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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838322/psn-pdfOctober 12, 2022 - COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. October 12, 2022 Washington, DC: United States Government Accountability Office; September 14, 2022. Publication GAO-22-105133. https://psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854827/psn-pdfOctober 25, 2023 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. October 25, 2023 Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. Ann Surg. 2023;278… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42779/psn-pdfJanuary 29, 2014 - Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. January 29, 2014 Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35716/psn-pdfJuly 10, 2008 - Adherence to black box warnings for prescription medications in outpatients. July 10, 2008 Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864861/psn-pdfSeptember 19, 2022 - Should audits consider the care pathway model? A new approach to benchmarking real-world activities. September 19, 2022 Kwok CS, Waters D, Phan T, et al. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Healthcare. 2022;10(9):1798. doi:10.3390/healthcare10091798. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48037/psn-pdfMay 29, 2019 - Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. May 29, 2019 Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 2019;132(5):556-563. doi:10.1016/j.amj… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34649/psn-pdfJune 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48087/psn-pdfJuly 10, 2019 - The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. July 10, 2019 Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866252/psn-pdfJanuary 01, 2025 - Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. July 10, 2024 Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual Saf. 2025;34(1):18-27. doi:10.1136/b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45877/psn-pdfJuly 19, 2017 - Piece of my mind. Stories doctors tell. July 19, 2017 Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518. https://psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell The sharing of stories is a key method to provide context to drive change. The authors e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73299/psn-pdfMay 19, 2021 - More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. May 19, 2021 ISMP Medication Safety Alert! Acute Care Edition. May 6, 2021;26(9):1-4. https://psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product- labeling-and-packaging Look-al… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43681/psn-pdfJune 03, 2016 - Learning from failure: the need for independent safety investigation in healthcare. June 3, 2016 Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. https://psnet.ahrq.gov/issue/learning-failure-n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45895/psn-pdfFebruary 22, 2017 - Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing Use… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45029/psn-pdfApril 20, 2016 - Threats to safety during sedation outside of the operating room and the death of Michael Jackson. April 20, 2016 Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 Suppl 1:S36-47. doi:10.1097/ACO.0000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47109/psn-pdfJune 06, 2018 - Principles of automation for patient safety in intensive care: learning from aviation. June 6, 2018 Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jcjq.2017.11.008. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862152/psn-pdfFebruary 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73591/psn-pdfAugust 11, 2021 - Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. August 11, 2021 Sajid IM, Parkunan A, Frost K. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45763/psn-pdfDecember 19, 2017 - Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. December 19, 2017 Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195. doi:10.1016/j.s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866591/psn-pdfAugust 28, 2024 - Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. August 28, 2024 Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. Healthcare (Base… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34907/psn-pdfAugust 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? August 3, 2009 Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92. https://psnet.ahrq.gov/issue…
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