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  1. psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
    May 01, 2004 - Study Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. Citation Text: Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
  2. psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
    February 13, 2019 - Study The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. Citation Text: Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…
  3. psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
    May 24, 2015 - Study Medication errors involving patient-controlled analgesia.   Citation Text: Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. Copy Citation Format: DOI G…
  4. psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record
    August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …
  5. psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
    January 17, 2019 - Study Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. Citation Text: Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…
  6. psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive
    March 09, 2016 - Study Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Citation Text: Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…
  7. psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
    October 12, 2009 - Commentary A novel ICU hand-over tool: the glass door of the patient room. Citation Text: Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system
    October 19, 2022 - Study Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Citation Text: Catchpole K, Bell MDD, Johnson S. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Anaesth…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43198/psn-pdf
    July 19, 2023 - TeamSTEPPS Core Curriculum. July 19, 2023 Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/teamstepps-core-curriculum The TeamSTEPPS® program was developed to support effective communication and teamwork in health care. The curriculum offers training for participan…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43366/psn-pdf
    March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865818/psn-pdf
    May 08, 2024 - The role for policy in AI-assisted medical diagnosis. May 8, 2024 Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339. https://psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis Artificial inte…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40081/psn-pdf
    December 21, 2014 - Electronic health record adoption by children's hospitals in the United States. December 21, 2014 Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234. https://…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42122/psn-pdf
    May 23, 2013 - High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. May 23, 2013 Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. BMJ Qual Saf. 2013;2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39274/psn-pdf
    November 23, 2016 - Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. November 23, 2016 Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs. 2010;15(1):84-7. doi:10.1111/j.17…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36027/psn-pdf
    March 28, 2011 - Medical injuries among hospitalized children. March 28, 2011 Meurer JR, Yang H, Guse CE, et al. Medical injuries among hospitalized children. Qual Saf Health Care. 2006;15(3):202-7. https://psnet.ahrq.gov/issue/medical-injuries-among-hospitalized-children This AHRQ–funded study applied new screening criteria to ca…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45481/psn-pdf
    September 14, 2016 - "Use as directed" can cause confusion for both patients and practitioners. September 14, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3. https://psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners Reporting the results of a survey on "as directed" in…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42337/psn-pdf
    December 30, 2014 - In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. December 30, 2014 Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf. 2013;22(6):468-77. doi:10.113…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838140/psn-pdf
    November 07, 2015 - Safety-I, Safety-II and resilience engineering. November 7, 2015 Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering Organiz…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40875/psn-pdf
    November 21, 2016 - Implementation of Condition Help: family teaching and evaluation of family understanding. November 21, 2016 Hueckel RM, Mericle JM, Frush K, et al. Implementation of condition help: family teaching and evaluation of family understanding. J Nurs Care Qual. 2012;27(2):176-81. doi:10.1097/NCQ.0b013e318235bdec. https:…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60831/psn-pdf
    August 19, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. August 19, 2020 Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; August 2020. AHRQ Publication No. 20-0040-2-EF. https://psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and…

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