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6821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50584/psn-pdf
      October 23, 2019 - Unprotected: broken promises in Georgia’s senior care industry. October 23, 2019 Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019. https://psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry Assisted living facilities have challenges that reduce the quality and saf…

6822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35231/psn-pdf
      June 09, 2011 - Human factors considerations relevant to CPOE implementations. June 9, 2011 Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005;19(3):71-8. https://psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations The author reviews the literature on …

6823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38979/psn-pdf
      October 14, 2009 - Active learning: when is more better? The case of resident physicians' medical errors. October 14, 2009 Katz-Navon T; Naveh E; Stern Z. https://psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors Establishing an active learning climate, in which resident physicians are enc…

6824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60737/psn-pdf
      July 29, 2020 - Second victim support programs for healthcare organizations. July 29, 2020 Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45. https://psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations This literature review describes the types of second v…

6825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42769/psn-pdf
      November 27, 2013 - Sepsis: recognizing the next event. November 27, 2013 Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53. https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event This commentary describes the development and implementatio…

6826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36139/psn-pdf
      September 29, 2010 - Trends influencing the cost of care and patient safety. September 29, 2010 Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):18, 20-1. https://psnet.ahrq.gov/issue/trends-influenc…

6827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39996/psn-pdf
      November 17, 2010 - Nurses' medication work: what do nurses know? November 17, 2010 Folkmann L, Rankin J. Nurses' medication work: what do nurses know? J Clin Nurs. 2010;19(21-22):3218- 26. doi:10.1111/j.1365-2702.2010.03249.x. https://psnet.ahrq.gov/issue/nurses-medication-work-what-do-nurses-know This review discusses nursing medic…

6828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41179/psn-pdf
      February 29, 2012 - High fidelity simulation as a research tool. February 29, 2012 Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001. https://psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool This review explores simulation as a met…

6829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36566/psn-pdf
      January 10, 2007 - Department of Defense Health Care Quality. January 10, 2007 Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011. https://psnet.ahrq.gov/issue/department-defense-health-care-quality This report series discusses activities and achievements of the U.S. Department of Defense's…

6830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37418/psn-pdf
      October 01, 2024 - Systems Analysis of Critical Incidents: the London Protocol. October 1, 2024 Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024. https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol This revised report docu…

6831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40774/psn-pdf
      September 14, 2011 - A system-wide initiative to prevent retained vaginal sponges. September 14, 2011 Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204. https://psnet.ahrq.gov/issue/system-wide-initiativ…

6832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40856/psn-pdf
      October 19, 2011 - Safer care at home: use of simulation training to improve standards. October 19, 2011 Unsworth J, Tuffnell C, Platt A. Safer care at home: use of simulation training to improve standards. Br J Community Nurs. 2011;16(7):334-9. https://psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards …

6833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39417/psn-pdf
      August 06, 2016 - Safety Culture: Theory, Method and Improvement. August 6, 2016 Antonsen S. Burlington, VT: Ashgate; 2009. ISBN: 9780754676959. https://psnet.ahrq.gov/issue/safety-culture-theory-method-and-improvement This book describes the fundamentals of safety culture in the context of well-known incidents in high-risk industr…

6834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42712/psn-pdf
      October 02, 2017 - Improving patient safety through transparency. October 2, 2017 Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960. https://psnet.ahrq.gov/issue/improving-patient-safety-through-transparency This commentary describes successful transparency initiat…

6835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42186/psn-pdf
      April 24, 2013 - High reliability: truly achieving healthcare quality and safety. April 24, 2013 Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27. https://psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety This commentary discusses how high reliability …

6836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36571/psn-pdf
      January 05, 2017 - The Objective Structured Clinical Examination as an educational tool in patient safety. January 5, 2017 Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. https://psnet.ahrq.gov/issue/objective-structured-clinical-…

6837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41354/psn-pdf
      May 09, 2012 - Nursing accreditation system and patient safety. May 9, 2012 Teng C-I, Shyu Y-IL, Dai Y-T, et al. Nursing accreditation system and patient safety. J Nurs Manag. 2012;20(3):311-8. doi:10.1111/j.1365-2834.2011.01287.x. https://psnet.ahrq.gov/issue/nursing-accreditation-system-and-patient-safety The self-reported rat…

6838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37002/psn-pdf
      September 14, 2011 - Factors influencing nurses' decisions to raise concerns about care quality. September 14, 2011 Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402. https://psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality …

6839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38847/psn-pdf
      September 23, 2009 - A better approach to medical malpractice claims? The University of Michigan experience. September 23, 2009 Boothman RC; Blackwell AC; Campbell, Jr. DA; Commiskey E; Anderson S. https://psnet.ahrq.gov/issue/better-approach-medical-malpractice-claims-university-michigan-experience This legal discussion shares one ho…

6840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40451/psn-pdf
      May 11, 2011 - Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. May 11, 2011 Jordan S, ed. J Nurs Manag. 2011;19(3):287-417.  https://psnet.ahrq.gov/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research This special issue explores adverse events in nursing, including …