015 Sun LH. https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe This newspaper article reports on a pilot program which involved redesigning intensive care unit processes to enhance staff knowled…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46613/psn-pdf
    May 17, 2018 - Dynamics of dignity and safety: a discussion. May 17, 2018 Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. https://psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion Patient engagement is predicated on re…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859352/psn-pdf
    December 20, 2023 - More hospitals move to confront medical errors head on. December 20, 2023 Gorenstein D. Tradeoffs. November 16, 2023. https://psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head Amid governmental guidance to improve safety, front-line perspectives remain an important source for insight to make im…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39619/psn-pdf
    September 26, 2010 - Devastatingly human: an analysis of registered nurses' medication error accounts. September 26, 2010 Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228. https://psnet.ahrq.gov/issue/devastatingly…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43373/psn-pdf
    July 23, 2014 - From harm to hope and purposeful action: what could we do after Francis? July 23, 2014 Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. https://psnet.ahrq.gov/issue/harm-hope-and-purpo…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45285/psn-pdf
    September 14, 2016 - Improving pathologists' communication skills. September 14, 2016 Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608. https://psnet.ahrq.gov/issue/improving-pathologists-communication-skills Despite increasing recognition that e…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44733/psn-pdf
    December 07, 2018 - Patient Safety in Ambulatory Settings: Technical Brief. December 7, 2018 Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19, 2016. https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief The primary focus on patient safety research has been…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865491/psn-pdf
    April 03, 2024 - Support and recovery strategies for second victims. April 3, 2024 Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10. doi:10.1002/aorn.14089. https://psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims Clinicians involved in medical errors can be psychologically a…
  13. psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
    May 01, 2007 - known reported harm at that time: 400 people known to have died or been seriously injured from events involving … For example, seeing how physicians talked to patients or indeed talked about patients without involving
  14. psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
    May 01, 2007 - For example, seeing how physicians talked to patients or indeed talked about patients without involving … known reported harm at that time: 400 people known to have died or been seriously injured from events involving
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Surgical Count Processes  Surgical Count A process involving two people who look at items together
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850361/psn-pdf
    June 14, 2023 - Involving a patient’s family members, if permitted by the patient, helps them to understand the patient
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49449/psn-pdf
    June 01, 2004 - Lethal Vertigo June 1, 2004 Furman JM. Lethal Vertigo. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-vertigo The Case A 64-year-old woman, with no prior medical history, complained of sudden onset of severe vertigo and vomiting, without headache. Her initial blood pressure in the emergency departme…
  18. psnet.ahrq.gov/web-mm/little-shuteye
    December 22, 2018 - A Little Shuteye Citation Text: Farion KJ. A Little Shuteye. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857060/psn-pdf
    November 27, 2023 - The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety Introduction Nurses are a li…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33821/psn-pdf
    December 01, 2016 - Errors and Near Misses: What Health Care Could Learn From Aviation December 1, 2016 Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation Perspective Some of the most urg…

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