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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72478/psn-pdf
    November 18, 2020 - The impact of the use of employee functional flexibility on patient safety. November 18, 2020 Salvador RO, Gnanlet A, McDermott C. The impact of the use of employee functional flexibility on patient safety. Personnel Rev. 2020;50(3):971-984. doi:10.1108/pr-10-2019-0562. https://psnet.ahrq.gov/issue/impact-use-empl…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863765/psn-pdf
    March 06, 2024 - Patient safety and artificial intelligence in clinical care. March 6, 2024 Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45571/psn-pdf
    January 18, 2017 - How communication among members of the health care team affects maternal morbidity and mortality. January 18, 2017 Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6):878-884. doi:10.1016/j.jogn.2016.03…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43942/psn-pdf
    March 11, 2015 - FDA requires label warnings to prohibit sharing of multi- dose diabetes pen devices among patients. March 11, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 25, 2015. https://psnet.ahrq.gov/issue/fda-requires-label-warnings-prohibit-sharing-multi-dose-diabetes-pen-device…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74018/psn-pdf
    October 27, 2021 - Anatomy of a medical device recall: how defective products can slip through an outdated system. October 27, 2021 Zipp R. Medical Tech Dive. October 18, 2021. https://psnet.ahrq.gov/issue/anatomy-medical-device-recall-how-defective-products-can-slip-through- outdated-system This article highlights systems influenc…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45702/psn-pdf
    January 25, 2017 - Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. January 25, 2017 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2017. https://psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-e…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45857/psn-pdf
    July 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. July 11, 2017 Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837037/psn-pdf
    May 04, 2022 - Humanizing harm: using a restorative approach to heal and learn from adverse events. May 4, 2022 Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/hex.13478. https://psnet.ahrq.gov/issue/hum…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50823/psn-pdf
    January 22, 2020 - Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. January 22, 2020 Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy- led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385. https://psnet.ahrq.gov/issue/reduci…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37770/psn-pdf
    March 10, 2011 - Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. March 10, 2011 Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders su…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39298/psn-pdf
    June 11, 2010 - Medication error reporting in nursing homes: identifying targets for patient safety improvement. June 11, 2010 Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44001/psn-pdf
    May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. May 6, 2015 Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490. https://psnet.ahrq.gov/issue/wrong-si…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46011/psn-pdf
    January 17, 2018 - Health and Social Care Ergonomics: Patient Safety in Practice. January 17, 2018 Hignett S, Albolino S, Catchpole K, eds. Ergonomics. 2018;61:1-161. https://psnet.ahrq.gov/issue/health-and-social-care-ergonomics-patient-safety-practice Human factors engineering strategies offer a range of solutions to improve proce…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44060/psn-pdf
    November 16, 2015 - Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. November 16, 2015 Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44. doi:10.1136/bmjqs-2014-003795…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73888/psn-pdf
    September 29, 2021 - Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review. September 29, 2021 Koeck JA, Young NJ, Kontny U, et al. Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838193/psn-pdf
    September 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44368/psn-pdf
    September 29, 2017 - A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 29, 2017 Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44957/psn-pdf
    March 09, 2016 - Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. March 9, 2016 ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5. https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41389/psn-pdf
    June 27, 2012 - Can we make postoperative patient handovers safer? A systematic review of the literature. June 27, 2012 Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:10.1213/ANE.0b013e318253af4b. https:/…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46994/psn-pdf
    October 31, 2018 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018 Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226. doi:10.…

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