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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38044/psn-pdf
    September 10, 2008 - Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused … COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED … https://psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are- … https://psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution … https://psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47151/psn-pdf
    July 11, 2018 - Intravenous smart pumps: usability issues, intravenous medication administration error, and patient … Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient … https://psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication- administration-error-and … https://psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and … https://psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38333/psn-pdf
    January 14, 2009 - Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Levinson DR. … https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues The Tax Relief and Health … This report addresses that mandate by providing a descriptive analysis of the key issues to understanding … The report is focused around discussion of seven critical issues that are explored in detail. … https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues https://psnet.ahrq.gov/primer
  4. psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
    November 06, 2019 - incidents, suggested that the culture and leadership within the system overall enables latency of issues … November 6, 2019 Oversight Hearing on Recent Patient Safety Issues. … July 20, 2022 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
  5. psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
    July 07, 2021 - Review Nursing bedside clinical handover—an integrated review of issues and tools … Nursing bedside clinical handover - an integrated review of issues and tools. … Nursing bedside clinical handover - an integrated review of issues and tools.
  6. psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
    August 04, 2021 - Commentary To err is human: quality and safety issues in spine care. … To err is human: quality and safety issues in spine care. … To err is human: quality and safety issues in spine care.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44580/psn-pdf
    January 13, 2016 - Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues … psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering- and-learning-issues … to develop a process and tools to collect and analyze data related to search, display, and workflow issues … psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues … psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35903/psn-pdf
    May 04, 2015 - Costly issues of an uncommunicative OR. May 4, 2015 Neil R. … Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3. … https://psnet.ahrq.gov/issue/costly-issues-uncommunicative-or This article discusses initiatives for … https://psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74159/psn-pdf
    December 08, 2021 - after discharge: the association of limited English proficiency and postdischarge patient-reported issues … after discharge: the association of limited English proficiency and postdischarge patient-reported issues … English proficiency, but that patients with limited English proficiency experienced more post-discharge issues
  10. psnet.ahrq.gov/issue/scientific-literature-coronaviruses-covid-19-and-its-associated-safety-related-research
    January 26, 2022 - This review discusses the most common research on COVID-19 and safety issues to date (e.g., occupational … safety of heath professionals, patient transport safety) and identifies several safety issues attributable … to the pandemic which have been relatively understudied, including issues around supply-chain safety
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37082/psn-pdf
    January 02, 2017 - Improving rapid response systems: progress, issues, and future directions. … Improving rapid response systems: progress, issues, and future directions. … https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions … https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions https
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36903/psn-pdf
    September 01, 2011 - To err is human: quality and safety issues in spine care. September 1, 2011 Wong DA, Watters WC. … To err is human: quality and safety issues in spine care. … https://psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care The authors discuss a variety … https://psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37103/psn-pdf
    October 04, 2011 - Safety issues in combined gynecologic and plastic surgical procedures. … Safety issues in combined gynecologic and plastic surgical procedures. … https://psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures This … https://psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures
  14. psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-1999-consensus-development
    May 13, 2020 - Review The safety of intravenous drug delivery systems: update on current issues … Citation Text: The safety of intravenous drug delivery systems: update on current issues since the … Citation Citation Text: The safety of intravenous drug delivery systems: update on current issues
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37690/psn-pdf
    April 16, 2008 - How willing are patients to question healthcare staff on issues related to the quality and safety of … How willing are patients to question healthcare staff on issues related to the quality and safety of … https://psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and … https://psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their … https://psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47500/psn-pdf
    October 24, 2018 - electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues … Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues … Overall, about 69% of issues were detected. … Residents identified more of the safety issues than nurses or pharmacists, but the teams recognized more … issues than any of the individual disciplines did on their own.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39937/psn-pdf
    December 06, 2010 - Hospital safety climate surveys: measurement issues. December 6, 2010 Jackson J, Sarac C, Flin R. … Hospital safety climate surveys: measurement issues. … https://psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues This review discusses … https://psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues https://psnet.ahrq.gov
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38138/psn-pdf
    October 22, 2008 - Pharmacists and health information technology: emerging issues in patient safety. … Pharmacists and Health Information Technology: Emerging Issues in Patient Safety. … https://psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety … https://psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40860/psn-pdf
    March 02, 2012 - Patient safety issues in advanced practice nursing students' care settings. … Patient Safety Issues in Advanced Practice Nursing Students? Care Settings. … https://psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings … https://psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36063/psn-pdf
    December 23, 2012 - Oversight Hearing on Recent Patient Safety Issues. December 23, 2012 U.S. … https://psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues These testimonies addressed … issues within the Veterans Affairs health system that contributed to recent sterilization and labeling … https://psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues https://psnet.ahrq.gov/issue

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