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8901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39265/psn-pdf
      February 03, 2010 - Intensive care unit alarms—how many do we need? February 3, 2010 Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. https://psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need This study found that …

8902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838085/psn-pdf
      September 14, 2022 - Administering High-Strength Insulin from a Pen Device in Hospital. September 14, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; July 7, 2022. https://psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital Misuse of insulin pens contributes to never events associated with diabet…

8903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46198/psn-pdf
      August 16, 2017 - Challenging authority during an emergency—the effect of a teaching intervention. August 16, 2017 Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.0000000000002450. https://psnet.ahrq.gov/…

8904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41072/psn-pdf
      January 18, 2012 - Improving medication management through the redesign of the hospital code cart medication drawer. January 18, 2012 Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Factors and Ergonomics Society. 2011;5…

8905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865597/psn-pdf
      April 17, 2024 - Discharge from Mental Health Care: Making it Safe and Patient-centred. April 17, 2024 Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. https://psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred The provision of safe mental health care is receiving increased …

8906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43252/psn-pdf
      August 24, 2016 - Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer. August 24, 2016 Zipperer L, ed. London, UK: Gower Publishing; 2014. ISBN: 9781409438571. https://psnet.ahrq.gov/issue/patient-safety-perspectives-evidence-information-and-knowledge-transfer This book provides information about utilizing …

8907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838636/psn-pdf
      October 19, 2022 - A qualitative survey of factors shaping the role of a safety professional. October 19, 2022 Van Wassenhove W, Foussard C, Dekker SWA, et al. A qualitative survey of factors shaping the role of a safety professional. Safety Sci. 2022;154:105835. doi:10.1016/j.ssci.2022.105835. https://psnet.ahrq.gov/issue/qualitati…

8908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44649/psn-pdf
      November 11, 2015 - Seven (potentially) deadly prescribing errors. November 11, 2015 Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015. https://psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors Errors in the prescribing process can lead to adverse drug events. This slide set provides information about commo…

8909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46838/psn-pdf
      March 07, 2018 - Behavioral & Mental Health Toolbox. March 7, 2018 Center for Health Design. Concord, CA: Center for Health Design; 2018. https://psnet.ahrq.gov/issue/behavioral-mental-health-toolbox Behavioral and mental health patients have unique concerns that affect their safety. This toolkit provides strategies, insights, and…

8910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37117/psn-pdf
      October 04, 2011 - Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. October 4, 2011 Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 2007;120(2):e225-35. https://psnet.a…

8911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60951/psn-pdf
      September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…

8912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45637/psn-pdf
      February 17, 2017 - Opportunities to enhance laboratory professionals' role on the diagnostic team. February 17, 2017 Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048. https://psnet.ahrq.gov/issue/opportuniti…

8913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40710/psn-pdf
      August 24, 2011 - Challenges in posthospital care: nurses as coaches for medication management. August 24, 2011 Costa LL, Poe SS, Lee MC. Challenges in posthospital care: nurses as coaches for medication management. J Nurs Care Qual. 2011;26(3):243-51. doi:10.1097/NCQ.0b013e31820e1543. https://psnet.ahrq.gov/issue/challenges-postho…

8914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45951/psn-pdf
      October 31, 2017 - A systematic review of team training in health care: ten questions. October 31, 2017 Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. https://psnet.ahrq.gov/issue/systematic-rev…

8915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35175/psn-pdf
      June 23, 2009 - Overnight and postcall errors in medication orders. June 23, 2009 Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors…

8916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36671/psn-pdf
      January 18, 2011 - Increasing vigilance on the medical/surgical floor to improve patient safety. January 18, 2011 Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. https://psnet.ahrq.gov/issue/increasing-vigilance-m…

8917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42012/psn-pdf
      February 06, 2013 - Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. February 6, 2013 Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. BMC Health Serv Res. 2012;12:407. doi:10.1186/1472-696…

8918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35339/psn-pdf
      April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…

8919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37512/psn-pdf
      February 06, 2008 - Risk factors in preventable adverse drug events in pediatric outpatients.  February 6, 2008 Zandieh SO, Goldmann DA, Keohane C, et al. Risk factors in preventable adverse drug events in pediatric outpatients. J Pediatr. 2008;152(2):225-31. doi:10.1016/j.jpeds.2007.09.054. https://psnet.ahrq.gov/issue/risk-factors-…

8920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43700/psn-pdf
      November 19, 2014 - Appropriate use of medical interpreters. November 19, 2014 Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80. https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters Language barriers between patients and providers can contribute to misunderstandings and lead…