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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33931/psn-pdf
    June 23, 2015 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. June 23, 2015 Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology. 1984;60(…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43336/psn-pdf
    July 09, 2014 - Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? July 9, 2014 Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72600/psn-pdf
    December 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60676/psn-pdf
    July 15, 2020 - Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. July 15, 2020 Rockville, MD; Agency for Healthcare Research and Quality: 2020. https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator- and-ppe-1-30 The COVI…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849136/psn-pdf
    May 17, 2023 - Using morbidity and mortality conferences to drive quality improvement and reduce errors. May 17, 2023 Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and- reduce-errors Morbidity and mortality (…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73250/psn-pdf
    May 12, 2021 - Adverse events associated with home blood transfusion: a retrospective cohort study. May 12, 2021 Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.15734. https://psnet.ahrq.gov/issue…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846151/psn-pdf
    March 15, 2023 - Managing safety in perioperative settings: strategies of meso-level nurse leaders. March 15, 2023 Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.0000000000000364. https://psnet.ahrq.gov/iss…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38988/psn-pdf
    October 07, 2009 - Resident duty-hour reform associated with increased morbidity following hip fracture. October 7, 2009 Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240. https://psnet.ahrq.gov/…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60060/psn-pdf
    March 18, 2020 - The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. March 18, 2020 Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. J Health Life Sc…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73919/psn-pdf
    October 06, 2021 - Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. October 6, 2021 King AE, Gerolamo AM, Hass RW, et al. J Allied Health. 2021;50(3):175-181. https://psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35418/psn-pdf
    June 14, 2011 - Anatomic pathology databases and patient safety. June 14, 2011 Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol Lab Med. 2005;129(10):1246-1251. https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety This AHRQ-funded project describes the de…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47975/psn-pdf
    May 29, 2019 - Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. May 29, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice Introducing innovations in practice involves taking calculated ri…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45449/psn-pdf
    October 29, 2017 - Situational awareness—what it means for clinicians, its recognition and importance in patient safety. October 29, 2017 Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547. htt…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45024/psn-pdf
    December 19, 2017 - Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. December 19, 2017 Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educationa…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41515/psn-pdf
    July 02, 2014 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. July 2, 2014 Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38330/psn-pdf
    September 24, 2010 - Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. September 24, 2010 Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Jt Comm J Qu…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60845/psn-pdf
    August 26, 2020 - Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. August 26, 2020 Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci.2020.104839. https://psnet.ahrq…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853235/psn-pdf
    September 06, 2023 - When the lights go down in the delivery room: lessons from a ransomware attack. September 6, 2023 Gabbay?Benziv R, Ben?Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002/ijgo.14687. https://psnet.ahrq.gov…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50385/psn-pdf
    January 01, 2020 - How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. September 25, 2019 George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:10.1097/hmr.0000000000000260.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46376/psn-pdf
    December 07, 2017 - User-centered collaborative design and development of an inpatient safety dashboard. December 7, 2017 Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685. doi:10.1016/j.jcjq.2017.05.010. https…