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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45179/psn-pdf
    July 13, 2016 - Communication and shared understanding between parents and resident-physicians at night. July 13, 2016 Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2015-0224. https://psnet.ahrq.gov/i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50708/psn-pdf
    December 04, 2019 - Identifying medication errors in neonatal intensive care units: a two-center study December 4, 2019 Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-4. https://psnet.ahrq.gov/issue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865705/psn-pdf
    May 01, 2024 - Healthcare team resilience during COVID-19: a qualitative study. May 1, 2024 Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. https://psnet.ahrq.gov/issue/healthcare-team-resilience-during…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865594/psn-pdf
    January 01, 2025 - Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units. April 17, 2024 Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73532/psn-pdf
    July 28, 2021 - The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. July 28, 2021 Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e001254. doi:10.1136/bmjoq-2020- 001254.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60557/psn-pdf
    January 01, 2021 - Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. June 3, 2020 Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.1136/bmjqs-2019-010540. https://psnet.…
  9. 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…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47186/psn-pdf
    October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery. October 24, 2018 Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552. https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery Quality and value have intersecting influence on the safety of health care. Articles in this specia…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44101/psn-pdf
    November 06, 2015 - Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. November 6, 2015 Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. J Hosp Med. 2015;10(6):345-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853975/psn-pdf
    September 27, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. September 27, 2023 Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. Publication No. 23-0040-6-EF. https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854826/psn-pdf
    October 25, 2023 - Observing sources of system resilience using in situ alarm simulations. October 25, 2023 McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. https://psnet.ahrq.gov/issue/observing-sources-system-r…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840489/psn-pdf
    November 30, 2022 - A longitudinal study on the impact of simulation on positive deviance through speaking up. November 30, 2022 M. Violato E. A longitudinal study on the impact of simulation on positive deviance through speaking up. Can J Respir Ther. 2022;58:137-142. doi:10.29390/cjrt-2022-006. https://psnet.ahrq.gov/issue/longitud…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46982/psn-pdf
    June 13, 2018 - Advances in perioperative quality and safety. June 13, 2018 Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006. https://psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety Clinical s…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42513/psn-pdf
    January 15, 2014 - A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. January 15, 2014 Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. J Pediat…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866283/psn-pdf
    July 10, 2024 - Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. July 10, 2024 Am J Health Syst Pharm. 2024;81(supp 3):s73-s136. https://psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice- co…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46861/psn-pdf
    February 28, 2018 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. February 28, 2018 Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-ove…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45816/psn-pdf
    February 01, 2017 - Parent preferences for medical error disclosure: a qualitative study. February 1, 2017 Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. https://psnet.ahrq.gov/issue/parent-preferences-medical-error…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837060/psn-pdf
    May 11, 2022 - Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. May 11, 2022 Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. J…

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