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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43932/psn-pdf
    March 04, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. March 4, 2015 Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015. https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45151/psn-pdf
    May 18, 2016 - Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. May 18, 2016 van Rosse F, Suurmond J, Wagner C, et al. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. BMJ Open. 2016;6(4):e009052. doi:10.1136/bmjopen-2015-0…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50401/psn-pdf
    October 02, 2019 - Discrepant advanced directives and code status orders: a preventable medical error. October 2, 2019 Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm.3244. https://psnet.ahrq.gov/issue/discre…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852800/psn-pdf
    August 23, 2023 - Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023 Kinsella SM, Boaden B, El?Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Anaesthesia. 2023;78(10):1285-1294. doi:10.1111/anae.16095. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866324/psn-pdf
    July 17, 2024 - Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients Patient and family concerns can provide…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857457/psn-pdf
    December 06, 2023 - 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. December 6, 2023 Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):34-41. doi:10.7748/en.2023.e2187. ht…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36244/psn-pdf
    June 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43854/psn-pdf
    February 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400. https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863763/psn-pdf
    March 06, 2024 - After his wife died, he joined nurses to push for new staffing rules in hospitals. March 6, 2024 Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024. https://psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals Mandatory staffing ratios are a controversial …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47181/psn-pdf
    August 22, 2018 - Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836917/psn-pdf
    April 13, 2022 - Error and cognitive bias in diagnostic radiology. April 13, 2022 Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320. https://psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology Diagnostic errors …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44722/psn-pdf
    March 15, 2016 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. March 15, 2016 Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Int J Qual Health C…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861291/psn-pdf
    January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36017/psn-pdf
    June 14, 2006 - Medical errors and quality of care: from control to commitment. June 14, 2006 Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. https://psnet.ahrq.gov/issue/medical-errors-and-quality-care-control…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867136/psn-pdf
    November 13, 2024 - Detecting clinical medication errors with AI enabled wearable cameras. November 13, 2024 Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. https://psnet.ahrq.gov/issue/detecting-clinical-medication…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47771/psn-pdf
    April 24, 2019 - The impact of errors on healthcare professionals in the critical care setting. April 24, 2019 Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. https://psnet.ahrq.gov/issue/impact-err…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43990/psn-pdf
    April 22, 2015 - Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. April 22, 2015 Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf. 2015;24(5):303-10. doi:10.1136/bmjqs-2014-003279. h…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72723/psn-pdf
    February 10, 2021 - The impact of critical incidents on nurses and midwives: a systematic review. February 10, 2021 Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. https://psnet.ahrq.gov/issue/impact-critical-in…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72699/psn-pdf
    February 03, 2021 - RISE: exploring volunteer retention and sustainability of a second victim support program. February 3, 2021 Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.1097/jhm-d-19-00264. https://psne…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73683/psn-pdf
    September 08, 2021 - Why and how to approach user experience in safety- critical domains: the example of health care. September 8, 2021 Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575. htt…
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