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9461. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46564/psn-pdf
      December 06, 2017 - Can the aviation industry be useful in teaching oncology about safety? December 6, 2017 Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. https://psnet.ahrq.gov/issue/can-aviation-industry-be…

9462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42532/psn-pdf
      August 28, 2013 - Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. August 28, 2013 Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. BMJ Qua…

9463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34061/psn-pdf
      January 04, 2017 - Patient Safety Leadership WalkRounds. January 4, 2017 Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds This study shares the concept of an interventi…

9464. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47514/psn-pdf
      October 31, 2018 - Making Hospitals Safe for People With Diabetes. October 31, 2018 Watts E, Rayman G. Diabetes UK. London, UK; 2018. https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes Chronic disease management can add complexity to inpatient care regimens. Researchers worked with patients, system leaders, and clini…

9465. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47958/psn-pdf
      June 26, 2019 - Patient safety professionals as the third victims of adverse events. June 26, 2019 Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…

9466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43045/psn-pdf
      August 02, 2015 - A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. August 2, 2015 Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a…

9467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74196/psn-pdf
      December 15, 2021 - Adverse glycemic events and critical emergencies. December 15, 2021 ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. https://psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies Insulin is a high-alert medication that requires extra attention to safely manage blood sugar …

9468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44787/psn-pdf
      January 20, 2016 - Medication errors involving overrides of healthcare technology. January 20, 2016 Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148. https://psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology Users often bypass alerts meant to enhance safety of medication ordering and d…

9469. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35182/psn-pdf
      April 11, 2011 - Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. April 11, 2011 Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…

9470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46278/psn-pdf
      July 19, 2017 - The opioid epidemic: what can surgeons do about it? July 19, 2017 Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18. https://psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it Surgeons often prescribe opioids for patients after procedures, so they are in a key position to ass…

9471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43485/psn-pdf
      December 15, 2014 - Implementation of an emergency department sign-out checklist improves transfer of information at shift change. December 15, 2014 Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg Med. 2014;47(5):580-5. doi:10…

9472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45297/psn-pdf
      July 13, 2016 - Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. July 13, 2016 Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. BMJ. …

9473. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45312/psn-pdf
      July 27, 2016 - Perioperative safety: learning, not taking, from aviation. July 27, 2016 Neuhaus C, Hofer S, Hofmann G, et al. Perioperative Safety: Learning, Not Taking, from Aviation. Anesth Analg. 2016;122(6):2059-63. doi:10.1213/ANE.0000000000001315. https://psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviatio…

9474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38143/psn-pdf
      February 18, 2011 - A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. February 18, 2011 Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…

9475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73507/psn-pdf
      July 21, 2021 - Systematic review of intraoperative anesthesia handoffs and handoff tools. July 21, 2021 Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. https://psnet.ahrq.gov/issue/systematic-…

9476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38735/psn-pdf
      June 24, 2009 - Reflection and analysis of how pharmacy students learn to communicate about medication errors. June 24, 2009 Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399. https://psnet.ahrq.gov/…

9477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47544/psn-pdf
      December 12, 2018 - Using good catches to promote a just culture and perioperative patient safety. December 12, 2018 Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-p…

9478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41894/psn-pdf
      January 01, 2016 - Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. January 9, 2013 Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Patients by a Mobile ICU. Jt Comm J Qu…

9479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43749/psn-pdf
      December 10, 2014 - Alarm management: first things first: using reliable data to eliminate unnecessary alarms. December 10, 2014 Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45. https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary- alarms Spotlightin…

9480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46621/psn-pdf
      November 22, 2017 - Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. November 22, 2017 Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs Open. 2017;4(4):230-239. doi:10…