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  1. psnet.ahrq.gov/print/pdf/node/866100
    August 30, 2023 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Nurse Wellbeing and Patient Safety Curated Library Foundations Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. Wash…
  2. psnet.ahrq.gov/web-mm/isolated-clot-real-error
    December 01, 2013 - SPOTLIGHT CASE Isolated Clot, Real Error Citation Text: Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34785/psn-pdf
    February 18, 2011 - Diseases of medical progress. February 18, 2011 MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. https://psnet.ahrq.gov/issue/diseases-medical-progress This review shares a perspective that the history of medicine provides numerous examples of how emerging illnesses develop from sound the…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73960/psn-pdf
    October 13, 2021 - Therapeutic duplication on the general surgical wards. October 13, 2021 Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. https://psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards Unintentional therapeuti…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35348/psn-pdf
    October 26, 2007 - Medical Error. October 26, 2007 National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. https://psnet.ahrq.gov/issue/medical-error This two-part report focuses on the experience of committing a medical error, along with strategies to red…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38785/psn-pdf
    September 02, 2009 - An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. September 2, 2009 Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60944/psn-pdf
    September 23, 2020 - Flexibilization of science, cognitive biases, and the COVID-19 pandemic. September 23, 2020 Oliveira J. e Silva L, Vidor MV, Zarpellon de Araújo V, et al. Flexibilization of science, cognitive biases, and the COVID-19 pandemic. Mayo Clin Proc. 2020;95(9):1842-1844. doi:10.1016/j.mayocp.2020.06.037. https://psnet.a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43864/psn-pdf
    January 28, 2015 - Starter Kit for Alarm Fatigue. January 28, 2015 National Association of Clinical Nurse Specialists; NACNS. https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implemen…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42111/psn-pdf
    March 13, 2013 - "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? March 13, 2013 Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1212/WNL.0b013e3182797539. https://psnet…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41589/psn-pdf
    July 02, 2014 - The relationship between response time and diagnostic accuracy. July 2, 2014 Sherbino J, Dore KL, Wood TJ, et al. The relationship between response time and diagnostic accuracy. Acad Med. 2012;87(6):785-791. doi:10.1097/ACM.0b013e318253acbd. https://psnet.ahrq.gov/issue/relationship-between-response-time-and-diagn…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46855/psn-pdf
    February 21, 2018 - Leadership and vision for a culture of safety. February 21, 2018 Gandhi TK. NEJM Catalyst. February 8, 2018. https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety Leadership has an important role in establishing a culture of safety in health care organizations. This commentary describes key skills requ…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47049/psn-pdf
    July 10, 2019 - Injectable Opioid Shortages: Suggestions for Management and Conservation. July 10, 2019 University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation Efforts to limit the availabilit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74259/psn-pdf
    January 19, 2022 - Diagnostic reasoning in cardiovascular medicine. January 19, 2022 Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine Misdiagnosis of heart failure can lead to…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36140/psn-pdf
    September 29, 2010 - Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico. September 29, 2010 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 13, 2006. https://psnet.ahrq.gov/issue/roxane-laboratories-initiates-nati…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38878/psn-pdf
    September 26, 2016 - Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. September 26, 2016 Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strateg…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44980/psn-pdf
    April 27, 2016 - Surgeon agreement at the time of handover, a prospective cohort study. April 27, 2016 Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6. https://psnet.ahrq.gov/issue/surgeon-agreement-time-hand…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43732/psn-pdf
    January 07, 2015 - Rethinking diagnostic delay in cancer: how difficult is the diagnosis? January 7, 2015 Lyratzopoulos G, Wardle J, Rubin G. Rethinking diagnostic delay in cancer: how difficult is the diagnosis? BMJ. 2014;349:g7400. doi:10.1136/bmj.g7400. https://psnet.ahrq.gov/issue/rethinking-diagnostic-delay-cancer-how-difficult…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37638/psn-pdf
    May 24, 2015 - Work hours regulations for house staff in psychiatry: bad or good for residency training? May 24, 2015 Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/appi.ap.32.1.54. https://psnet.ahrq.g…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34783/psn-pdf
    March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40582/psn-pdf
    July 06, 2011 - Patient safety climate among orthopaedic surgery residents. July 6, 2011 Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478. https://psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic…

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