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  1. TeamSTEPPS Research/Evidence Base: Nursing | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/evidence-base/nursing.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Nursing Creating a safe health care culture: Teaching communication skills and strategies. Nurse Educ . 2018;43(5):241. Epub 2018/08/24. doi: 10.1097/NNE.0000000000000522. PMID: 30138225. Fukuta D, Iitsuka M. Nontechnical skills training and patient safety in undergraduate …

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838088/psn-pdf
    September 14, 2022 - 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. September 14, 2022 Mills M. The Guardian. September 3, 2022. https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our- daughters-death Families experiencing medical …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861283/psn-pdf
    January 24, 2024 - What and when to debrief: a scoping review examining interprofessional clinical debriefing. January 24, 2024 Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730. https://p…

  11. Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Evidence-Based Research Findings (R18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/scaling-established-clinical-decision-support-facilitate-dissemination-and
    January 01, 2023 - Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Evidence-Based Research Findings (R18) Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support Description This research successfully adapted and evaluated scaling of the Enhancing Q…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34677/psn-pdf
    February 09, 2011 - Patients' and physicians' attitudes regarding the disclosure of medical errors. February 9, 2011 Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7. https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47679/psn-pdf
    April 03, 2019 - 'So why didn't you think this baby was ill?' Decision- making in acute paediatrics. April 3, 2019 Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-313199. https://psnet.ahrq.gov/iss…

  14. 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…

  15. 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-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45347/psn-pdf
    September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. September 7, 2016 Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595. https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…

  17. 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…

  18. 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…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60292/psn-pdf
    May 06, 2020 - Overcoming COVID-19: what can human factors and ergonomics offer? May 6, 2020 Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764. https://psnet.ahrq.gov/issue/overcoming-covid-19-…

  20. 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…
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