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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44307/psn-pdf
    November 06, 2015 - The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. November 6, 2015 Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Inci…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43298/psn-pdf
    June 25, 2014 - Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. June 25, 2014 Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspect Health Inf Manag. 2014;11:1g. htt…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43445/psn-pdf
    October 01, 2014 - Test result communication in primary care: clinical and office staff perspectives. October 1, 2014 Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. https://psnet.ahrq.gov/issue/test…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47958/psn-pdf
    June 26, 2019 - Patient safety professionals as the third victims of adverse events. June 26, 2019 Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47319/psn-pdf
    October 10, 2018 - Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. October 10, 2018 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and- conventional-manufacturers-may Confusin…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42709/psn-pdf
    November 06, 2013 - Toward increased patient safety? Electronic communication of medication information between nurses in home health care and general practitioners. November 6, 2013 Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of Medication Information Between Nurses in Home Health…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850341/psn-pdf
    June 14, 2023 - Impact of fatigue on anaesthesia providers: a scoping review. June 14, 2023 Scholliers A, Cornelis S, Tosi M, et al. Impact of fatigue on anaesthesia providers: a scoping review. Br J Anaesth. 2023;130(5):622-635. doi:10.1016/j.bja.2022.12.011. https://psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scop…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50925/psn-pdf
    February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73685/psn-pdf
    September 08, 2021 - Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. September 8, 2021 Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Anthropol Med. 2021;28(2):1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47555/psn-pdf
    November 14, 2018 - How one hospital improved patient safety in 10 minutes a day. November 14, 2018 van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018. https://psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day Aviation continues to provide inspiration for patient safety innovation. This commentar…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39740/psn-pdf
    August 11, 2010 - Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. August 11, 2010 Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;16(7):489-96. https://psnet.ahrq.g…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39834/psn-pdf
    July 02, 2014 - Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. July 2, 2014 Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Acad Med. 2010;85(9):1418-24.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47159/psn-pdf
    August 01, 2018 - Safety II behavior in a pediatric intensive care unit. August 1, 2018 Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018. https://psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit The tradit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44032/psn-pdf
    April 01, 2015 - ACOG Committee Opinion #621: patient safety and health information technology. April 1, 2015 Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.0000459867.14114.7a. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60626/psn-pdf
    June 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40697/psn-pdf
    October 31, 2011 - Real-time automated paging and decision support for critical laboratory abnormalities. October 31, 2011 Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs.2010.051110. https://psnet.ahrq.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73185/psn-pdf
    April 28, 2021 - Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21. https://psnet.ahrq.gov/issue/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43034/psn-pdf
    March 12, 2014 - Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. March 12, 2014 Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian Pediatr. 2014;51(1):11-5. https://psnet…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45042/psn-pdf
    September 07, 2016 - The aging surgeon. September 7, 2016 Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008. https://psnet.ahrq.gov/issue/aging-surgeon Senior clinicians often elicit respect from their junior colleagues. This respect can affect colleagues' willingness to intervene s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47970/psn-pdf
    May 01, 2019 - Can we import improvements from industry to healthcare? May 1, 2019 Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039. https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare Principles from high-risk industries can be appli…

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