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  1. psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health-records-support-medication-reconciliation
    August 08, 2014 - August 23, 2006 AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative
  2. psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
    February 11, 2015 - August 9, 2017 Trends in Nursing Home Deficiencies and Complaints.
  3. psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
    August 07, 2024 - February 7, 2024 Resident Safety Practices in Nursing Home Settings.
  4. psnet.ahrq.gov/issue/improving-care-using-patient-feedback
    April 19, 2017 - View More Related Resources Surveys on Patient Safety Culture NursingHome Survey: User Database Report.
  5. psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
    November 20, 2019 - July 29, 2020 Nursing home workers warned government about safety violations before COVID
  6. psnet.ahrq.gov/issue/taking-action-against-clinician-burnout-systems-approach-professional-well-being
    September 12, 2018 - November 15, 2023 The National Imperative to Improve Nursing Home Quality: Honoring Our
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49679/psn-pdf
    March 01, 2013 - The Unfamiliar Catheter March 1, 2013 Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/unfamiliar-catheter The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department with sudden onset of severe shortness of breath…
  8. psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
    November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…
  9. psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
    June 23, 2009 - Commentary Building social capital in healthcare organizations: thinking ecologically for safer care. Citation Text: Hofmeyer A, Marck PB. Building social capital in healthcare organizations: thinking ecologically for safer care. Nurs Outlook. 2008;56(4):145-151.e2. doi:10.1016/j.outlo…
  10. psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61078/psn-pdf
    October 28, 2020 - Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump October 28, 2020 Bagley B, Zuidema D, Crossen S, et al. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/inpatient-stroke-management…
  12. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
    April 01, 2013 - Spotlight Case July 2008 Spotlight Case Total Parenteral Nutrition, Multifarious Errors * * Source and Credits This presentation is based on the April 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Joseph I. Boullata, PharmD, RPh, BCNSP…
  13. psnet.ahrq.gov/issue/patient-safety-climate-variation-perceptions-infection-preventionists-and-quality-directors
    January 09, 2011 - Study Patient safety climate: variation in perceptions by infection preventionists and quality directors. Citation Text: Nelson S, Stone PW, Jordan S, et al. Patient safety climate: variation in perceptions by infection preventionists and quality directors. Interdiscip Perspect Infect …
  14. psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
    August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…
  15. psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
    September 12, 2018 - May 11, 2022 The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment
  16. psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
    September 28, 2022 - September 28, 2022 The National Imperative to Improve Nursing Home Quality: Honoring
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - Handoffs June 15, 2024 Handoffs and Signouts. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/handoffs PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Backgroun…
  18. psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
    January 06, 2017 - Review The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. Citation Text: Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50907/psn-pdf
    February 19, 2020 - Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. February 19, 2020 Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.1188/20.cjon.22-30. https://psn…
  20. psnet.ahrq.gov/issue/adverse-events-intensive-care-and-continuing-care-units-during-bed-bath-procedures
    March 05, 2025 - Study Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. Citation Text: Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…

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