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8201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47485/psn-pdf
      January 09, 2019 - System-related and cognitive errors in laboratory medicine. January 9, 2019 Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191- 196. doi:10.1515/dx-2018-0085. https://psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine Problems managing …

8202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39898/psn-pdf
      February 01, 2011 - Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. February 1, 2011 Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.…

8203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865932/psn-pdf
      May 22, 2024 - Cognitive Load Theory and its Impact on Diagnostic Accuracy. May 22, 2024 Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF. https://psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy Cognition plays a…

8204. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47337/psn-pdf
      November 14, 2018 - Antibiotic shortages in pediatrics. November 14, 2018 Banerjee R, Thurm CW, Fox ER, et al. Antibiotic Shortages in Pediatrics. Pediatrics. 2018;142(5). doi:10.1542/peds.2018-0858. https://psnet.ahrq.gov/issue/antibiotic-shortages-pediatrics Drug shortages can disrupt care processes and diminish medication safety. …

8205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50809/psn-pdf
      January 15, 2020 - Electronic Health Record (EHR) Safety and Usability: See What We Mean. January 15, 2020 MedStar Health National Center for Human Factors in Healthcare. https://psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean Electronic health records (EHR) optimize information functions in c…

8206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836834/psn-pdf
      March 30, 2022 - Dying for Care. March 30, 2022 Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022. https://psnet.ahrq.gov/issue/dying-care Nursing home residents, staff, and care processes were particularly vulnerable to COVID-19. This collection of resources examines data and documentation involving one nursing …

8207. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44816/psn-pdf
      June 29, 2016 - Paralyzed by errors, this Xbox designer is taking on hospital safety. June 29, 2016 Aleccia J. https://psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports …

8208. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44113/psn-pdf
      November 06, 2015 - Junior doctors' views on reporting concerns about patient safety: a qualitative study. November 6, 2015 Hooper P, Kocman D, Carr S, et al. Junior doctors' views on reporting concerns about patient safety: a qualitative study. Postgrad Med J. 2015;91(1075):251-6. doi:10.1136/postgradmedj-2014-133045. https://psnet.…

8209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46730/psn-pdf
      May 03, 2018 - Physician gender and apologies in clinical interactions. May 3, 2018 Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns. 2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005. https://psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions This si…

8210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36783/psn-pdf
      August 23, 2011 - Doctors are more dangerous than gun owners: a rejoinder to error counting. August 23, 2011 Dekker SWA. Doctors are more dangerous than gun owners: a rejoinder to error counting. Hum Factors. 2007;49(2):177-84. https://psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting The author a…

8211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46301/psn-pdf
      October 11, 2017 - Care transitions know-how not just for clinicians. October 11, 2017 Ready T. HealthLeaders Media. September 26, 2017. https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians Transitions are an error-prone process. This news article reports that organizational leadership should be engaged in enha…

8212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47052/psn-pdf
      July 31, 2018 - The risks to patient safety from health system expansions. July 31, 2018 Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074. https://psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions Changes in organ…

8213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34593/psn-pdf
      January 04, 2017 - John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. January 4, 2017 Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. Jt Comm J Qual Saf. 2003;29…

8214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50580/psn-pdf
      October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. October 23, 2019 Rein L. Washington Post. October 5, 2019. https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding- investigation-va-hospital The Vete…

8215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46193/psn-pdf
      May 31, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief. May 31, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2017. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief Medication safety is a gl…

8216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38095/psn-pdf
      October 01, 2008 - Severity of medication administration errors detected by a bar-code medication administration system. October 1, 2008 Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008;65(17):1661-6. doi:10.2146/ajhp070…

8217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39833/psn-pdf
      September 08, 2010 - When do supervising physicians decide to entrust residents with unsupervised tasks? September 8, 2010 Sterkenburg A, Barach P, Kalkman CJ, et al. When do supervising physicians decide to entrust residents with unsupervised tasks? Acad Med. 2010;85(9):1408-1417. doi:10.1097/ACM.0b013e3181eab0ec. https://psnet.ahrq.…

8218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837339/psn-pdf
      June 08, 2022 - Mindful workarounds in bar code medication administration. June 8, 2022 Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575. https://psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration Barcod…

8219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38657/psn-pdf
      September 27, 2016 - Medication Administration Time Study (MATS): nursing staff performance of medication administration. September 27, 2016 Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5):204-210. doi:10.1097/NNA.0b0…

8220. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866530/psn-pdf
      August 14, 2024 - Healthcare Simulation in Nursing Practice. August 14, 2024 Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510. https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice Simulation is an established method to examine nursing process resilience and develop non-techni…